Director of Quality and Patient Safety
About The Position
The Director of Quality and Patient Safety serves as the facility-based quality leader for Sentara Norfolk General Hospital, providing strategic oversight for the development, implementation, and continuous improvement of quality, patient safety, accreditation, regulatory readiness, and performance improvement programs. The Director partners with hospital executives, medical staff, physician leaders, nursing leadership, Infection Prevention, Risk Management, and the System-Wide Patient Safety Director to reduce risk, enhance patient outcomes, and foster a culture of safety across a complex 525-bed Level I Trauma Center. The role leads event review and root cause analysis, safety tools, and behavioral training initiatives; oversees OPPE and medical staff peer review; manages reporting and tracking systems for ongoing quality monitoring; and coordinates annual evaluations and DNV/ISO surveys, including follow-up actions and internal audit compliance. The Director also advances organizational goals related to CMS Core Measures, PFP, MU quality data, and Q-HIP programs.
Requirements
- Minimum of 5 years of leadership experience.
- Minimum of 5 years of healthcare operations experience.
- Experience leading quality improvement, patient safety, accreditation (DNV/ISO), and regulatory readiness initiatives.
- Experience with quality event review, root cause analysis, OPPE and peer review, and performance improvement programs, including reporting and tracking systems.
- Knowledge of CMS requirements, CMS Core Measures, PFP, MU quality data, Q-HIP, and healthcare regulatory standards.
- Demonstrated ability to build relationships with physicians, nursing leaders, executives, and multidisciplinary teams, and to lead, mentor, and develop quality professionals.
- Bachelor's degree.
Nice To Haves
- Master's degree.
- 3 years of hospital quality leadership and performance improvement experience strongly preferred.
Responsibilities
- Provide strategic oversight for the development, implementation, and continuous improvement of quality, patient safety, accreditation, regulatory readiness, and performance improvement programs.
- Partner with hospital executives, medical staff, physician leaders, nursing leadership, Infection Prevention, Risk Management, and the System-Wide Patient Safety Director to reduce risk, improve outcomes, and foster a culture of safety.
- Lead event reviews, root cause analyses, safety tools, and behavioral training initiatives.
- Oversee OPPE and medical staff peer review.
- Manage reporting and tracking systems for ongoing quality monitoring.
- Coordinate annual evaluations and DNV/ISO surveys, including follow-up actions and internal audit compliance.
- Advance organizational goals related to CMS Core Measures, PFP, MU quality data, and Q-HIP programs.
- Guide senior leadership on improving safety culture.
- Build relationships with physicians, nursing leaders, executives, and multidisciplinary teams, and lead, mentor, and develop quality professionals.
Benefits
- Medical, dental, and vision plans.
- Adoption, fertility, and surrogacy reimbursement up to $10,000.
- Paid time off and sick leave.
- Paid parental and family caregiver leave.
- Emergency backup care.
- Long-term and short-term disability and critical illness plans.
- Life insurance.
- 401k/403B with employer match.
- Tuition assistance up to $5,250 per year and discounted educational opportunities through Guild Education.
- Student debt pay down up to $10,000.
- Pet insurance.
- Legal resources plan.
- Opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met.
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What This Job Offers
Job Type
Full-time
Career Level
Director
