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 Leigh Hospital, providing strategic oversight for developing, implementing, and continuously improving quality, patient safety, accreditation, regulatory readiness, and performance improvement programs. The role 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 274-bed acute care hospital. The Director leads event reviews, root cause analyses, 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 role also advances organizational goals related to CMS Core Measures, PFP, MU quality data, and Q-HIP programs.
Requirements
- Bachelor's degree.
- At least 5 years of leadership experience.
- At least 5 years of healthcare operations experience.
- Experience leading quality improvement, patient safety, accreditation (DNV/ISO), and regulatory readiness initiatives, including guiding senior leadership on improving safety culture.
- 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.
- Ability to build relationships with physicians, nursing leaders, executives, and multidisciplinary teams.
Nice To Haves
- Master's degree.
- 3 years of hospital quality leadership and performance improvement experience is strongly preferred.
Responsibilities
- Provide strategic oversight for 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 quality 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.
- 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 of $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, subject to established system and employee eligibility criteria
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What This Job Offers
Job Type
Full-time
Career Level
Director
