Executive Director | Quality, Patient Safety & Patient Experience

Logan Health•Kalispell, MT

About The Position

Quality and safety aren’t just metrics at Logan Health Medical Center. They’re the foundation of everything we do. We’re looking for a senior leader who sees it the same way and is ready to own that mission at the executive level. The Executive Director of Quality, Patient Safety, and Patient Experience leads one of the most visible and impactful portfolios at LHMC, setting the strategic direction for how we protect patients, improve outcomes, and deliver care experiences that our community can trust. Reporting to the Chief Medical Officer, this leader works in close partnership with physician quality leadership, medical staff, and senior leaders across the organization to drive high-reliability practices, reduce preventable harm, and ensure regulatory and accreditation excellence. This is a role for someone who doesn’t just manage programs but builds the systems, culture, and accountability that make lasting change possible. If you bring deep expertise across quality, patient safety, and patient experience, and you know how to translate data into action and alignment across a complex organization, we’d love to talk. At Logan Health, our leaders are empowered to make meaningful impact, supporting both frontline caregivers and the patients and communities we serve. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care through connection, service and innovation. Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.

Requirements

Bachelor’s degree in Healthcare Administration, Nursing, or a related field required
Minimum of eight (8) years of progressive leadership experience in quality, patient safety, or a closely related healthcare specialty
Demonstrated expertise in quality improvement methodologies, patient safety science, and regulatory standards
Demonstrated proficiency with both inpatient and ambulatory quality initiatives
Experience leading regulatory audits, surveys, or investigations (CMS, DNV, state agencies)
Experience leading enterprise-level patient safety, quality, and patient experience initiatives
Demonstrated knowledge of healthcare operations, regulatory requirements, accreditation standards, and care delivery systems

Nice To Haves

Master’s degree in Healthcare Administration, Nursing, Business Administration (MBA), or a related field strongly preferred
Professional certification preferred but not required (CPHQ, CPPS, CPXP, or CPHRM)

Responsibilities

Set the strategic direction and oversee the development, implementation, and delivery of clinical quality, patient safety, and patient experience programs across LHMC
Develop and steward the annual QAPI plan, embedding continuous improvement across clinical and operational environments
Establish and monitor key performance indicators, dashboards, scorecards, and benchmarking tools to drive improvement
Champion patient experience, advancing person- and family-centered care and integrating patient-reported outcomes
Direct quality measurement, analytics, and performance reporting to internal and external stakeholders
Use patient feedback, analytics, and equity data to drive improvement; lead initiatives related to grievances, complaints, and service recovery
Lead and oversee patient safety event reporting, root cause analysis, corrective action planning, and proactive risk-mitigation initiatives
Oversee patient safety event review processes, including presentation of system-level recommendations to the Senior Executive Team and relevant Board Committees
Oversee drug diversion, medication safety, and clinical safety programs
Oversee infection prevention and control programs to reduce healthcare-associated infections and ensure compliance with evidence-based protocols
Oversee emergency preparedness planning and programs, ensuring organizational readiness and compliance with regulatory requirements
Ensure readiness and compliance with CMS Conditions of Participation, DNV accreditation standards, and all applicable state and federal requirements
Interpret and operationalize regulations from CMS, FDA, OCR, OIG, state agencies, and accrediting bodies
Direct compliance programs, audits, surveys, and corrective action plans
Monitor regulatory and legislative changes, assess organizational impact, and advise proactive responses
Develop, mentor, and inspire staff across the quality, safety, and patient experience portfolio in a culture of continuous improvement and collaboration
Provide subject matter expertise and education to clinical leadership, medical staff, and partners regarding quality, patient safety, regulations, and emerging best practices
Develop and manage operating and capital budgets aligned with strategic priorities
Represent LHMC on relevant organizational, system, and national committees; chair quality and patient safety councils as required