Executive Director Quality - PCSTMC

Providence•Los Angeles, CA

3d•Hybrid

About The Position

Providence Cedars-Sinai Tarzana Medical Center, serving the San Fernando Valley since 1973, is a leading healthcare provider offering comprehensive services including heart, vascular, orthopedic, cancer, and women's services. It houses the largest Level III Neonatal Intensive Care Unit (NICU) in the area and is a designated STEMI and stroke receiving center. This role is for a clinical quality leader passionate about improving patient safety, quality outcomes, care experience, and regulatory excellence within a collaborative healthcare environment. The Executive Director Quality will provide leadership and coordinate ministry and region-wide efforts to deliver cost-effective, efficient, high-quality, and safe care in Southern California. The position reports to the Regional Chief Quality Officer (CQO) Southern California with a dotted line to the ministry Chief Medical Officer (CMO). Responsibilities include strategic clinical leadership, oversight of quality, performance improvement, analytics, clinical risk, patient safety, regulatory compliance, peer review, infection prevention, care experience, and patient grievances. The role involves developing and monitoring the Quality Strategic Plan, serving as a hands-on clinical quality expert, and contributing to regional quality and safety initiatives. The Executive Director will also be a resource for regulatory and compliance issues, patient safety programs, root cause analysis, and benchmarking.

Requirements

Master's Degree in Healthcare related field (e.g., Nursing, Public Administration, Business Administration), or Bachelor's Degree in Healthcare related field (e.g., Nursing, Public Administration, Business Administration).
Within 30 days of hire: California Fire and Life Safety Card - National Organization (Vendor Managed).
7 years of experience in Clinical Leadership.
5 years of senior management experience in a large healthcare organization with responsibility for leading clinical quality improvement functions, including experience as a clinical leader with responsibility for clinical quality and clinical leadership development and education; experience in a complex, multi-site health system; and experience with The Joint Commission accreditation and DNV processes and standards.
Highly effective interpersonal skills and a motivational approach to leadership.
Demonstrated competence in: Developing and managing a quality program in a hospital setting.
Program development and design of clinical care systems with measurable results.
Service and clinical quality improvement.
Clinical Risk Patient Safety program implementation.
Infection Control.
Tools development to support process improvement and clinical excellence.
Care experience encompassing caregiver/culture and patient experience.
Developing trusting relationships with physician and ministry leaders.
Utilization of data and reporting to drive urgency for change and improvement.
Understanding and communicating culture of safety program concepts and tools.
Facilitating process improvement and clinical excellence.
Understanding the drivers for and improving patient experience.
Executing on strategic objectives at multiple ministries.
A strong commitment to the mission of Catholic healthcare.
A leader who strategically, politically, instinctively, and operationally understands and can communicate concerns and issues within a highly-matrixed organization.
A strategic systems thinker, accompanied by the orientation and presence to analyze and interpret complex data situations and relationships in a manner which envisions future delivery models and approaches.
Proven ability to partner with others in operationalizing highly conceptual and innovative health management strategies and achieving successful outcomes in the ministries in their service area.

Responsibilities

Knows, understands, incorporates and demonstrates the Providence St. Joseph Health Mission, Vision and Core Values in leadership behaviors, practices and decisions.
Inspires physicians and others to reflect the mission, vision, and core values.
Champions the continuous improvement of patient care to advance safety and quality outcomes, satisfaction, and efficiency initiatives across their service area and region.
Acts as clinical dyad for their service area in the Southern California region.
Develops and implements strategies to ensure cost effective, efficient care delivery for optimal quality, safety, and experience outcomes.
Works with local ministry leadership to develop a cost effective structure and develop required services and governance to redesign care and improve clinical outcomes.
Creates a compelling vision for clinical excellence and value that helps position PSJH as a leading provider in the region.
Coordinates with local efforts in regulatory compliance.
Assesses and benchmarks the current PSJH quality, safety, and clinical performance improvement processes, initiatives, resources, and outcomes against that vision.
Ensures that the operational and clinical systems, resources, and processes are in place to meet PSJH Quality and Patient Safety Goals.
Deploys clinical program improvement across the ministries in the service area and region.
Identifies and integrates best practices within and outside the system to create unified programs and knowledge-sharing tools that encourage front-line physician participation, engagement, and ownership in quality, safety, and clinical improvement initiatives and outcomes, as well as support the movement to value.
Coordinates, integrates, and communicates clinical excellence initiatives in a manner which values the contributions of physicians and staff currently working in the quality, safety, and clinical improvement arena, while ensuring consistency of outcomes across the service area and region.
Connects and integrates regional and facility-level resources in order to streamline systems and goals for effectively monitoring and reporting quality and safety in the ministries.
Ensures the existence of state-of-the-art scorecards and systems for tracking, evaluating, and communicating patterns in care delivery, patient safety, and health status.
Monitors patient safety data for trends, recommends changes, as appropriate, and interfaces with risk managers to support patient safety and clinical loss prevention strategies, including the provision of expert consultation for patient safety and clinical loss prevention issues, as appropriate.
Monitors care experience data for trends, recommends changes and supports initiatives to improve care experience and reduction of grievances, supporting the cultural work related to caregiver experience.
Co-leads with the Regional CQO all Clinical Effectiveness initiatives with a goal to decrease cost per case and improve care efficiency.
Participates in the ongoing evolution of information systems for the purposes of tracking the effectiveness of quality and safety initiatives.
Participates in PSJH Clinical Council meetings representing the service area in the Region, in collaboration with the Regional CQO.
Provides leadership and support for all clinical leaders in the acute care ministries in their service area, participates in MOR meetings to support service area teams, as well as quality and improvement committees in their respective service area ministries.
In collaboration with the CQO, provides leadership and direction in identifying, developing and refining region-wide patient safety, quality improvement and reporting systems in a manner which ensures quality measures are included, properly analyzed and reported in internal and external PH&S reports and documents.