Network Director, Quality & Patient Safety

Adventist HealthMarysville, CA
Onsite

About The Position

Provides strategic leadership to advance organizational excellence in safety, quality, performance, and clinical outcomes. Oversees programs that prevent harm, strengthen a culture of high reliability, promote continuous learning, and drive measurable performance improvement across the organization. Partners with executive leadership, physicians, clinical staff, and system-level teams to deliver a unified approach to patient safety, performance improvement, and quality outcomes. Serving as a key advisor to executive leadership and the Board the Director sets vision and priorities, directs improvement initiatives, and ensures accountability, transparency, and sustainable results throughout the organization.

Requirements

  • Bachelor's degree in Health Care Administration, Nursing, Public Health, or related field or equivalent combination of education/related experience: Required
  • Seven years' of health care or related experience: Required
  • Five years' leadership experience in quality, patient safety, performance improvement, or healthcare administration: Required
  • Clinical background: Required
  • Certified Professional in Healthcare Quality (CPHQ) or Certified Professional in Patient Safety (CPPS) certification or Lean Six Sigma Green Belt: Required within two years of hire
  • Certified Professional in Healthcare Quality (CPHQ) or CPPS or Lean or Six Sigma Green Belt (LGB): Required

Nice To Haves

  • Leadership experience in acute care quality, patient safety, and/or performance improvement: Preferred

Responsibilities

  • Partners with executive leaders and the Board to establish strategic priorities for quality, safety, and performance improvement.
  • Provides expert consultation on quality systems, patient safety practices, and national performance standards.
  • Champions integrity, transparency, and continuous improvement in organizational performance.
  • Leads deployment of the Patient Safety Plan, Patient Safety Program, and Safety Event Review Team.
  • Directs high reliability skills training deployment and patient safety program, including: oversight of the AH Reporting and Learning System; root cause analysis and action; rapid response to high-risk events; and proactive risk assessments.
  • Fosters a culture of safety by overseeing the Culture of Safety Survey results and action plans; serving as a resource for Just and Accountable Culture principles; and promoting health equity, patient and family engagement in safety, the Communication and Resolution Program and the Care for the Caregiver program.
  • Develops and monitors safety goals and associated metrics, including the aspirational goal of zero preventable harm.
  • Prioritizes and directs improvement projects to drive results.
  • Assists Regulatory and Accreditation leaders to promote continuous readiness for accreditation and regulatory surveys.
  • Provides leadership for QAPI and other organization wide performance improvement initiatives designed to reduce preventable harm, improve patient outcomes, streamline workflows, and optimize operational efficiency.
  • Establishes structures, processes, and accountability mechanisms that ensure consistent application of performance improvement methods across departments and service lines.
  • Advances Lean, Six Sigma, and other performance improvement methodologies by delivering training, coaching leaders and staff, and overseeing the execution of improvement projects from design through sustainability.
  • Facilitates multidisciplinary collaboration to identify gaps in care, remove barriers, and implement evidence-based best practices that drive measurable improvement.
  • Regularly monitors, analyzes, and reports organizational performance data to identify trends, benchmark against national standards, and inform executive decision-making.
  • Aligns performance improvement initiatives with organizational goals and national benchmarks.
  • Recognizes and celebrates achievements to reinforce a culture of continuous improvement and accountability.
  • Recruits, mentors, and develops Quality and Patient Safety staff to build internal expertise and leadership pipelines.
  • Fosters interdisciplinary collaboration with physicians, nursing, and operations leaders to drive evidence-based practice adoption.
  • Partners with system and facility leaders to deliver education on quality and safety standards.
  • Partners with System Quality and Patient Safety to oversee data systems that capture, analyze, and report quality, safety, and performance improvement outcomes.
  • Partners with System Quality and Patient Safety to ensure accurate and timely submission of required reports to internal committees, external registries, and regulatory agencies.
  • Presents actionable insights and recommendations to leadership and the Board, driving accountability for results.
  • Performs other job-related duties as assigned.
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