Vice President- Quality and Safety Operations

Prisma Health•Greenville, SC

22h•Onsite

About The Position

The Vice President, Quality and Safety Operations serves as the administrative executive for quality, safety, and clinical excellence across the care continuum of Prisma Health. This executive leads the strategic development and implementation of initiatives focused on fostering high-reliability, continual regulatory readiness, and achieving benchmarked industry-leading performance within scope of the role. Working collaboratively with clinical and operational leaders across Prisma Health and aligned partners, the VP, Quality and Safety Operations promotes a culture of continuous improvement and patient-centeredness in alignment with the organization’s purpose, strategic goals, and clinical operating system. This role serves as a dyad partner to the Chief Quality Officer and reports directly to the Chief Clinical Officer. This leader has direct oversight of quality, patient and team member safety, patient advocacy, regulatory readiness, policy management and infection prevention. Success for this role will require establishing and maintaining strong partnerships with clinical and operational leaders throughout the organization. The successful candidate must have a high degree of self-awareness and be an expert at building internal and external relationships and working with community partners, clinicians, and diverse management teams in a dynamic environment. Demonstrates a proven strong ability to lead through influence, implement Just Culture, and foster psychological safety.

Requirements

Master’s Degree in Healthcare Administration, Nursing, Public Health, Business Administration or a related field required.
Clinical background is required, nursing strongly preferred.
Minimum of 10–15 years of progressive leadership experience in healthcare quality and patient safety, including multi-site or system-level responsibility, acute, ambulatory, and post-acute sites of care.
Certified Professional in Healthcare Quality (CPHQ) required or ability to obtain within one year.
Knowledge of office equipment (fax/copier)
Proficient computer skills (word processing, spreadsheets, database)
Data entry skills
Exceptional leadership, influence, and relationship-building abilities across diverse stakeholders.
Strategy development: The successful candidate must be able to think strategically about the business and collaboratively develop a short- and long-term vision of development and growth based on a thorough understanding of both the organization’s and the patients’ served needs, industry trends and opportunities.
Demonstrated success in leading large-scale transformation initiatives within complex healthcare organizations, specifically large-scale project leadership and management.
Advanced knowledge of regulatory and accreditation standards at the federal and state level pertinent to Prisma Health.
Strong analytical skills and ability to translate complex data into actionable strategies.

Nice To Haves

Additional certifications (e.g., Six Sigma Black Belt, Certified Professional in Patient Safety (CPPS)) preferred.
Advanced knowledge of regulatory and accreditation standards at the federal and state level pertinent to Prisma Health.

Responsibilities

Develop and execute the system-wide quality and patient safety strategic plan, ensuring alignment with regulatory standards and corporate objectives across a broad operational and geographic footprint.
Work with Quality Leaders/Teams, Operational Leaders/Teams, and the Medical Staff at all levels of the organization to ensure standardized and effective committee structures, quality management forums, and tools. This includes quality processes and meetings, minutes, and agenda templates associated with the organized medical staff (MCC & MEC).
Lead system quality improvement committees.
Oversee and standardize quality improvement, safety, accreditation, and infection prevention initiatives across hospitals, post-acute, and ambulatory sites.
In partnership with subject matter experts, develops and deploys a structured system-wide quality assurance & improvement plan (QAPI) program aligned with the regulatory standards leveraging the Prisma Health Pulse clinical operating system.
Foster a culture of transparency, accountability, and learning through incident reporting systems, Just Culture practices, and proactive risk management. Inclusive of patient and team member safety.
Direct regulatory and accreditation continual readiness efforts including The Joint Commission, CMS, state departments of health, and specialty accreditations.
Develop and execute a regulatory readiness program across the continuum of care (including Mock Survey program), meeting all regulatory requirements. This includes but is not limited to organizing preparation activities, supporting pre-survey, survey, and post-survey activities, identifying trends at the system, facility/site, and departmental levels, and ensuring compliance with standards and regulatory requirements.
Operationalizes standard work, templates, tools, and processes to facilitate this accountability in alignment with Pulse Clinical Operating System.
Manage and mentor a multi-disciplinary team of quality professionals, providing leadership development and operational oversight.
Supports and develops local teams in all care settings to ensure effective support of all domains of outcomes.
Partners with Value Based Care team for success in value-based contracts.
Partners and collaborates with clinical and operational leaders and Pulse Program Administrator to ensure successful implementation of the Pulse Clinical Operating System.
Lead the integration of evidence-based practices, clinical guidelines, and safety programs into operational workflows at all sites of care in alignment with the Pulse Clinical Operating system.
Executes continuous improvement through Pulse Clinical Operating System and Prisma Health Performance Improvement methodology.
Provides needs assessments, gap analyses and data analytics to identify opportunities and provide instruction in best practices, continuous improvement learning and methods to drive improvement.
Participates in and supports cross functional improvement teams and projects to improve performance.
Responsibility and oversight for policy standardization including but not limited to streamlining all policies across the system, ensuring applicable quality, safety, experience, and other clinical standards are met, and implementing a structured standardized process for ongoing policy creation/modification.
In partnership with Legal and Compliance, this role will also ensure that all clinical contracts have applicable quality, safety and experience standards embedded with appropriate KPIs for performance standards.
Analyze system-level quality data, identify trends, and drive system-wide improvement initiatives using robust analytics and reporting tools.
Benchmark organizational performance against national standards and ensure achievement of performance goals, awards, and recognitions (e.g., Leapfrog, CMS Star Ratings, Magnet® designation).
Performs other duties as assigned.