Vice President, Quality, Safety & Patient Experience
About The Position
The Vice President of Quality, Safety & Patient Experience serves as the executive leader responsible for designing, implementing, and overseeing an integrated strategy that advances the highest standards of clinical quality, safety, equity, regulatory readiness, and patient/family experience across the entire health system. This role provides strategic direction and operational leadership to multiple departments, ensuring alignment between system-level goals and hospital/clinical unit-level execution. The VP fosters a culture of transparency, continuous improvement, and patient-centered care, while ensuring compliance with all regulatory and accreditation requirements. The ideal candidate is a transformative, collaborative leader who can harmonize efforts across diverse hospitals and clinical units while driving measurable improvements in clinical outcomes, harm reduction, patient satisfaction, and health equity.
Requirements
- Bachelor’s degree in Nursing, Public Health, Health Administration, or a related clinical or quality discipline required.
- Certified Professional in Healthcare Quality (CPHQ), Lean Six Sigma, or equivalent.
- Minimum of 10 years of progressive leadership experience in healthcare quality, patient safety, regulatory readiness, or performance improvement.
- Demonstrated experience in leading cross-functional teams and system-level change management.
- Prior experience leading Quality, Safety and/or Patient Experience in a complex, multi-hospital or academic health system.
- Deep understanding of quality improvement science, safety culture, and patient engagement principles.
- Strong familiarity with regulatory requirements and external performance programs (e.g., CMS, TJC, AHRQ, Leapfrog).
- Exceptional leadership, interpersonal, and communication skills.
- Data-literate, outcomes-oriented, and skilled in using analytics to drive decision-making.
- Ability to lead through influence, collaboration, and coalition-building in a matrixed organization.
Nice To Haves
- Masters preferred.
Responsibilities
- Lead the development and execution of a unified quality, safety, and patient experience strategy across the system.
- Serve as a core member of the system’s leadership team, contributing to enterprise strategy, risk management, and care delivery redesign.
- Build partnerships across clinical, operational, and administrative domains to embed quality and safety into every aspect of the patient journey.
- Directly oversees the BILH Quality team. Provides dotted line leadership to the hospital and clinical unit quality teams.
- Ensure the department functions with a clear mission, high performance standards, appropriate staffing, and seamless integration across the continuum of care.
- Lead system quality governance councils, performance review processes, and board-level reporting.
- Monitor performance against internal goals and national benchmarks (e.g., CMS Star Ratings, Leapfrog, Joint Commission, HCAHPS, mortality, readmissions, CLABSI, CAUTI, etc.).
- Oversee the development and sustainment of enterprise dashboards, strategic scorecards, and escalation protocols for underperformance.
- Ensure consistency in execution of quality programs at the hospital level through effective support of local Quality teams.
- Translate strategy into action by developing frameworks for initiative deployment, outcome tracking, and local accountability.
- Align hospital quality committees, performance improvement efforts, and site-based audits with enterprise priorities.
- Partner with nursing, medical staff, infection prevention, risk management, and operations to improve quality across departments.
- Champion a systemwide culture of safety, equity, and patient/family partnership.
- Models our WE CARE values and fosters our values with the team.
- Partner with Talent Development to embed quality-related competencies into leadership development and performance evaluations.
- Effectively champions and develops Quality team members across the system.
- Oversee the enterprise approach to survey preparedness, including readiness audits, corrective action plans, and regulatory compliance infrastructure.
- Collaborate with legal, compliance, and patient safety leaders on incident management, disclosure, and risk mitigation.
- Lead the integration of voice-of-the-patient mechanisms, service recovery practices, and cultural competence strategies into all care settings.
- Support initiatives to identify and close gaps in care quality and experience for underserved populations.
Benefits
- performance-based incentive bonuses
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What This Job Offers
Job Type
Full-time
Career Level
Executive
