VP- Patient Safety & Quality-Johns Hopkins Bayview Medical Center

Johns Hopkins Medicine•Baltimore, MD

35d

About The Position

Johns Hopkins Bayview Medical Center is Part of one of the world's premier, integrated health systems, Johns Hopkins Medicine. As an academic teaching hospital, the Bayview Medical Center plays a crucial role in community health, innovation, medical advancements and providing care to diverse populations while integrating research and education into the mission. All the physicians at Johns Hopkins Bayview are full-time faculty at The Johns Hopkins University School of Medicine and offer their expertise through numerous teaching programs, including the residency program in internal medicine. The Medical Center provides a supportive environment that allows house staff the opportunity to become leaders in primary care, general internal medicine, geriatric medicine, and other medical subspecialties. Students from The Johns Hopkins University School of Nursing also come to the Medical Center for hospital-based instruction in acute and long-term care. Johns Hopkins Bayview Medical Center is home to a nationally renowned geriatrics center and a state-designated level II trauma center and level III neonatal intensive care unit that are part of the Maryland Institute for Emergency Medical Services Systems. The Bayview Medical Center Burn Center is the only adult burn trauma and surgical facility in the region, is verified by the American Burn Association and is federally designated as a model system of state-of-the-art, coordinated care for burn patients. POSITION SUMMARY The Vice President, Patient Safety & Quality, serves as the executive leader for patient safety, quality and service at Johns Hopkins Bayview Medical Center. This position works to eliminate preventable harm to patients, family members, and staff, to attain unsurpassed clinical and patient-reported outcomes and experience, and to build hospital-wide participation through transparency, collaboration, and mutual learning. Working in partnership with senior administrative and medical staff leadership, the Vice President will set the organizational strategy for quality, safety, and service and lead a comprehensive quality/performance improvement program. This position is responsible for planning and directing the hospital’s performance improvement programs to enhance the quality of care provided at Johns Hopkins Bayview Medical Center. This includes minimizing financial risk related to pay-for-performance programs and ensuring the best outcomes to strengthen the Johns Hopkins brand. REPORTING RELATIONSHIP Reports directly to the President of Johns Hopkins Bayview Medical Center and Vice President, Patient Safety and for the Johns Hopkins Health System.

Requirements

An advanced degree in Business Administration, Healthcare Administration, Nursing, Medicine, or a comparable area of study.
A minimum of 5 years of progressive managerial experience in healthcare and 7 – 10 years of progressive quality improvement experience are required.
Comprehensive understanding of patient safety, quality, performance improvement, , regulatory requirements, clinical risk management, and program management.
Extensive knowledge base of performance improvement theory and applications; financial and data analysis; national, state, and local quality improvement initiatives, regulations, and accreditation requirements.
Facility with quality improvement tools and techniques (PDSA, , Six Sigma, robust process improvement, etc.).
Experience in achieving results and a documented track record of implementing and accomplishing quality/safety improvements in a large, complex hospital.
Extensive knowledge base and experience with public reporting, pay-for-performance, national quality improvement initiatives and performance trends, coding guidelines, third-party payor requirements related to quality indicators, and regulatory standards (TJC, CMS, etc.).

Nice To Haves

Quality experience in academic healthcare setting (including hospital) is highly preferred.

Responsibilities

Utilize leadership and operational expertise, knowledge and application of multiple quality improvement and patient safety frameworks, evidence-based practice, principles of high reliability, relevant literature, and statistical processes to facilitate the operationalization of the organization’s quality, safety and service goals.
Monitor, report, and improve the activities related to eliminating preventable harm and ensuring the best patient outcomes and experience and the highest value of care provided by all Johns Hopkins Bayview Medical Center employees.
Lead the organization to to maintain/attain the highest publically reported public rankings in CMS Hospital Compare, Leapfrog, , Pay-for-Performance programs, and others.
Develop and implement comprehensive, strategic, and tactical plans to achieve annual quality, safety, and service goals and revise strategic plans accordingly.
Recommend quality, safety, and service priorities based on knowledge of national, state, local and JHM priorities, regulations, and accreditation requirements.
Serve as a liaison for clinical quality and safety initiatives with state/federal regulatory agencies, and key constituencies throughout the organization and across JHM (JHU professional schools, JHM affiliates, etc.).
Provide leadership for a safe, just and person-centered culture, including structure and process for evaluation and ongoing improvement.
Oversee proactive evaluation and redesign of systems to improve and achieve highly reliable care processes (e.g., forcing functions, checklists, error causation thinking, human factors, applied informatics, culture).
Facilitate thorough and credible failure mode effect analysis to identify and mitigate unintended adverse patient outcomes and evaluate the effectiveness of process changes.
Oversee highly reliable event management processes, including a strong reporting culture, a strong event reporting system, an effective cause analysis program and a timely communication and resolution process with patients who experience harm.
Assess current hospital and clinical departmental performance on quality and safety indicators; regularly perform gap analyses and recommend focused improvement initiatives to ensure exceptional hospital performance on those indicators.
Maintain effective, collaborative working relationships with key stakeholders.
Regularly collaborate with physician leadership, nursing leadership, operational leaders, physician advisors, and hospital leadership to ensure a strong reporting culture and accountability for improvement initiatives.
Present informative and actionable reports to appropriate committees.
Contribute to and play an active role in JHHS quality efforts to align strategic priorities, interventions, and standard work to harmonize system-wide approaches at Johns Hopkins Bayview Medical Center where appropriate.