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VP Quality Risk Management

HCA Healthcare•Dickson, TN

About The Position

The Vice President of Quality promotes high-quality, patient-centered care by overseeing Quality Management and Patient Safety programs and Performance Improvement programs across complex organizations, including multiple sites and service lines. The VP facilitates and uses strategies and communications for quality and performance improvement, provides an integrated framework for monitoring, evaluating, and improving quality of care, and oversees the hospital regulatory and accreditation program. The role leads facility-wide quality and performance improvement, risk management, patient safety, regulatory readiness, and related department operations. It collaborates with facility, division, corporate, medical staff, and external stakeholders to advance care excellence, meet regulatory and accreditation requirements, and improve patient outcomes. The VP also manages the quality department team and budget, oversees performance data and reporting systems, supports education and competency, and leads activities of the Quality Committee of the Board in collaboration with facility leadership.

Requirements

  • Bachelor’s degree in nursing or a health-related field required.
  • At least 3 years of data analysis experience in a healthcare setting required.
  • At least 4 years of healthcare quality or risk management experience with demonstrated leadership required.
  • CPHQ or CHCQM certification must be obtained within 12 months of hire.

Nice To Haves

  • Master’s degree preferred.
  • Current Registered Nurse (RN) licensure in Tennessee or a compact state preferred.

Responsibilities

  • Drive facility-wide standardization in targeted process improvement initiatives and evaluate their success using established criteria and measurement tools.
  • Manage project flow and alignment to ensure milestones and key performance indicators are met within defined parameters.
  • Collaborate with stakeholders to drive care excellence across a complex organization.
  • Lead performance improvement strategy development using systems thinking and safety science across multiple service lines and care settings.
  • Develop and implement policies, procedures, and objectives, and regularly review and update the Quality Improvement Plan.
  • Develop, implement, and review goals, objectives, and priorities aligned with hospital strategic plans and applicable regulations and standards.
  • Collaborate with facility leadership to establish operational performance measurements and targets, and monitor key performance indicator trends.
  • Lead and oversee the quality department, including care excellence, disease-specific care, risk management, patient safety, and performance improvement.
  • Manage quality department team members and ensure qualified, competent staff are selected, retained, and assigned to meet organizational needs.
  • Develop and monitor the department budget and manage department productivity and work prioritization.
  • Analyze facility quality and risk performance data and recommend process, system, procedure, and operational changes to improve healthcare value and quality.
  • Ensure effective execution of activities supporting continuous regulatory and survey readiness.
  • Implement regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies and accrediting and certifying organizations.
  • Oversee Quality and Performance Improvement software and reporting systems for internal and external reporting requirements and surveys; assist with selecting and installing software applications.
  • Monitor the completeness, accuracy, and validity of quality files for medical staff and advanced practice professionals.
  • Participate in peer review committees, analyze cases and outcomes, and collaborate with physicians to improve practice and patient outcomes.
  • Collaborate with division and corporate entities and external parties to execute quality and patient safety initiatives at the facility level.
  • Communicate with facility and division leadership about key clinical performance improvement activities and initiatives.
  • Advise, educate, and consult hospital management, staff, and physicians on performance improvement tools, analytical techniques, and statistical applications.
  • Coordinate orientation and ongoing education for staff on quality and patient safety initiatives, promoting competency, compliance, and performance improvement.
  • Coordinate with the Patient Safety Director on event analysis, FMEA development, and proactive safety activities that support a culture of transparency and safety science.
  • Ensure participation by hospital team members, medical staff, senior leaders, and GME programs, as applicable.
  • Direct and lead activities of the Quality Committee of the Board in collaboration with facility leadership.

Benefits

  • Comprehensive medical coverage, including prescription drug and behavioral health coverage, free telemedicine, and free AirMed medical transportation.
  • Dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, and pet insurance.
  • Free counseling services and resources for emotional, physical, and financial well-being.
  • 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
  • Employee Stock Purchase Plan with a 10% discount on HCA Healthcare stock.
  • Fertility and family-building benefits through Progyny and adoption assistance.
  • Referral services for child, elder, and pet care, home and auto repair, and event planning.
  • Consumer discounts through Abenity and Consumer Discounts.
  • Retirement readiness, rollover assistance, and preferred banking partnerships.
  • Education assistance, including tuition, student loan, certification support, and dependent scholarships.
  • Colleague recognition program.
  • Time Away From Work Program, including paid time off, paid family leave, disability coverage, and leaves of absence.
  • Employee Health Assistance Fund offering free employee-only coverage to eligible full-time and part-time colleagues based on income.

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