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Job Description Summary:

This role works to support and align people and resources across multiple sites or units to empower, equip and engage all associates and clinicians to improve clinical quality and eliminate preventable harm.

The role is responsible for a portfolio of OhioHealth care sites, facilities, or business units, or for a portfolio of quality initiatives that span the entire system. The role collaborates closely with the peer regional directors and the System Directors of Quality and Patient Safety as well as the Clinical Enterprise in leading or contributing to the system quality and safety initiatives.

This position has an overall accountability to provide strategic direction, leadership, alignment, and integration of initiatives consistent with the expectations of enterprise leadership, external agencies, and accreditation standards, as well as align with the mission, vision, values, and goals of OhioHealth. The areas of responsibility include clinical quality, accreditation, patient safety, clinical standardization, peer review/OPPE, required reporting abstraction, health equity and other clinical excellence initiatives.

The role interfaces with the various site leadership teams and includes development of site-specific leaders to support this role. He/she utilizes a relationship-based and teamwork approach to integrate a culture of quality, continuous survey readiness, patient safety and innovation across practitioners, care delivery sites and continuum of care to achieve top decile performance, reduction of defects and recognition as a high reliability organization.

Assists in prioritization and resource allocation that aligns with the strategic quality goals of the organization. Provides project/process management consultation and leadership in the areas of rapid cycle learning, improvement thinking based on the scientific method (LEAN), and knowledge management to develop associates to balance organizational needs with internal capabilities. Serves as liaison to OhioHealth business partners, state/national boards, and associations.

This role supports core competencies of people development, results drive and culture builder.

Responsibilities And Duties:

Responsible for overall operations of clinical quality, patient safety, clinical standardization, accreditation, and other clinical excellence initiatives for assigned portfolio. Develops and implements initiatives and supplies resources that support the OH Strategic Plan, Quality Assessment and Performance Improvement and the OH Patient Safety Plan. Facilitates strategic planning and goal deployment, and engagement of physicians, clinicians and administrative staff in process improvement programs that raise the standard of patient care and safety. Leads or contributes to system quality and safety initiatives. Supports core competencies of people development, results driver, and culture builder.
25% - Oversight of Local QAPS teams and processesProvides leadership and prioritization of appropriate work and operations of clinical quality, patient safety, clinical standardization, accreditation, and other clinical excellence initiatives for assigned areas of the business, which may span a broad geographic region. Providing vision, direction, and resource support of related initiatives with the goal of helping each OH site to improve the standard of patient care to achieve top decile performance. Develops the manager(s) to be key contact for day-to-day operations. Identifies and implements efficiencies amongst the regional sites.

25% - Collaboration with local leadership teams Develops and maintain relationships with physician quality leaders, hospital executives and clinical-administrative leaders to optimally facilitate all quality, patient safety and clinical standardization initiatives. Acts as coach and thought partner to caresite and system leaders.  Maintains reporting relationships with local leadership teams on a regular basis including leadership team meetings, attends key medical staff meetings and compiles data and reports for key hospital meetings.  May involve attending and reporting out at Governance Council, Board meetings, MECs, etc.

30% - System Quality and Patient Safety RoleWorks under the direction of System Quality and local leadership in the prioritization of work in each area of the work. Leads and/or engages in system work teams focused on the balanced scorecard or other defined priority work.  Encourages and includes care site participation in system teams.  Develops and implements communication and change management strategies that keep all levels of the organization senior executives, physician leadership and associates informed and engaged in patient safety, clinical quality, and error reduction programs. 

10%Works with system analytics to supports the analysis and communication of patient safety event and quality indicator data and uses this information to evaluate the success of patient safety and clinical quality programs. Makes recommendations to senior leadership to enhance or refine priorities and processes. May contribute to updates relating to scorecard support or other operationally driven clinical data opportunities.

10% - Development and EducationAssists in development and support of the personal and professional development of QPS managers and associates.  Leads education and training in problem solving methodology and provides continuous feedback to the local teams.


The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. This associate is expected to perform all other duties as requested by supervisor.

Requires travel to and between OhioHealth care sites and other facilities.

Minimum Qualifications:

Master's Degree (Required)RN - Registered Nurse - Ohio Board of Nursing

Additional Job Description:

SPECIALIZED KNOWLEDGE

Advanced degree in a healthcare-related field (Master's or above), or advanced degree in business with prior experience leading a healthcare Quality team. In depth knowledge of hospital systems including but not limited to practices, operations, and support services.

Experience with and knowledge of continuous improvement philosophies and tools, including Lean management systems, coaching and improvement katas. Expertise in error prevention training, root cause analysis, apparent cause analysis and common cause analysis, process improvement methodologies, project management methodologies. Understanding of the application of clinical quality data, decision support systems, event reporting/tracking systems. Strong background in change management.

Established skills in strategy development and work prioritization, leadership, facilitation, negotiation, consensus building, organization, time management, team building, and conflict identification and resolution. Excellent teaching and presentation skills. Outstanding listening, interpersonal relationship building, and problem-solving skills. Able to prioritize and manage multiple projects simultaneously with demonstrated ability to complete projects successfully on time and within budget.

Experience working in complex matrix organizations, building trusting relationships, influencing, and aligning diverse stakeholders to achieve a common vision. Ability to engage physicians, peers, and other members of the healthcare team in supporting quality initiatives. Understands administrative concepts, organizational behavior, legal and ethical matters, healthcare economics, health and public policy, consumer health issues and outcomes measures.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Quality and Patient Safety

Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment