Executive Director, Quality and Patient Safety

  • Boston, MA, USA
  • Full-time
  • Work Address: 800 Washington St, Boston, MA 02111
  • Shift: Days
  • Job Category (for posting purposes): Administrative
  • Employment Type: Full Time

Company Description

It takes a lot of very smart, hard-working and talented people to provide the level of care that we give to our patients. Tufts Medical Center is an internationally respected academic medical center and we pride ourselves not only on the sophistication of the care we deliver, but the compassionate way in which we provide it. And that starts with our employees.

Job Description

The Executive Director of Quality and Patient Safety provides executive level oversight, leadership and direction for quality improvement and patient safety initiatives throughout the medical center. The Executive Director serves as an organizational leader in the design, development, implementation, and sustainment of quality and patient safety initiatives, metrics, plans, and goals. The Executive Director leads change through continuous performance improvement methods that support ongoing regulatory readiness, creating safer systems of care to reduce medical error, and support clinical excellence and improved quality outcomes.

The Executive Director of Quality & Patient Safety acts as an expert resource across the organization overseeing complex projects to completion through team facilitation and team building. This role collaborates with leaders and staff, and is a role model and in team training, change management theory, and regulatory standards. Interacts with the Board of Trustees to support committee meetings.

The Executive Director actively leads interventions that reinforce and support a culture of safety and high reliability. This role collaborates with Quality and Safety leaders across the organization as well as Risk Management, Safety, Emergency Management, Compliance, Medical Staff, and others to perform Root Cause Analysis (RCA), Failure Mode Effects Analysis (FMEA) and other quality and safety tools that support a journey to achieving zero patient harm. 

In close collaboration with the leadership team, the Executive Director is responsible for organization-wide survey readiness; oversees regulatory agency surveys and visits (TJC, CMS, DPH), develops/monitors action plans in response to opportunities for improvement. 

Leads/oversees infection prevention team in conjunction with the Hospital Epidemiologist and Infection Disease leadership. Responsible for leading initiatives to reduce hospital acquired infections, supports front line team engagement, performance improvement in alignment with Infection Control plans and goals.

PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:

  • Initiates, oversees, and integrates a comprehensive clinical patient safety program as a component of the hospitals' quality services to improve safety of patients, visitors and employees.
  • Acts as key resource in Quality and Safety leadership, and works closely with clinical, medical and administrative leadership to promote system wide applications of patient safety, and quality improvement strategies.
  • Provides visionary leadership to individuals and interdisciplinary teams assure oversight of process and outcome measures, and assures reporting of quality measures in compliance with requirements. 
  • Leads Quality committee activities, agendas, processes including board level Quality committee.
  • In close collaboration with Risk Management, identifies root causes of adverse occurrences, reports activities to leadership, and facilitates action plan development to resolve and learn from occurrences. 
  • Develops the annual PI Plan, Work Plan and goals. Recommends PI activities related to clinical safety. Established action plans and monitoring processes. Collaborates with senior leadership, management and physician colleagues to achieve quality outcomes and programmatic goals. 
  • Coordinates and oversees data collection and analysis, public reporting, measure validation processes, pay for performance initiatives, annual Leapfrog survey, US News and others. 
  • Fosters and maintains a collaborative relationship with external agencies (DPH, CMS, TJC), purchasers, and stakeholders related to quality performance improvement and safety initiatives. Leads survey processes. Proactively educates leadership regarding issues and quality deliverables.
  • Responsible for the management and supervision of the Quality and Patient Safety department. The Executive Director provides supervision of staff, develops and implements processes for the selection, evaluation, promotion of staff within the department/division. Serves as a mentor.
  • Assumes accountability for determining, developing and evaluating annual budget.
  • May perform other job related duties as requested or required.

Qualifications

JOB KNOWLEDGE AND SKILLS:

  • Must possess a working knowledge of healthcare quality and patient safety management, data sets and databases, benchmarking, outcome measurement, team development. 
  • Possesses strong analytic skills, ability to interpret data; facility with using Excel.
  • Ability to demonstrate sound critical thinking/decision-making and ability to function well under pressure; demonstrates cooperative spirit in working with others to facilitate problem resolution with focus on process or system improvement.   
  • Excellent verbal, written and presentation communication skills; highly developed organizational, interpersonal, and management skills. 
  • Proficiency with Microsoft office applications is required. 

EDUCATION:

  • Master’s Degree required. Preferred Master’s degree in Nursing or related field from an accredited school required.  
  • Certification preferred in CPHQ, CPPS or other nationally recognized quality and/or safety certification program.

EXPERIENCE:

  • 5-7 years progressive experience in healthcare system management preferably Quality and Patient Safety in an academic medical center. OR
  • Experience in at least 3-5 years of which were in key managerial/leadership roles including Risk, Patient Safety, Quality Improvement, Regulatory compliance. 
  • An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements.

LICENSES:

  • Registered Nurse licensed in Massachusetts preferred.

WORKING CONDITIONS/PHYSICAL DEMANDS:

  • Routine executive office work environment

Additional Information

AMERICANS WITH DISABILITIES STATEMENT:

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Tufts Medical Center reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

All your information will be kept confidential according to EEO guidelines.

AMERICANS WITH DISABILITIES STATEMENT:

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Tufts Medical Center reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

All your information will be kept confidential according to EEO guidelines.

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