The Chief of Quality Management is accountable to the Medical Center Director for assisting in the organization and management of Quality Programs and overall quality of the Medical Center. The Registered Nurse will be responsible for administrative functions of assigned units/programs, functioning as an administrator, educator, and consultant utilizing management theory in collaboration with other services and departments. The Chief of Quality Management provides leadership that is characterized by substantial and continuous responsibility and accountability for integrated programs that cross service and/or discipline lines and influences organizational mission and health care. The Registered Nurse is responsible for coordination and leadership in all quality and performance activities throughout the facility. This position is dedicated to the pursuit of higher facility-wide performance in each domain of value (quality, satisfaction, efficiency) through application of expertise, influence, management, and leadership in programmatic areas.The Chief has overall responsibility and administrative oversight and direction for facility-wide programs including but not limited to those listed below, including ensuring integration of these programs into the overall facility: Risk Management/Utilization Review Patient Safety Infection Control and Prevention External Reviews/Accreditation Establish and Revise Standards of Care Administrative & Clinical Guideline Development and Implementation Continuous Quality Improvement/Performance Measurement Data Management and Analysis Facility Performance Organizational Development and Change Management Peer Review Health Promotion and Disease Prevention He/she must establish and maintain effective relationships with all levels of medical center personnel and relate effectively with all customers, the community, and program and service leaders at the local and network levels. Responsible for developing and monitoring process improvement programs according to medical center policy, regulatory standards, and determined need. The incumbent is responsible for updating and facilitating implementation of hospital policies regarding quality management programs. Incumbent ensures programmatic compliance with all standards, policies, directives, mandates, and regulations, including Joint Commission (JC), VA Directives, and other appropriate, regulatory agency standards governing the management of quality management program data requirements.Provides leadership and direction for the quality control and assurance program that continually assesses and improves compliance with requirements, standards, and guidelines. Provides leadership, direction, and supervision for a variety of functions within the Office of Performance and Quality including Patient Safety, Risk Management, Data Management and Analysis, quality improvement, facility performance, and program support staff. Responsible for facilitating a facility quality management program that continuously assesses and strives to improve health care processes, outcomes, patient experience, and employee engagement; identifies and anticipates critical incidents and sentinel events for mitigation, analysis, and action; and pursues sustained compliance with VA/VHA/medical center policy and regulatory requirements, accreditation standards, and infection control and other guidelines. Ensures the facility overall performance and quality programs are coherent and consistent with the network and system-wide goals and strategic objectives. Aligns and integrates quality performance management with leadership roles, strategic plans, and organizational culture. Advances a culture of safety and learning and an environment that utilizes data-driven, evidence-based practices as the pathway to improved quality and engagement. Supports, actively participates, and/or advances initiatives such as Systems Redesign/Lean, Patient Centered Care, Advancing Excellence, I CARE, Cultural Transformation, and HRO. Duties will be performed as required throughout the facility and community outpatient clinics. Work Schedule: Monday through Friday, 8:00 am to 4:30 pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.