Director, Quality & Safety

bilh; United States; Sur place; USD 160 000 - 230 000; Plein temps

Résumé du poste

BILH is seeking a Director of Quality & Safety to lead and oversee a comprehensive program covering quality, patient safety, regulatory compliance, risk management, infection prevention, and patient experience at Anna Jaques Hospital.

The role partners with executive leadership to advance the hospital's strategic quality agenda through data-driven improvement, education, and project management, fostering a culture of continuous improvement and high reliability.

Qualifications

• Experience leading hospital-wide quality and safety programs.
• Strong knowledge of regulatory requirements and accreditation.
• Proven ability to analyse data and drive improvement.
• Expertise in Lean, PDSA, RCA and FMEA methodologies.

Responsabilités

• Lead hospital-wide quality improvement and patient safety initiatives.
• Develop systems to track, report, and improve outcomes.
• Collaborate with physicians, nursing, and operations to reduce harm.
• Provide education and coaching on quality improvement methods.
• Promote Lean, PDSA, RCA, FMEA and other methods.
• Analyze trends and implement action plans to reduce variation.
• Oversee infection prevention, risk reduction, and regulatory readiness.
• Lead patient experience and service-excellence efforts.

Connaissances

Quality improvement

Patient safety

Regulatory compliance

Data-driven decisions

Lean & Six Sigma

Project management

Leadership

Description du poste

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Reporting to the Chief Medical Officer and working in close partnership with the Chief Nursing Officer, Hospital President, medical staff leadership, and operational leaders, the Director of Quality & Safety is responsible for leading and overseeing a comprehensive quality, patient safety, regulatory, risk management, infection prevention, and patient experience program at Anna Jaques Hospital.

The Director will collaborate with clinical, operational, and physician leadership to advance the hospital's strategic quality agenda through leadership, education, data-driven performance improvement, and project management initiatives. The overarching goal is to improve clinical outcomes, operational performance, patient experience, service excellence, and patient safety while fostering innovation and the adoption of industry best practices.

This leader will oversee hospital-wide performance improvement activities, patient safety initiatives, infection prevention and control, regulatory readiness, accreditation compliance, risk reduction strategies, and patient experience improvement efforts. Through collaboration with multidisciplinary teams, the Director will promote a culture of continuous improvement, accountability, transparency, and high reliability.

The Director serves as an internal consultant and subject matter expert for quality improvement, patient safety, regulatory compliance, and patient experience. This role is responsible for implementing and monitoring programs designed to ensure the safe delivery of care across all clinical and operational processes while cultivating a culture in which safety, quality, and exceptional patient-centered care are organizational priorities.

In partnership with executive leadership, the Director will develop, operationalize, and monitor outcome measures related to quality, safety, regulatory performance, and patient experience. The Director will lead efforts to analyze, prioritize, implement, evaluate, and communicate performance improvement initiatives that support Anna Jaques Hospital's strategic goals and commitment to clinical excellence.

ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to):

Quality, Safety & Clinical Excellence

• Lead and oversee hospital-wide quality improvement, patient safety, and performance excellence initiatives.
• Develop and support systems for tracking, evaluating, reporting, and improving quality and patient safety outcomes,
• Collaborate with physicians, nursing leadership, and operational leaders to reduce preventable harm and improve clinical outcomes.
• Provide consultation, education, and coaching to leaders and frontline staff regarding quality improvement methodologies, patient safety principles, and evidence-based practices.
• Promote the use of Lean, PDSA cycles, Root Cause Analysis (RCA), Failure Mode and Effects Analysis (FMEA), and other improvement methodologies.
• Analyze quality and patient safety trends and recommend action plans to improve outcomes and reduce variation in care delivery.
• Support medical staff peer review, occurrence reporting, event investigations, and corrective action planning.

Patient Experience & Service Excellence

• Lead the development and implementation of a comprehensive patient experience strategy aligned with the mission and values of Anna Jaques Hospital.
• Monitor and analyze patient experience data, including HCAHPS, Press Ganey, and other patient feedback measures, to identify opportunities for improvement.
• Partner with clinical and operational leaders to improve patient engagement, communication, responsiveness, and overall patient satisfaction.
• Promote a culture of patient- and family-centered care throughout the organization.
• Develop and implement service excellence initiatives designed to enhance the patient, family, and caregiver experience across the continuum of care.
• Facilitate patient experience improvement projects and ensure accountability for achieving organizational goals and benchmarks.

Regulatory & Accreditation Readiness

• Lead and coordinate organizational readiness efforts to ensure compliance with standards established by The Joint Commission, Centers for Medicare & Medicaid Services (CMS), Massachusetts Department of Public Health, and other regulatory agencies.
• Foster a culture of continuous survey readiness and regulatory compliance across the organization.
• Partner with operational and clinical leaders to ensure understanding of regulatory requirements and accountability for sustained compliance.
• Coordinate regulatory surveys, audits, corrective action plans, and follow-up activities.

Infection Prevention & Risk Reduction

• Provide oversight of the Infection Prevention and Control Program to ensure compliance with regulatory and evidence-based standards.
• Collaborate with clinical leadership to reduce healthcare-associated infections and i