Vice President Quality

HCA Healthcare, Inc.; Anchorage (AK); On-site; USD 220,000 - 320,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Time away from work

401(k) plan with 100% match on 3%–9%

Education support

Fertility and family benefits

Job summary

Alaska Regional Hospital, part of HCA Healthcare, seeks a Vice President of Quality to oversee Quality Management, Patient Safety, and Performance Improvement across a complex, multi-service network. You will standardize processes, drive care excellence, and ensure compliance with federal, state, and local standards.

You will lead the quality department, manage budgets, mentor staff, and collaborate with physicians and executives to advance patient outcomes and regulatory readiness at the

Qualifications

• Currently licensed as a registered nurse or health professional in the state(s) of practice and/or has an active compact license.
• Bachelor’s degree in nursing or health-related field required.
• Master’s degree in nursing or health-related field preferred.
• 3+ years of data analysis in a healthcare setting required.
• 4+ years of healthcare quality/risk management with demonstrated leadership required.
• CPHQ or CHCQM certification must be obtained within 1 year of employment start date
• Healthcare Accreditation Certification Program (HACP)

Responsibilities

• Drives facility-wide standardization in targeted process improvement initiatives and evaluates success through pre-established criteria and measurement tools.
• Collaborates with all stakeholders to drive care excellence across a complex organization.
• Develops and implements policies, procedures, and objectives aligned with hospital strategic plans and regulatory standards.
• Collaborates with facility leadership to establish performance measurements and monitor trends in KPIs.
• Leads and oversees the quality department with responsibility for care excellence, disease-specific care, risk management, patient safety, and other aspects of performance improvement.
• Develops and monitors the department budget.
• Analyzes quality and risk performance data and recommends process and operational changes.
• Ensures regulatory and survey readiness and compliance with licensing and accrediting standards.
• Maintains quality and PI software and reporting systems and assists with software selection.
• Monitors quality files, participates in peer review, and collaborates with physicians to improve outcomes.
• Engages with division and corporate teams to execute quality initiatives and communicates with leadership.
• Serves as advisor and educator on performance improvement tools and statistical methods.
• Ensures staffing adequacy and productivity for the quality department.
• Oversees orientation and ongoing staff education on quality and patient safety initiatives.
• Coordinates with Patient Safety Director on event analysis and safety culture initiatives.
• Directs the Quality Committee of the Board in collaboration with facility leadership.

Skills

Data analysis

Leadership

Regulatory compliance

Stakeholder collaboration

Budgeting

Education

Bachelor’s degree in nursing or health-related field

Master’s degree in nursing or health-related field

CPHQ or CHCQM certification

Healthcare Accreditation Certification Program (HACP)

Tools

Quality management software

Reporting systems

Job description

Job Summary and Qualifications

The Vice President, Quality promotes high quality, patient-centered care by overseeing aspects of the Quality Management/Patient Safety Program(s) and Performance Improvement programs across complex organizations (multi-service lines). The Vice President ensures the facilitation and utilization of diverse strategies and communication for quality and performance improvement, providing an integrated framework for monitoring, evaluating, and improving quality of care. The Vice President promotes performance improvement to drive care excellence and oversees the hospital regulatory and accreditation program.

• Drives facility-wide standardization in targeted process improvement initiatives and evaluates success through pre-established criteria and measurement tools. Manages project flow and alignment to ensure milestones and key performance indicators are met within defined parameters.
• Collaborates with all stakeholders to drive care excellence across a complex organization. Leads in strategy development for performance improvement through system thinking and safety science application across multiple service lines and care settings.
• Develops and implements policies, procedures, and objectives. Reviews and updates the Quality Improvement Plan regularly. Develops, implements, and reviews goals, objectives, and priorities to ensure alignment with hospital strategic plans and compliance with federal, state, and local regulations and standards.
• Collaborates with facility leadership in establishment of operational performance measurements and targets, as well as the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency.
• Leads and oversees the quality department with responsibility for care excellence, disease specific care, risk management, patient safety, and other aspects of performance improvement across the facility. Effectively manages members of the quality department team.
• Develops and monitors the department budget.
• Performs regular analysis of facility quality and risk performance data and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality.
• Ensures effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Ensures strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations.
• Maintains oversight of Quality and PI software and reporting systems to meet internal and external reporting requirements and surveys. Assists with selection and installation of software applications.
• Monitors completeness, accuracy, and validity of quality files on medical staff and advance practice professionals.
• Participates as an active member of peer review committees; analyzes cases and outcome data and collaborates with physicians to promote and improve practice and optimal patient outcomes.
• Collaborates with division and corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level. Facilitates effective communication with facility and division leadership regarding key clinical performance improvement activities and initiatives.
• Serves as a technical advisor, educator and internal consultant to all hospital management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications.
• Ensures the selection, retention and assignment of qualified competent staff to meet organizational needs. Ensures management of department productivity and work prioritization.
• Coordinates with stakeholders and oversees the development of orientation and ongoing education to staff regarding quality and patient safety initiatives; promotes competency, compliance, and performance improvement.
• Coordinates with the Patient Safety Director for event analysis, FMEA development, proactive safety activities to support development of a culture of transparency and safety science. Ensures participation of hospital team members, medical staff, senior leaders, and GME programs, as applicable.
• Directs and leads activities of the Quality Committee of the Board in collaboration with facility leadership.

What qualifications you will need:

• Currently licensed as a registered nurse or health professional in the state(s) of practice and/or has an active compact license, in accordance with law and regulation.
• Bachelor’s degree in nursing or health-related field required.
• Master’s degree in nursing or health-related field preferred.
• 3+ years of data analysis in a healthcare setting required.
• 4+ years of experience in healthcare quality/risk management with demonstrated leadership required.
• (CPHQ) Certified Professional Healthcare Quality or (CHCQM) Certification in Healthcare Quality Management in must be obtained within 1 year of employment start date
• Healthcare Accreditation Certification Program (HACP)

Alaska Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcares Alaska Regional Hospital is known for our expertise, compassion and skills. We are committed to delivering patient-centered care to every patient on every visit for our 250 plus bed facility. Year after year, Alaska Regional receives 5-star ratings for heart attack treatment, bowel obstruction treatment, and colorectal surgery.

Based in Anchorage, Alaska Regional is located in a thriving community offering plenty of opportunities to capitalize on the Alaskan lifestyle. Alaska offers some of the most incredible scenic beauty around the world which draws visitors year-round who come for a vacation and end up making Alaska home.

We are part of the HCA Healthcare network - which includes more than 300 affiliate facilities across the country offering our colleagues the opportunity for travel and relocation. HCA Healthcare and Alaska Regional are inspired by our mission to care for and improve human life to create a positive impact in our community.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.