Director, Patient Quality and Safety

City/State

Work Shift

Overview:

Responsible for overseeing the development, implementation, and continuous improvement of patient safety and quality programs within the organization. Ensures compliance with accreditation standards, regulatory requirements, and industry best practices to deliver high-quality, safe care to patients. Collaborate with clinical and administrative teams to drive initiatives that reduce risk, enhance patient outcomes, and foster a culture of safety.

Education

• Bachelors Level Degree (Required)

Experience

• 5 years of Leadership

• 5 years of Healthcare Operations

• Performance Improvement

Responsibilities

• Provide strategic oversight and support for the hospital's Patient Safety Program, providing expert guidance to top management on improving the safety culture.

• Lead root cause analysis, tools, and behavioral training initiatives, while evaluating program effectiveness and analyzing data.

• Collaborate with the System-Wide Patient Safety Director to ensure alignment with corporate initiatives.

• Facilitate organization-wide quality improvement activities, ensuring continuous readiness and compliance with healthcare accreditation standards, CMS Core Measures, PFP, MU quality data, and Q-HIP programs.

• Oversee the coordination of quality and performance improvement (PI) initiatives, including the management of reporting and tracking systems to maintain ongoing quality and performance monitoring.

• Oversee OPPE and peer review activities to ensure the achievement and maintenance of high-quality care standards.

• Coordinate annual evaluations and hospital DNV/ISO surveys, including required follow-up actions and internal audit compliance.

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.