Wellstar Health System · 5 months ago
Assistance Vice President, Patient Safety & Quality
WCO - Wellstar Corporate Office
Full-time
Onsite
Director/Executive
10+ years expWellstar Health System is a leading healthcare provider committed to enhancing the health and well-being of every person they serve. The Assistant Vice President of Patient Safety & Quality will be responsible for developing and executing strategies to achieve world-class patient safety and quality processes, while collaborating with various leaders to optimize performance and establish a culture of accountability within the organization.
FitnessHealth Care
Responsibilities
Effectively develops, executes, monitors and adjusts the organization's long- and short-term strategic plans relevant to the role: Patient Safety, High Reliability Organizing (HRO), Quality Management, Public Reporting programs related to clinical quality, Infection Prevention, Service line and ambulatory care quality
Oversees and directly participates in the execution of the Quality Management & Improvement plan: Establishes standards and coordinates business unit annual Performance Improvement Plans
Serves as an expert resource for Quality Management related metrics, definitions, dashboards and reports. Including but not limited to Wellstar's clinical benchmarking databases and dashboards
Maintains a current and expert knowledge of external, publicly reported measures of quality. Including methodology, results and best practices for improvement
Coordinates quality improvement efforts across business units, the continuum of care and shared system departments for the purposes of alignment, synergy and effectiveness
Oversees Wellstar's public reporting programs including data abstraction and submission to CMS, Accrediting agencies, and specialty registries. Coordinates responses and established strategies for improvement related to quality and patient safety surveys (e.g. Leapfrog and QHIP)
Ensures compliance with CMS, State and Accrediting agency requirements related to the provision of transparent information to the governing body
Engages and advises senior leadership in matters related to quality management risks, opportunities and plans for improvement
Oversees and directly participates in the execution of the Patient Safety/HRO plan: Identifies and incorporates effective elements of a contemporary Patient Safety & HRO program into the Wellstar program and standards
Directs Safety Event management across the organization. Including but not limited to: event reporting systems & mechanisms, event classification, causal analysis, establishing effective corrective actions, and timely reporting of events & trends
Establishes and incorporates safety and HRO training as appropriate and in partnership with Organizational Learning and other key stakeholders. Audience for the curriculum includes all levels of leadership, team members and providers
Collaborates with the Data Insights team and subject matter experts to identify, analyze and report relevant data with actionable insights
Incorporates best practices for building and sustaining a fair and just culture of safety and performance excellence
Identifies and supports high priority patient safety initiatives across the continuum of care
Assesses program/initiative effectiveness and reports routinely to senior leadership regarding progress, risks and barriers
Administrative duties related to the management of the Safety & Quality, Medication Safety, and Public Reporting shared services departments
Participates in annual budgeting process. Monitors and adjusts expenditures to manage within the approved departmental budget
Evaluates, coaches, mentors and manages the workforce for optimal individual and team contribution
Other managerial duties (recruitment, hiring, evaluations, departmental policy development, etc.)
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct
Qualification
Required
Bachelors Nursing or Bachelors Health Science or Bachelors Other
Masters Health Administration or Masters Business Administration/Management or Masters Other
Experience working with Vizient for analytics
All certifications are required upon hire unless otherwise stated
Minimum 10 years Experience in healthcare
Minimum 5 years Formal leadership and management of teams with direct reporting relationships
Minimum 5 years Oversight of Quality Management, Patient Safety, and High Reliability Organizing programs
Demonstrated experience and knowledge of CMS and state and federal healthcare regulations
Demonstrated ability to improve public report cards measuring quality and patient safety
Knowledge and application of safety science, analysis (common cause and root cause), measurement, and improvement methods
Ability to develop collaborative relationships and effectively execute project management plans and lead culture change
Excellent communication/presentation skills, flexibility, ability to multi-task, organization skills to support a multi-hospital system
Ability to manage comprehensive quality plan and achieve stellar results
Proven expertise in coordinating specialty certification such as total joint, stroke, and disease specific classification
Direct experience with managing performance improvement teams and workgroups
Ability to manage a diverse team in a manner that imbues trust and supports a fair and just culture
Direct experience with developing and implementing Joint Commission Evidence of Standards compliance for hospital accreditation and disease specific care
Ability to interpret regulations and standards (CMS, State, Joint Commission, DNV)
Ability to understand methodology of quality and safety measurement models of external rating agencies (including but not limited to Vizient, Leapfrog, CMS, State, US News)
Preferred
Expertise in fair and just culture programs
Expertise in Lean Improvement methods and project management
Expertise in Vizient quality measures
Expertise in ambulatory care and service and population health quality metrics
Company
Wellstar Health System
The largest health system in Georgia.
10001+ employees
H1B Sponsorship
Wellstar Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (22)
2024 (18)
2023 (13)
2022 (14)
2021 (18)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Candice L. Saunders
President and CEO
Alan Muster
SVP Specialty Division
Recent News
BiometricUpdate.com
2025-10-28
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