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ThedaCare · 16 hours ago

Vice President - Chief Quality Officer

Appleton-Oshkosh Area

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

ThedaCare is a health system seeking a Vice President, Chief Quality Officer to lead efforts in achieving its mission and strategic goals. This role involves overseeing quality, patient safety, and clinical process improvement across the organization, while fostering collaboration to enhance care delivery and outcomes for patients and families.

Health CareHospitalMedical

H1B Sponsor Likely

Hiring Manager

Salvatore Lazaro, MS

Responsibilities

Translates ThedaCare’s organizational strategies, tactics, leadership, management, and collaboration into the strategic and operational direction for quality performance and patient safety including quality, infection prevention, regulatory readiness, care management, UR/UM, and CDI

Ensures ThedaCare’s participation in appropriate community, state, and national leadership organizations. Fosters and maintains collaborative relationships with external agencies, payers, and stakeholders related to quality, safety, and regulatory programs

Ensures identification and implementation of performance and patient safety strategies to further integrate and promote operational change and improvement functionally and clinically throughout ThedaCare

Proactively educates and communicates safety, performance improvement, regulatory, compliance issues, and new statutes/guidelines and activities throughout ThedaCare

Oversees the development of ThedaCare and facility policies, procedures, and standard work related to clinical performance improvement and safety

Oversees the reporting requirements and reporting of events internally and externally as required by regulatory agencies in collaboration with process owners and risk management. Communicates quality and safety outcomes to ThedaCare leadership in a timely manner

Maintains current knowledge of national and state regulatory issues related to quality improvement and measurement requirements, and provides leadership with regular updates of proposed and finalized changes

Chairs, participates, and facilitates ThedaCare and facility-specific committees, PDSAs, and teams. Provides support for all system safety and quality committees

Provides strategic direction and oversight of regulatory performance improvement to maintain high levels of institutional readiness, meeting and exceeding state and national regulatory requirements

Utilizes, integrates, and interprets data to assist ThedaCare in its improvement efforts, and promotes optimal patient outcomes. Works collaboratively with executive leaders to develop strategic quality initiatives

Ensures responsibility for the ThedaCare occurrence reporting system, analyzes and reports trends, and identifies appropriate interventions to reduce risk and liability to ThedaCare

Leads organizational performance efforts for The Joint Commission (TJC) core quality measures, COP, regulatory, and all other accrediting and regulatory agencies. Ensures compliance with The Joint Commission, and that all legal, regulatory, and accrediting agency requirements are met

Develops and implements quality educational programs for team members, medical staff, and board members on analysis of quality opportunities, root cause analysis, and implementation of countermeasures for safety and improvement

Participates in and provides leadership for organizational disaster preparedness and patient safety initiatives

Provides leadership, administrative and management support, strategic planning, and overall direction and guidance on program development, projects, and collaboratives that support clinical quality and clinical safety performance improvement

Responsible for working collaboratively with leadership in setting direction and strategic planning to develop, implement, and monitor action plans to achieve overall Quality Management program success and the provision of safe, highly reliable clinical outcomes

Develops annual goals and objectives for the Quality Management program in alignment with overall system clinical and operational goals and strategies to meet and exceed established program objectives utilizing external benchmarking

Leads the process for evaluating compliance of the quality program against internal and external requirements

Collaborates with Decision Resources and effectively utilizes analytics to review and ensure the visibility of quality performance for the organization

Collaborates with contract management and executive leaders to incorporate quality metrics into internal and external contract and incentive management that align with the achievement of organizational goals and regulatory compliance

Directs and evaluates patient safety activities to include sentinel/high severity event review, root cause analysis and action planning, failure mode and effect analysis, and national patient safety goal review and action planning

Supports and ensures the deployment and evaluation of facility level quality assurance/quality improvement annual plans that meet all elements of regulatory compliance

Prepares and presents reports to executive leadership, the Board of Directors, providers, leadership, and team members in both written and oral formats

Qualification

MD/DO with board certification5 years healthcare leadershipQuality management experienceRegulatory compliance knowledgeClinical measurement knowledgeData management knowledgeImprovement tools knowledgeHealth care payer knowledgeTeam development

Required

An MD/DO with board certification in an accredited ABMS/ABOMS specialty or a Master's Degree in Nursing or equivalent

5 years or more of progressive leadership in healthcare including performance improvement experience, quality management experience, and regulatory compliance knowledge concerning The Joint Commission and CMS standards

Experience with development of people and teams

Knowledge of clinical measurement and data management in a large complex healthcare organization

Knowledge and utilization of improvement tools and leadership of improvement effort

Knowledge of health care payer and regulatory authorities

Company

ThedaCare

For nearly 115 years, ThedaCare® has been improving the health and well-being of the communities it serves in northeast and central Wisconsin.

Founded in 2024

Appleton, Wisconsin, USA

5001-10000 employees

http://thedacare.org/

H1B Sponsorship

ThedaCare 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

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Trends of Total Sponsorships

2025 (2)

2024 (3)