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Wellstar Health System · 3 hours ago

Executive Director, Quality & Safety

Roswell, GA

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

Wellstar Health System is committed to enhancing the health and well-being of every person they serve. The Executive Director of Quality and Safety will develop and implement strategies to achieve world-class quality and safety processes across the hospital and its outpatient departments, ensuring compliance with regulatory standards and fostering a culture of safety and accountability.

FitnessHealth Care

H1B Sponsor Likely

Hiring Manager

Erica Strahl, RACR

Responsibilities

Provide centralized direction, governance and leadership for major projects and programs related to Quality Performance and Patient Safety

Develop and implement the long-term and short-term strategy for Safety and Quality

Ensure governance level Quality reports and communications support the Board of Trustee and delegated Board committees to meet the fiduciary responsibilities

Meet all regulatory & accreditation requirements with respect to periodic quality and safety related reports

Serve as liaison to all local level business units and entities for oversight and advising on quality improvement projects and their alignment with system goals

Responsible for managing quality improvement and infection control for the hospital and associated Health Parks

Chair and participate in quality committees coordinated/facilitated by the department, including Quality Review Committee, Infection Control Committee, Value Committee, Medication Safety, and/or Peer Review Committees

Integrate other appropriate improvement and High Reliability strategies and tools

Provide advisory coaching and educational training on process improvement projects, methodology, tools, and standards

Mitigates medical/legal liability through development of a program which links risk management activities with those of continuous performance improvement

Contributes to the management of the accreditation, regulation, and licensing activities to include communicating the programs/processes to providers and medical staff, preparing of surveys and inspections, and completing assessments, response plans and measures of success

Investigate quality of care incidents and near misses according to the department's established process flows for investigating the following categories of events

Collaborates with system and facility leadership to identify and foster reporting of all levels of safety events

Oversees and facilitates reliable safety event classifications and identification of Wellstar reportable safety events

Oversees safety event reporting and documentation in the electronic event reporting system, including identification of safety event trends and cause analysis processes, tracks, and trends progress

Oversees and conducts cause analysis training

Oversees root and apparent cause analyses processes for Wellstar reportable events; fosters identification of reliable root causes, action plans, measures of success, and shared learning across the system

Contributes to the provision of high-quality patient care by supporting infection prevention and control practices and compliance with requirements of regulatory agencies

Participates in the identification, prevention, and control of infections by performance of surveillance activities by data collection, analysis, and reporting data

Investigates Infection Control problems and infectious disease outbreaks. Identify responses to improve patient care systems and mitigate risk

Responsible for coordination Quality and Patient Safety training, including the use of Simulation/ Conduct, periodic Environment of Care survey in collaboration with other subject matter experts

Participate in annual mock accreditation survey

Responsible for evaluating staff performance and development

Develops, monitors, and controls department budgets

Makes recommendations regarding the need for staff, space, and other resources

Performs other duties as assigned

Complies with all Wellstar Health System policies, standards of work, and code of conduct

Qualification

CPHQ certificationHealthcare quality servicesPatient safety managementLean management methodologyData collectionAnalysisProject managementInterpersonal skillsCommunication skillsOrganizational skillsCollaboration skills

Required

Masters Public Health or Masters Health Administration or Masters Business Administration/Management or Masters Nursing or Masters Other

CPHQ - Cert Prof Healthcare Quality

Minimum 5 years of progressive experience in healthcare quality services or support required

Minimum 5 years experience in managing a team directly required OR Minimum 5 years of experience with significant project or functional leadership within quality services required

Previous experience with proven leadership in regulatory and accreditation survey readiness, quality improvement and patient safety in a large acute care system or facility required, including demonstrated ability in interpreting quality metrics to lead actionable change required

Strong experience with patient safety event management, including conducting root cause analysis and facilitating creation of effective, timely action plans required

Experience leading improvement work using a scientific methodology required

Strong interpersonal skills with the ability to communicate and work with all levels of healthcare providers including physicians

Ability to perform duties and responsibilities promptly and consistently with little direct supervision

Ability to execute a plan and use project management methodology

Ability to plan and direct activities of others and provide feedback regarding outcomes or performance

Ability to work collaboratively with other departments within and outside the Hospital

Ability to judge the appropriate action in response to changes, circumstances, or problems

Experience in data collection, analysis and project management required

Strong computer skills required

Excellent communication, presentation and organization skills required

Working knowledge of data collection methodologies, interpretation/analysis and decision support databases

Exposure to workflow in event management systems with the ability to interpret and utilize trended event data to improve safety

Preferred

RN Reg Nurse (Single State) Upon Hire

RN-COMPACT RN Multi-State Compact Upon Hire

Lean management system and Lean Production System methodology preferred

Experience coordinating with and reporting data to a Patient Safety Organization (PSO) preferred

Experience managing and/or monitoring infection prevention functions preferred

Company

Wellstar Health System

Glassdoor3.6

The largest health system in Georgia.

Founded in 1993

Marietta, Georgia, USA

10001+ employees

https://www.wellstar.org

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)