Commonwealth of Massachusetts · 2 months ago
Chief Quality Officer
Commonwealth of Massachusetts is seeking an experienced professional to serve as the Chief Quality Officer for the Lemuel Shattuck Hospital. The CQO will lead the hospital's quality management department, focusing on regulatory compliance, quality improvement, and patient safety.
Government Administration
Responsibilities
Collaborates with hospital leaders to develop and implement the organization's quality and patient safety plan
Oversees the development, review, and revision of the hospital's Quality Improvement Plan
Evaluates operational structure and department processes to ensure alignment with effective quality programs
Leads the Quality Management department, which includes Infection Prevention and Control, and sets expectations for performance efficiency and effectiveness to achieve goals
Chairs and participates in committee meetings pertinent to quality and safety
Delegates responsibility and sets expectations for quality management staff, including timely responses to regulatory bodies, including but not limited to, The Joint Commission on Accreditation of Healthcare Organizations (TJC), Centers for Medicaid and Medicare Services (CMS), Department of Public Health (DPH), and Department of Public Health Division of Health Care Quality
Coordinates closely with clinical information technology and health information management to achieve organizational goals
Partners with hospital leadership and providers to achieve organizational goals, leading root cause analysis (RCAs) and failure modes and effects analyses (FMEAs) analyses and debriefings
Recommends quality measures and coordinates the process of monitoring, measuring, and assessing patient care
Evaluates regulatory compliance for operational strategies and provides recommendations to maintain compliance
Serves as a resource for medical staff, clinicians, and other staff for quality improvement activities and education
Promotes a culture of safety, high-reliability, patient and staff engagement, and overall positive work environment for all employees
Assesses educational needs for staff and guides quality related education and as appropriate; supports leadership for safety culture surveys
Qualification
Required
Experience in hospital quality/risk management
Must be a Registered Nurse
Current license as a Registered Nurse in Massachusetts
At least six (6) years of full-time or equivalent part-time professional, administrative, supervisory, or managerial experience in a particular specialty
At least two (2) years must have been in a project management, supervisory or managerial capacity
Preferred
Certification as a Certified Specialist in Healthcare Accreditation (CSHA) and/or Certified Professional in Healthcare Quality (CPHQ) desirable
Extensive knowledge of regulatory requirements, including those of The Joint Commission, CMS, DPH, and other accrediting bodies
Current and up-to-date knowledge of changes to existing laws, standards, and regulations, and the ability to explain and interpret same to facility wide personnel
Exceptional research and presentation skills with a talent for engaging a variety of audiences, primarily comprised of adult learners
Demonstrated understanding of external agency interface with Infection Control, Patient Safety, Risk Management and Quality (Performance) Improvement
High degree of organizational skills and the ability to motivate, coach and supervise staff, to analyze complex problems and issues to design workable solutions
Progressive leadership experience in directing a hospital Quality Management Department
Strong written and oral communication skills, including methods of general report writing
A commitment to promoting a culture of safety, high reliability, and patient-centered care
Demonstrated knowledge of process improvement methodologies and team dynamics
Technology proficient Microsoft Office applications including Excel, Word, Outlook, PowerPoint, and Teams
Benefits
Comprehensive Benefits
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Company
Commonwealth of Massachusetts
Commonwealth of Massachusetts is a government administration.
H1B Sponsorship
Commonwealth of Massachusetts 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 (7)
2024 (4)
2023 (2)
2022 (6)
2021 (1)
Funding
Current Stage
Late StageTotal Funding
$20.84MKey Investors
U.S. Department of Agriculture
2024-10-29Grant· $20.84M
Recent News
2026-01-11
2025-12-24
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