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CHIEF QUALITY & SAFETY OFFICER

Job ID
15101248
Category
Quality and Compliance
Department
Quality Outcomes
Location
Albuquerque, NM
Date posted
05/19/2020
Position Summary:The Chief Quality & Safety Officer (CQSO) is responsible for ensuring UNM Health System (UNMHS) is promoting the highest quality and safest care for our patients. This position collaborates with senior leaders at all Health System components in establishing and executing the strategic priorities around quality and patient safety, and will be the chief champion for quality and patient safety functions system-wide. This position is an administrative assignment of up to 0.85 FTE, and will be a shared position between the UNM Hospital (0.60 FTE) and UNM Health System (0.15 FTE). The primary reports for this position will be to the Vice Chancellor for Clinical Affairs, UNMHS, and to the CEO of UNM Hospital. The CQSO will work in close collaboration with senior executive leaders at all Health System entities to accomplish system-wide responsibilities, with a major focus at UNM Hospital. Accountability:
  • OUTCOMES - Identify system and hospital-level patient care outcomes aligned national, regional, and local Quality and Safety priorities designed to drive highest quality, safest care for our patient populations

  • LEADERSHIP - Provide oversight and leadership for development of Quality and Safety programs at all UNMHS clinical entities (UNM Hospital, Sandoval Regional Medical Center, UNM Medical Group, UNM School Of Medicine Departments) that drive performance improvement activities to meet priority clinical outcomes; this includes identifying improvement opportunities based on strategic and operational priorities, setting benchmarks, assuring alignment with the UNMHS Strategic plan and Universal Operating Plan (UOP), and leading development of a culture of continuous improvement and excellence

  • METRICS - Have primary accountability for integrity and validation of Quality and Safety data for internal and external reporting purposes for all UNMHS clinical entities in both inpatient and ambulatory patient care areas

  • LIAISON - Work with leaders at all UNMHS components to facilitate communications to governance, leadership, medical staff, and other members of the UNMHS healthcare delivery team regarding quality and safety performance at UNMHS

  • KNOWLEDGE - Be the primary local expert on national, regional, and local Quality and Safety programs and performance improvement methodologies and safety systems that support High Reliability and Value-based Care including national, regional, and local scorecards and methodologies

  • EDUCATION - Oversee and participate in development of Quality and Safety education activities across the organization, including national priorities, scorecards and metric methodologies, etc., particularly those directed at faculty, GME trainees, and hospital staff

  • GOALS - Be primarily responsible for improving the Goals outlined in the Quality Pillar of the UNM Hospital UOP, particularly Mortality Improvement and reduction of Hospital-acquired Conditions (specifically Severe Patient Harm Events (SPHE) and Hospital-acquired Infections); lead identification and development of Quality and Safety Goals based on national, regional, and local requirements and metrics

  • GOALS - Be primarily responsible for improving the Goals outlined in the Quality Pillar of the UNM Hospital UOP, particularly Mortality Improvement and reduction of Hospital-acquired Conditions (specifically Severe Patient Harm Events (SPHE) and Hospital-acquired Infections); lead identification and development of Quality and Safety Goals based on national, regional, and local requirements and metrics

  • PATIENT SAFETY - Partner with the Chief Operating Officers and other senior Quality and executive leaders to oversee development of models for quality and safety improvement that assure high quality, safe patient care in both inpatient and ambulatory care areas; actively engage all hospital and physician executive leadership, management, and frontline patient care staff to establish patient safety systems and processes that establish a mature Culture of Safety based on continuous learning and performance improvement throughout the organization

  • INTEGRATE - Facilitate integration of Physicians, Hospital and executive staff to optimize Quality and Safety improvements thru a multidisciplinary team-based approach through engagement of appropriate stakeholders to develop evidence-based high reliability systems that decrease variability of high priority clinical activities and diagnoses, including clinical pathways and care protocols that lead to improved patient outcomes

  • ALIGNMENT - Support front-line patient quality and safety structures and methodologies and ensure alignment across UNM Hospital

  • Education Requirements:
  • Completion of doctorate in Medical Training (MD, DO) and subsequent specific clinical training for licensure as a practicing physician

  • Experience Requirements:
  • At least 10 years of clinical practice or healthcare quality or safety improvement experience

  • Experience Requirements - Preferred:
  • •Experience integrating programs and developing systems of care and service quality within a Healthcare System, Hospital, Department, or Service Line•Demonstrated collaboration skills and ability to work effectively across a broad number of components of a matrixed organization•Demonstrated experience in leading significant clinical practice change and/or quality improvement initiatives with a multidisciplinary team of clinicians and staff•Demonstrated experience with analysis and interpretation of quality and clinical performance information, public reporting, and national standards of quality and safety or regulatory organizations/agencies, and developing programs to improve metrics measuring progress to improvement goals for these areas•Demonstrated experience in working at executive senior leadership levels developing and leading broad system-level improvement programs

  • Physical Demands Requirements:
  • Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

  • Licensure/Certification Requirements - Preferred:
  • Current New Mexico MD or DO licensure

  • Professional licensure as appropriate to the clinical objectives of the unit:
  • Current New Mexico MD or DO licensure

  • Working Conditions Requirements:
  • Minor Hazard - physical risks, dirt, dust, fumes, noise

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    • Quality and Compliance, Albuquerque, New Mexico, United StatesRemove