VP, Patient Safety & Quality -Johns Hopkins Bayview Medical Center

POSITION SUMMARY

The Vice President, Patient Safety & Quality, serves as the executive leader for patient safety, quality and service at Johns Hopkins Bayview Medical Center. This position works to eliminate preventable harm to patients, family members, and staff, to attain unsurpassed clinical and patient-reported outcomes and experience, and to build hospital-wide participation through transparency, collaboration, and mutual learning. Working in partnership with senior administrative and medical staff leadership, the Vice President will set the organizational strategy for quality, safety, and service and lead a comprehensive quality/performance improvement program.

This position is responsible for planning and directing the hospital’s performance improvement programs to enhance the quality of care provided at Johns Hopkins Bayview Medical Center. This includes minimizing financial risk related to pay-for-performance programs and ensuring the best outcomes to strengthen the Johns Hopkins brand.

REPORTING RELATIONSHIP

Reports directly to the President of Johns Hopkins Bayview Medical Center and Vice President, Patient Safety and for the Johns Hopkins Health System.

EDUCATION & EXPERIENCE

1. An advanced degree in Business Administration, Healthcare Administration, Nursing, Medicine, or a comparable area of study.
2. A minimum of 5 years of progressive managerial experience in healthcare and 7 – 10 years of progressive quality improvement experience are required.
3. Comprehensive understanding of patient safety, quality, performance improvement, , regulatory requirements, clinical risk management, and program management.
4. Quality experience in academic healthcare setting (including hospital) is highly preferred.
5. Extensive knowledge base of performance improvement theory and applications; financial and data analysis; national, state, and local quality improvement initiatives, regulations, and accreditation requirements.
6. Facility with quality improvement tools and techniques (PDSA, , Six Sigma, robust process improvement, etc.).
7. Experience in achieving results and a documented track record of implementing and accomplishing quality/safety improvements in a large, complex hospital.
8. Extensive knowledge base and experience with public reporting, pay-for-performance, national quality improvement initiatives and performance trends, coding guidelines, third-party payor requirements related to quality indicators, and regulatory standards (TJC, CMS, etc.).

MAJOR ROLES & RESPONSIBILITIES

1. Utilize leadership and operational expertise, knowledge and application of multiple quality improvement and patient safety frameworks, evidence-based practice, principles of high reliability, relevant literature, and statistical processes to facilitate the operationalization of the organization’s quality, safety and service goals.
2. Monitor, report, and improve the activities related to eliminating preventable harm and ensuring the best patient outcomes and experience and the highest value of care provided by all Johns Hopkins Bayview Medical Center employees.
3. Lead the organization to to maintain/attain the highest publically reported public rankings in CMS Hospital Compare, Leapfrog, , Pay-for-Performance programs, and others.
4. Develop and implement comprehensive, strategic, and tactical plans to achieve annual quality, safety, and service goals and revise strategic plans accordingly. Recommend quality, safety, and service priorities based on knowledge of national, state, local and JHM priorities, regulations, and accreditation requirements.
5. Serve as a liaison for clinical quality and safety initiatives with state/federal regulatory agencies, and key constituencies throughout the organization and across JHM (JHU professional schools, JHM affiliates, etc.).
6. Provide leadership for a safe, just and person-centered culture, including structure and process for evaluation and ongoing improvement.
7. Oversee proactive evaluation and redesign of systems to improve and achieve highly reliable care processes (e.g., forcing functions, checklists, error causation thinking, human factors, applied informatics, culture).
8. Facilitate thorough and credible failure mode effect analysis to identify and mitigate unintended adverse patient outcomes and evaluate the effectiveness of process changes.
9. Oversee highly reliable event management processes, including a strong reporting culture, a strong event reporting system, an effective cause analysis program and a timely communication and resolution process with patients who experience harm.
10. Assess current hospital and clinical departmental performance on quality and safety indicators; regularly perform gap analyses and recommend focused improvement initiatives to ensure exceptional hospital performance on those indicators.
11. Maintain effective, collaborative working relationships with key stakeholders. Regularly collaborate with physician leadership, nursing leadership, operational leaders, physician advisors, and hospital leadership to ensure a strong reporting culture and accountability for improvement initiatives.
12. Present informative and actionable reports to appropriate committees.
13. Contribute to and play an active role in JHHS quality efforts to align strategic priorities, interventions, and standard work to harmonize system-wide approaches at Johns Hopkins Bayview Medical Center where appropriate.