Chief Quality Officer

Physician Affiliate Group of New York (PAGNY) and the Office of the Medical Director at NYC Health Hospitals/Jacobi and North Central Bronx are seeking a Chief Quality Officer to lead the vision, strategy, and implementation of Quality, Patient Safety, and to assist Risk and Accreditation activities across the facilities.

Jacobi Medical Center is a 457-bed, Level I Trauma Center and North Central Bronx Hospital (NCB) has 213 licensed beds. To this day, Jacobi and NCB remain respected leaders in emergency medicine, trauma surgery, burn care, pediatrics, primary care, and women’s health. The hospital maintains a strong academic affiliation with Albert Einstein College of Medicine to maintain its high healthcare delivery standards.

The mission of NYC Health Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff.

NYC Health Hospitals is the nation’s largest municipal health care delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, and regardless of immigration status or ability to pay.

Opportunity Details

• Leadership:
• Collaboratively set the vision and strategy for Quality and Safety for the facility with leadership and frontline staff.
• Lead employee education, growth, mentorship, development, and recognition programs around Quality, Patient Safety, and Leadership.
• Quality Assurance:
• Responsible for Quality Assurance and Performance Improvement (QAPI) data collection and submission, chart abstraction, quality reporting activities, and preparation for quarterly QAPI Committee of the Board meetings.
• Responsible for QAPI & Patient Safety plan and annual evaluation of QAPI plan.
• Performance Improvement:
• Lead and set the vision for Performance Improvement capacity building programs, including Healthcare Administration Scholars Program, Quality Academy, Quality/Clinical Leadership Fellowship, and trainings for managers and executive leaders.
• Serve as executive sponsor for the Facility Based Collaborative Council (FBCC) and Board QAPI Committee performance improvement projects.
• Align facility dashboard Quality metrics with system Strategic Pillars and system dashboard.
• Responsible for annual Pro-active Risk Assessments (PRA).
• Patient Safety:
• Support Patient Safety Officer, Patient Safety Associate, and with the facility Patient Safety Committee, to develop annual Patient Safety goals, and ensure high performance in the National Patient Safety Goals (soon to be embedded as part of Joint Commission’s National Performance Improvement Goals).
• Support and work collaboratively with Patient Safety Officer to ensure key stakeholders are trained about Root Cause Analysis & Action (RCA2) and Just Culture.
• Risk Management:
• Assist risk management to sponsor Root Cause Analysis (RCA) activities and execution of Corrective Action Plans (CAPs) and monitor for compliance.
• Incorporate information learned from Good Catch and adverse event reporting and RCA’s into Performance Improvement activities.
• Accreditation:
• Assist Regulatory to Sponsor for survey management and continuous readiness efforts for accreditation surveys, while staying current with national standards of practice.
• Provide staff education and training on accreditation requirements to ensure continuous readiness for ongoing surveys.
• This role will require 0.25 FTE (10 hours per week) of clinical time.