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in Marietta, GA

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Hours Full-time, Part-time
Location Marietta, Georgia

About this job


The Assistant Vice President (AVP) Quality reports to the hospital’s Vice President, Medical Affairs. As a member of the leadership team, this individual is responsible for developing a vision and executable plan to attain world class quality and safety processes and procedures across the hospital and all hospital outpatient departments. Bringing patient and clinical quality expertise, the AVP will partner to identify opportunities for short and long term impact on quality and safety outcomes.

The AVP Quality is responsible for developing, planning and implementation of key clinical quality, safety and accreditation initiatives as defined by executive and physician leadership. This role will serve as a champion for quality, accreditation and Safety First programs, creating a culture of individual accountability and support. The AVP Quality will supervise the key processes in support of performance improvement, including medical staff PI committees and peer review, PI registries, and Lean PI implementation. In addition, this individual will work to effectively integrate functions and coordinate collaboration across the care continuum. The AVP of Quality will be accountable to ensure successful development and deployment of the WellStar’s Quality and Safety strategy to all care sites and services lines under the hospital’s license.

The AVP will work collaboratively with Hospital and System Quality and other clinical leaders as a resource and advisor, proactively analyzing, seeking out opportunities to improve operational, clinical, quality, and patient satisfaction enhancements. This leader will partner with external organizations to ensure regulatory compliance and best practice efforts.

The individual in this role will identify opportunities to optimize performance, build internal competencies and create a more rigorous approach to quality and safety throughout the enterprise, bringing a strong focus on accountability and appropriate use of resources. The establishment of a culture of ownership, responsibility, and accountability will be a foundational characteristic for this role. The AVP maintains strong positive relationships with team members, medical staff, senior leaders, and patients.

The AVP Quality participates as an active part of WellStar’s leadership team in developing and implementing Hospital and System strategic quality plans and initiatives. This leader will be an active leader to drive a culture change that is visible to every level in the organization, incorporating messaging that is consistent and creates ownership for safety and quality by every employee.


Required Minimum Education:

  • Bachelor’s degree in Nursing, Healthcare Quality, Business, Public Health, or a related field required.
  • Master’s degree in Nursing, Healthcare Quality, Business, Public Health, or a related field required.

Required Minimum Licensure/Certification:

  • Certified Professional in Healthcare Quality (CPHQ) required.

Required Minimum Experience:

  • Minimum twelve (12) years’ experience in healthcare including five (5) years in a quality management setting required
  • Seven (7) to ten (10) years of progressive clinical and/or quality leadership experience, with a minimum of five (5) years in management roles is required.
  • Two (2) years in program development 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 managing workflow in event management systems (e, g, RL Solutions, Midas, Marsh) with the ability to interpret and utilize trended event data to improve safety required.
  • Experience leading improvement work using a scientific methodology required.

Preferred Minimum Experience:

  • Lean and Project Management experience is preferred.
  • Lean management system and Lean Production System methodology preferred.
  • Experience coordinating with and reporting data to a Patient Safety Organization (PSO) is preferred.
  • Experience managing and/or monitoring infection prevention functions preferred.

Required Minimum Skills:

  • 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 objectively appraise and analyze their job 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