What are the responsibilities and job description for the Vice President Clinical Excellence position at Appalachian Regional Healthcare, Inc.?
Overview
The Vice President of Clinical Excellence is an Executive leader overseeing the ARH mission in all matters relating to the quality of care throughout the ARH system. This position works to eliminate preventable harm to patients, family members, and staff, to attain unsurpassed clinical and patient-reported outcomes, and build hospital-wide participation through transparency, collaboration, and mutual learning. Working in partnership with senior administrative and medical staff leadership, the VP will oversee the institutional approach to quality 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 throughout ARH. This includes minimizing financial risk related to pay-for-performance programs and ensuring best outcomes to strengthen the ARH brand.
Responsibilities
• Monitor, report, and improve the activities related to ensuring the best patient experience and outcomes and the highest value of care provided by all Appalachian Regional HealthCare employees.• Lead the organization to achieve the strategic direction set by senior leadership to maintain/attain the highest publically reported public rankings in CMS Hospital Compare, Leapfrog, US News and World Report and others.
• Develop and implement comprehensive, strategic, and tactical plans to achieve annual patient satisfaction and quality goals and revise strategic plans accordingly.
• Recommend quality improvement priorities based on knowledge of national, state, and local priorities, regulations, and accreditation requirements.
• Serve as a liaison for clinical quality and patient experience initiatives with state/federal regulatory agencies, clinical communities, and key constituencies throughout the organization.
• Utilize leadership and operational expertise, knowledge and application of multiple quality improvement frameworks, evidence-based practice, quality literature, and statistical processes to facilitate the operationalization of the organization's quality, patient satisfaction and safety goals.• Assess current hospital and clinical departmental performance on quality of care indicators; regularly perform gap analyses and recommend focused improvement initiatives to ensure exceptional hospital performance on those indicators.
• Maintain effective working relationships with key stakeholders.
• Regularly follow-up with clinical department leadership, vice chairs, nursing leadership, physician advisors, and hospital leadership to ensure compliance with reporting and improvement initiatives.
• Participate in ARH quality efforts to align strategic priorities, interventions, and standard work to harmonize system-wide approaches at ARH where appropriate.
• DECISION-MAKING AND TEAM MANAGEMENT.
• Directly manage QI department director.
• Recruit and train QI staff.
• Prioritize employee engagement, retention, and professional development.
• Focus on diversity goals.
• Mentor staff on a routine basis.
• Manage staff performance.
• Ensure timely implementation of new policies and procedures that impact the QI department.
• May conduct in-service education as requested.
• Analyze problems and provide guidance to QI staff members.
• Maintain ongoing communication with staff to manage institutional and departmental goals.• Other related duties as assigned
Qualifications
Education• Must possess a MBA, MHA, or MS in health administration/nursing, business administration, or related field
Minimum Work Experience• 7-10 years of progressive quality improvement experience and a minimum of 5 years of progressive managerial experience in healthcare is required
Required Skills, Knowledge, and Abilities
Performance ExpectationsThe performance expectations for fulfilling the responsibilities of [Vice President, Clinical Excellence] well include the following:• Conduct oneself in a manner that consistently models the ARH mission, vision and valueso ARH MissionTo improve health and promote well-being of all people in Central Appalachia in partnership with our communities.o ARH VisionTo provide an unparalleled experience as the most trusted home for healthcare.o ARH ValuesPatient and family experience is our number one priority.• Comprehensive understanding of performance improvement, quality assessment, regulatory and risk management, patient safety, and program management.• Quality experience in a healthcare system ( including hospital, clinics and homehealth) is highly preferred. • Extensive knowledge base of performance improvement theory and applications; financial and data analysis; national, state, and local quality improvement initiatives, regulations, and accreditation requirements. • Familiar with quality improvement tools and techniques (PDSA, Lean Thinking, Six Sigma, robust process improvement, etc.). • Experience in achieving results and a documented track record of implementing and accomplishing quality/safety improvements in a large, complex hospital system. • Extensive knowledge base and experience with public reporting, pay-for-performance, national quality improvement initiatives and performance trends, APR DRGs, coding optimization, third-party payor requirements related to quality indicators, and regulatory standards DNV, CMS, etc.).
