Corporate Director, Quality & Patient Safety

Description

The Corporate Director of Quality & Patient Safety is responsible for developing and implementing enterprise-wide quality improvement and patient safety programs to enhance healthcare outcomes and foster a culture of safety. This leadership role requires expertise in quality management, patient safety, data analytics, and quality and performance improvement to drive excellence across multiple facilities.  He/she will foster a culture of safety, accountability, and continuous improvement across all levels of the organization.  He/she will collaborate with executive leadership to set priorities and integrate quality initiatives into operational plans.

Reports to: Vice President, Quality & Patient Safety, Emory Healthcare

Quality & Performance Improvement

• Oversee quality measurement, performance benchmarking, and process improvement efforts.
• Utilize methodologies such as Lean, Six Sigma, and PDSA to drive efficiency and effectiveness.
• Lead hospital-wide initiatives to reduce hospital-acquired conditions (HACs), preventable errors, and readmissions.

Patient Safety

• Develop and oversee enterprise-wide patient safety programs to minimize adverse events.
• Conduct root cause analyses (RCA), failure mode and effects analyses (FMEA), and proactive risk assessments.
• Implement Just Culture principles and high reliability principles to encourage transparent reporting and learning from errors.

Regulatory Compliance & Accreditation

• Ensure compliance with regulatory and accreditation standards (The Joint Commission, CMS, OSHA, etc.) to ensure a culture of safety
• Implement and monitor policies to comply with national, state and local quality mandates.

Data Analytics & Reporting

• Analyze quality and safety data to identify trends, risks, and opportunities for improvement.
• Provide regular reports to leadership, governing boards, and external agencies.
• Lead implementation of technology solutions to improve data collection and reporting accuracy.

Education & Stakeholder Engagement

• Develop and lead training programs on quality improvement and patient safety best practices.
• Collaborate with physicians, nurses, and frontline staff to drive engagement in safety initiatives.
• Serve as a subject matter expert in quality and patient safety for internal and external stakeholders.

Minimum Qualifications & Requirements:

Education & Experience

• Master’s degree Healthcare Administration, Public Health, or a related field required.
• Minimum of 5–7 years of experience in healthcare quality and patient safety within a health system with at least 3-5 years in a leadership or management role.

Certifications (Preferred but not required)

• Certified Professional in Healthcare Quality (CPHQ)
• Certified Patient Safety Officer (CPPS)
• Lean Six Sigma Green Belt or Black Belt

Skills & Competencies

• Strong knowledge of quality improvement methodologies, healthcare regulations, and accreditation standards.
• Proven ability to lead multidisciplinary teams and drive large-scale initiatives.
• Exceptional problem-solving, analytical, and communication skills.
• Proficiency in data analytics tools and quality reporting systems.

Additional Details

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.  

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.  ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.