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MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Master’s degree in pharmacy, Nursing, or other Health related field, Nurse Practitioner, or Doctor of Medicine or Doctor of Osteopathy from an accredited medical school

2. Currently licensed in the field of related education.

 EXPERIENCE:

1. 8 years management experience addressing quality issues

2. 5 years’ experience developing, leading, and educating hospital wide quality initiatives

3. 5 years’ experience in trend analysis, benchmarking, statistical operations, and process improvement

PREFERRED QUALIFICATIONS:

EXPERIENCE:

1. Recent and relevant clinical background in acute care setting

2. Experience in the use of utilization management systems, including database management systems and spreadsheet analysis

3. Experience in teaching hospital or prior quality improvement role

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an exhaustive list of all responsibilities and duties.  Other duties may be assigned.

1.    Coordinates, oversees, and executes upon the clinical, strategic, and operational quality and safety priorities for the entire organization. Governs the implementation of key clinical quality and safety initiatives.

2. Develops, amends, and monitors an effective Change Management and Performance Improvement Model which includes education of key constituents.

3. Identifies obstacles and implements change to the successful utilization of quality improvement processes.

4.  Governs efforts in the transformation of the patient experience to foster a patient and family centered culture and works in partnership with all departments across the organization to assess and support our mission, vision and values.

5. Engages physicians, APPs, allied health professionals and trainees to drive improved outcomes in hospital, ambulatory, community and academic setting.

6. Governs and supports the efforts to develop a culture of safety with the goal of becoming a highly reliable organization with a goal of zero harm.

7. Establishes quality management process to include timely and accurate capture of data that is valid and effectively analyzed, identification and response to statistically significant trends, accurate benchmarking, development and implementation of clinical pathways and protocols with physician, nursing and other clinical input resulting in best practices.

8.Governs and sets direction to achieve an exceptional patient experience. Collaborates with other leaders to assure the Strategic Plan incorporates effective strategies to advance Patient Experience.  9. Provides support and input to the hospital and medical peer review program.

10. Provides ongoing direction and oversight of the Vizient Clinical Benchmarking system to assure the benefits of the system are used to its fullest potential

11. Actively participates in professional associations and system committees to expand/improve quality initiatives and outcomes.

12. Collaborates with ambulatory departments for quality and patient safety needs.

13. Works collaboratively with system Quality and Patient Safety leadership to identify and support system wide strategies and initiatives.

15. Assists in the Strategic Planning process

16. Collaborates with other senior leaders to set direction as it relates to Population Health and Value Based payments/programs

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, grasping required throughout the work shift.

2. Must be able to sit for long periods of time.

3. Visual, verbal, and auditory functions within normal limits.

4. Must be able to read and write in English.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Exposure to high levels of stress and anxiety.

2. Exposure to body fluids (blood, oral secretions).

3. Exposure to stressful situations and constant interruption.

4. Exposure to fluorescent lighting.

SKILLS AND ABILITIES:

1. Must possess good reading and comprehension skills.

2. Must respond to emergent situations in a calm, professional manner.

3. Must possess effective verbal and/or written communication skills including use of keyboards and computer technology.

4. Must possess strong analytical and soft listening skills

5. Must respond to changes in work volume/nature daily

6. Advanced knowledge of Microsoft Office Suite including word, power point and excel.

7. Available as needed on off hours

8. Experience with Epic and Viziant preferred.

9. Effective relationship building skills along with skills to navigate transformational change

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.