At Virtua Health, we exist for one reason – to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. 
 
If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment.

In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics.

Location:

Voorhees - 100 Bowman Drive

Employment Type:

Employee

Employment Classification:

Regular

Time Type:

Full time

Work Shift:

1st Shift (United States of America)

Total Weekly Hours:

40

Additional Locations:

Job Information:

Job Summary:

The AVP Quality Management establishes and leads the implementation of the Virtua Quality Plan and Risk Management Plan at hospital facility(s) and any associated licensed services and drives the action plans to achieve G&O targets for Quality and Patient Safety. This hospital leader facilitates a strong working relationship with the corporate Quality department and collaborates with regulatory readiness, RCA’s and required submissions to the state DOH.

Position Responsibilities:

Accountable for analysis of G&O, quality and patient safety data and leads local clinical, physician, ancillary and operations leaders and staff in the development and implementation of strategies to achieve required results.

Leads local facility’s active participation in the Virtua Risk Management Program; including review and resolution of incident reports, data entry into RL Solutions, Safe Medical Device Act, reporting of Sentinel events, reportable events to the NJ DOH, etc.  Analyzes facility specific results to identify opportunities for risk reduction and the development of successful action plans.

Leads the facility in continued readiness for TJC, NJ DOH, & CMS accreditation and licensing surveys.

Oversees facility Patient Relations and development of action plans for the improvement of patient satisfaction. Ensures the complaint and grievance process is being followed, events are being recorded and responded to in a timely fashion.

Mentors and coaches unit and department directors in quality and patient safety goals, in analysis of their dashboards and the development of unit based action plans that cascade upward and contribute positively into facility results.

A local senior leader and a member of Operations Management Group.  Takes administrative call. Provides twenty-four hour, facility wide accountability for all quality and risk issues.

Serves as the Chair of the local QAPI Council, Code Blue Review Team, Mortality Review Team and other system and local interdisciplinary committees as appropriate to coordinate and implement quality and safety initiatives based on outcomes.

Manages the allocation of resources for the local infection control practitioner(s).  Collaborates with Chief Infectious Disease Officer and ICP to analyze local infection data and helps develop and implements successful strategies and allocate resources for infection prevention.

Manages the local resources for the collection of data for quality specific measures, TJC, NJ DOH, CMS, and Medical Staff Peer Review and ensure accurate chart documentation that serves as the foundation for APR-DRG’s and other pay for performance initiatives.

Communicates sentinel, critical or reportable events as appropriate. Participates in the root cause analysis process that is conducted by the Risk Manager. Drives action plans, collaborates with members of the Quality, Risk, Safety Work Group to disseminate information, lessons learned and findings relevant to other parts of Virtua.

Utilizing expertise in the DMAIC cycle, educates and coaches staff, managers and physicians in its use.

Position Qualifications Required / Experience Required:

Requires 5 years of healthcare leadership experience. Experience in acute care facility and a broad base of knowledge in nursing practice, evidenced based care and management.

Required Education:
 

Bachelor’s Degree in a health-related field.

Master’s degree preferred.

Training/Certifications/Licensure:

RN licensure.  Certification in Health Care Quality required or eligibility to sit for CPHQ Exam within 2 years.