System Assistant Vice President, Acute Care Quality and Clinical Process Improvement

The System APV for Acute Care Quality and Clinical Process Improvement provides strategic system level leadership to create, manage, and demonstrate outcomes of improvement collaboratives and teams. The leader applies advanced understanding of improvement science to standardize processes, reduce variability, and foster a proactive culture of continuous improvement, empowering staff at all levels to engage in improvement initiatives and contribute to a culture of learning.  Additionally, this role holds functional accountability as a business partner for the overall quality program across multiple hospitals and institutes, ensuring that patient safety, quality, and clinical excellence are consistently achieved.  Reporting to the Vice President of Acute Care Quality, this leader regularly partners with executive leaders and clinical, operational, and business intelligence teams to address problems that are significant and complex.  Collaborating closely with executive leaders and clinical teams, this leader ensures alignment with national benchmarks and regulatory standards.

Position Highlights:

Position: System AVP, Acute Care Quality and Clinical Process Improvement

Location: Evanston, IL or Warrenville, IL

Full Time/Part Time: Full Time

Hours: Monday-Friday, during normal business hours

Required Travel: frequent travel to other Endeavor Health locations will be required

What you will do:

System Level Functions (50%)

Leads the development of a high-level strategy for clinical process improvement across the acute care system and system Institutes.

Leads complex and strategic improvement efforts that deliver on organization’s objectives and goals.

Provides strategic guidance, education, and research-informed insights to leaders on best practices for clinical process improvement.

Develop and deploy clinical process improvement methodologies and processes, to elevate system capabilities to drive sustained improvement.

Develops and oversees teams and System Collaboratives to drive initiatives and activities to improve clinical outcomes with an emphasis on consistent and reliable processes.

Collaborates with data analytics team to analyze and disseminate data that provides actionable insights that will empower the system to improve health outcomes.

Provides thought leadership and support for clinical improvement focus areas and provide strategic vision for Collaborative impact.

Quality Business Partner Hospital(s)/Institutes (50%)

Supports business unit to achieve quality/patient safety outcomes, management planning and integration from a system perspective.

Applies advanced understanding of improvement and change management to partner with clinical, operational, and hospital/institute leaders accountable for quality, regulatory compliance, and patient safety.

Sets strategy with executive level leadership to solve for defects in care identified through safety-related incidents, near-misses, sentinel events and other sources of data.

Make decisions and recommendations to address clinical quality problems that are highly varied and significantly complex identifying areas for advance and sustain improvement.

Applies advanced knowledge of improvement science to partner with teams leading to optimal performance in CMS, Leapfrog, Joint Commission, and other agencies.

Ensures adherence to and assists in the achievement of clinical performance outcomes utilizing a collaborative process that focuses on the use of best practices and measurable outcomes.

Cultivates a just culture and staff engagement and well-being by promoting a culture of joy and retention.

What you will need:

Education: Master’s degree in healthcare administration, Nursing, Public Health, or a related field required.

Certification:

Certified Professional in Healthcare Quality (CPHQ) or equivalent (preferred).

Expertise in quality improvement methodologies (Lean, Six Sigma, PDSA) and clinical process optimization.

Advanced practitioner in change management methodologies (e.g., Prosci ADKAR, Kotter’s 8-Step Change Model) an implementation science, with a proven ability to lead complex change initiatives (preferred).

Experience:

7 years of progressive leadership experience in performance improvement and quality management.

3 years of experience as a director.

Unique or Preferred Skills:

In-depth understanding of clinical quality, patient safety, risk management, and regulatory compliance in acute care settings.

Expertise in data analytics and performance monitoring tools (e.g., Vizient, RL Solutions, Culture of Safety Surveys).

Experience partnering with disciplines in developing dashboards, scorecards, and data visualizations to monitor trends and guide decision-making.

Ability to track, trend, and interpret safety metrics and implement corrective actions using data-driven insights.

Proven ability to collaborate with executive leaders (CNOs, CMOs, Presidents) and workgroups to align system and hospital-based priorities.

Ability to foster cross-disciplinary teamwork to achieve quality outcomes.

Experience leading teams to ensure clinical excellence and accountability.

Ability to engage frontline staff through safety huddles, leadership walk-arounds, and shared learning initiatives.

Benefits (For full time or part time positions):

Career Pathways to Promote Professional Growth and Development

Various Medical, Dental, Pet and Vision options

Tuition Reimbursement

Free Parking

Wellness Program Savings Plan

Health Savings Account Options

Retirement Options with Company Match

Paid Time Off and Holiday Pay

Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.  

When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.

Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. 

Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.