**Description** This position is incentive eligible. **Introduction** We are seeking a VP of Quality with TriStar Hendersonville Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us! **Benefits** TriStar Hendersonville Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** We are seeking a VP of Quality for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us! **Job Summary and Qualifications** The Vice President of Quality promotes high quality, patient-centered care by overseeing aspects of the Quality Management/Patient Safety Program(s) and Performance Improvement programs across complex organizations (multi-site campus, service lines). The VP ensures the facilitation and utilization of diverse strategies and communication for quality and performance improvement, providing an integrated framework for monitoring, evaluating, and improving quality of care. The VP promotes performance improvement to drive care excellence and oversees the hospital regulatory and accreditation program. ​ **What qualifications you will need:** + Bachelor’s degree in nursing or health-related field required; Master’s degree preferred + 3+ years of data analysis experience in a healthcare setting required + 4+ years of experience in healthcare quality/risk management with demonstrated leadership required + Current licensure as a Registered Nurse (RN) in the state of Tennessee or compact state required + ​Certified Professional in Healthcare Quality (CPHQ) or ​Certification in Healthcare Quality Management (CHCQM) must be obtained within 12 months of hire **What you will do in this role:** + ​Drive facility-wide standardization in targeted process improvement initiatives and evaluates success through pre-established criteria and measurement tools. Manage project flow and alignment to ensure milestones and key performance indicators are met within defined parameters. + ​Collaborate with all stakeholders to drive care excellence across a complex organization. Lead in strategy development for performance improvement through system thinking and safety science application across multiple service lines and care settings. + ​Develop and implement policies, procedures, and objectives. Review and update the Quality Improvement Plan regularly. Develop, implement, and review goals, objectives, and priorities to ensure alignment with hospital strategic plans and compliance with federal, state, and local regulations and standards. + ​Collaborate with facility leadership in establishment of operational performance measurements and targets, as well as the monitoring of trends in key performance indicators to evaluate effectiveness, reliability, and efficiency. + ​Lead and oversee the quality department with responsibility for care excellence, disease specific care, risk management, patient safety, and other aspects of performance improvement across the facility. Effectively manage members of the quality department team. + ​Develop and monitor the department budget. + ​Perform regular analysis of facility quality and risk performance data and makes applicable recommendations for process, system, procedure, and operational changes to improve healthcare value and quality. + ​Ensure effective execution of all activities concerning the achievement of continuous regulatory and survey readiness. Ensure strategic and operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations. + ​Maintain oversight of Quality and PI software and reporting systems to meet internal and external reporting requirements and surveys. Assist with selection and installation of software applications. + ​Monitor completeness, accuracy, and validity of quality files on medical staff and advance practice professionals. + Participate as an active member of peer review committees; analyze cases and outcome data and collaborates with physicians to promote and improve practice and optimal patient outcomes. + Collaborate with division and corporate entities and external parties to ensure strategic quality and patient safety initiatives are fully executed at the facility level. Facilitate effective communication with facility and division leadership regarding key clinical performance improvement activities and initiatives. + ​Serve as a technical advisor, educator and internal consultant to all hospital management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications. + ​Ensure the selection, retention and assignment of qualified competent staff to meet organizational needs. Ensure management of department productivity and work prioritization. + ​Coordinate with stakeholders and oversee the development of orientation and ongoing education to staff regarding quality and patient safety initiatives; promotes competency, compliance, and performance improvement. + ​Coordinate with the Patient Safety Director for event analysis, FMEA development, proactive safety activities to support development of a culture of transparency and safety science. Ensure participation of hospital team members, medical staff, senior leaders, and GME programs, as applicable. + ​Direct and lead activities of the Quality Committee of the Board in collaboration with facility leadership. TriStar Hendersonville Medical Center is a 159-bed hospital that has provided high-quality health care for over 40 years. The facility is the first Accredited Chest Pain Center in Sumner County and a Certified Primary Stroke Center. The Birth Center at TriStar Hendersonville, featuring Sumner County’s only Level II NICU services which hosts spacious LDRP suites and a lactation boutique for inpatient and outpatient services. In addition, our facility is Gold Seal Certified in Total Hip and Total with The Joint Commission. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.