Vice President Quality, Accreditation and Patient Safety
Roanoke, VA - USA
Job Summary
Employment Status:
Full timeShift:
Variable Hours (United States of America)Facility:
1906 Belleview Ave SE - RoanokeRequisition Number:
R158796 Vice President - Quality Accreditation and Patient Safety (Open)How Youll Help Transform Healthcare:
The Vice President of Quality Accreditation and Patient Safety provides enterprise-wide executive leadership for quality safety risk management patient advocacy and accreditation across Carilion Clinics integrated healthcare system including acute care hospitals specialty services and across the ambulatory practice footprint.This leader is responsible for advancing Carilion Clinics mission to improve the health of the communities it serves by ensuring the consistent delivery of safe high-quality patient-centered care. The Vice President partners closely with physician nursing academic and operational leaders to foster a culture of safety transparency continuous improvement and high reliability across all care settings.
Key Responsibilities
Enterprise Quality Strategy
- Provide executive leadership for Carilion Clinics system-wide quality strategy ensuring alignment with organizational goals regulatory requirements and value-based care initiatives.
- Oversee clinical quality outcomes across inpatient outpatient and ambulatory settings with a focus on safety effectiveness equity and patient-centered care.
- Lead quality measurement analytics benchmarking and performance improvement initiatives including public reporting and external quality programs (e.g. CMS Leapfrog).
- Ensure alignment of quality goals across hospitals service lines and ambulatory practices.
- Oversees Medical Staff quality and performance review processes including peer review and OPPE/FPPE in partnership with Medical Affairs to support safe compliant and high-quality clinical care.
Patient Safety & High Reliability
- Champion a culture of safety and high reliability across Carilion Clinic grounded in just culture prevention of harm and learning systems.
- Oversee event reporting serious safety event management root cause analyses and system-wide corrective action plans.
- Partner with clinical leaders to standardize evidence-based safety practices and reduce variation across care settings.
- Lead system response to sentinel events and other significant patient safety issues.
Patient Advocacy & Experience
- Provide executive oversight of patient advocacy functions including grievance and complaint management across the enterprise.
- Ensure timely compassionate and transparent resolution of patient and family concerns.
- Collaborate with Patient Experience and clinical leaders to integrate patient feedback into quality and safety improvement efforts.
- Support disclosure and communication processes following adverse events in alignment with Carilion Clinic values.
Risk Management & Claims
- Lead enterprise clinical risk management and loss prevention strategies to reduce harm and liability exposure.
- Oversee professional and general liability risk processes including claims management trend analysis and risk mitigation.
- Partner closely with Legal Compliance and Insurance/Risk Financing teams.
- Use data and analytics to proactively identify and address emerging risk trends.
Accreditation & Regulatory Readiness
- Provide executive leadership for accreditation and regulatory readiness across Carilion Clinic including but not limited to The Joint Commission CMS state regulatory agencies and specialty accreditations.
- Ensure continuous readiness for surveys across all hospitals and ambulatory practices.
- Lead system-wide survey preparation on-site management and post-survey corrective action planning.
- Serve as an executive representative during accreditation and regulatory surveys.
Governance Leadership & Culture
- Serve as a trusted advisor to senior leadership and the Board on matters related to quality patient safety risk and accreditation.
- Prepare and present quality and safety reports to Board committees and senior leadership forums.
- Lead mentor and develop a multidisciplinary team of quality safety risk and accreditation professionals.
- Promote collaboration accountability and engagement among clinical and operational leaders.
- Builds and sustains an effective team for continuity career progression success growth and sustainability of the organization. Ensures there is a high performing and diverse team recognized for collaboration innovation and results. Supports the organizations developing of a high performing engaged and diverse workforce.
- Oversees the development and alignment of annual budget for assigned function(s) to ensure the effective use of resources and financial sustainability of the organization to achieve organizational strategies and plans.
What We Require:
Education
- Required: Masters degree required (MSN MHA MPH MBA or equivalent)
- Clinical background (RN MD DO or other licensed clinician) strongly preferred
Experience
- Minimum of 7-10 years of progressive system-level leadership experience in healthcare quality patient safety risk management and accreditation
- Senior leadership experience within a large integrated healthcare system required
- Demonstrated success leading multi-hospital and ambulatory quality programs
- Extensive experience with regulatory agencies such as Joint Commission/DNV CMS and state regulatory departments
Licensure certification and/or registration/Life Support
- Certified Professional in Healthcare Quality (CPHQ) strongly preferred
Other Minimum Qualifications
Knowledge Skills & Competencies
- Expertise in healthcare quality improvement patient safety science and high-reliability principles
- Strong understanding of value-based care regulatory compliance and accreditation standards
- Proven ability to lead complex change and influence across a matrixed organization
- Excellent communication and relationship-building skills with physicians nurses executives and Board members
- Strong analytical skills and comfort using data to drive improvement
- Commitment to Carilion Clinics mission values and patient-centered culture
This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Recruiter:
DANA JOHNSONRecruiter Email:
For more information contact the HR Service Center at 1-.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race color religion sex national origin age (40 or older) disability genetic information or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 8:00 a.m. to 4:30 p.m. Monday through Friday.
Required Experience:
Exec
Key Skills
About Company
Carilion Clinic is a not–for–profit health care organization based in Roanoke, Va. Through our comprehensive network of hospitals, primary and specialty physician practices and other complementary services, we work together to provide quality care