Executive Director | Quality, Patient Safety & Patient Experience

Logan Health Medical Center

Job Location:

Kalispell, MT - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Quality and safety arent just metrics at Logan Health Medical Center. Theyre the foundation of everything we do. Were looking for a senior leader who sees it the same way and is ready to own that mission at the executive level.

The Executive Director of Quality Patient Safety and Patient Experience leads one of the most visible and impactful portfolios at LHMC setting the strategic direction for how we protect patients improve outcomes and deliver care experiences that our community can trust. Reporting to the Chief Medical Officer this leader works in close partnership with physician quality leadership medical staff and senior leaders across the organization to drive high-reliability practices reduce preventable harm and ensure regulatory and accreditation excellence.

This is a role for someone who doesnt just manage programs but builds the systems culture and accountability that make lasting change possible. If you bring deep expertise across quality patient safety and patient experience and you know how to translate data into action and alignment across a complex organization wed love to talk.

At Logan Health our leaders are empowered to make meaningful impact supporting both frontline caregivers and the patients and communities we serve.

Our Mission: Quality compassionate care for all.

Our Vision: Reimagine health care through connection service and innovation.

Our Core Values: Be Kind Trust and Be Trusted Work Together Strive for Excellence.

What Success Looks Like

Success in this role includes:

Measurable reductions in adverse events and preventable harm across LHMC
Improved patient experience scores and meaningful progress in person- and family-centered care
Sustained accreditation readiness and successful regulatory survey outcomes
A strong engaged team culture where staff feel supported developed and accountable
Data-driven decision-making embedded across clinical and operational leadership
Recognition as a trusted strategic advisor by executive leadership and the Board

Leadership Competencies

The successful candidate will demonstrate:

Deep expertise across quality patient safety and patient experience as distinct healthcare specialties
Emotional intelligence professionalism and executive leadership presence
Exceptional relationship-building negotiation and consensus-building capabilities
Ability to lead through influence and build alignment across clinical operational and administrative stakeholders
Business acumen including fiscal management budgeting and resource stewardship

Key Responsibilities

Quality Safety & Patient Experience Strategy

Set the strategic direction and oversee the development implementation and delivery of clinical quality patient safety and patient experience programs across LHMC
Develop and steward the annual QAPI plan embedding continuous improvement across clinical and operational environments
Establish and monitor key performance indicators dashboards scorecards and benchmarking tools to drive improvement
Champion patient experience advancing person- and family-centered care and integrating patient-reported outcomes
Direct quality measurement analytics and performance reporting to internal and external stakeholders
Use patient feedback analytics and equity data to drive improvement; lead initiatives related to grievances complaints and service recovery

Patient Safety Infection Prevention & Emergency Preparedness

Lead and oversee patient safety event reporting root cause analysis corrective action planning and proactive risk-mitigation initiatives
Oversee patient safety event review processes including presentation of system-level recommendations to the Senior Executive Team and relevant Board Committees
Oversee drug diversion medication safety and clinical safety programs
Oversee infection prevention and control programs to reduce healthcare-associated infections and ensure compliance with evidence-based protocols
Oversee emergency preparedness planning and programs ensuring organizational readiness and compliance with regulatory requirements

Accreditation Regulatory & Compliance

Ensure readiness and compliance with CMS Conditions of Participation DNV accreditation standards and all applicable state and federal requirements
Interpret and operationalize regulations from CMS FDA OCR OIG state agencies and accrediting bodies
Direct compliance programs audits surveys and corrective action plans
Monitor regulatory and legislative changes assess organizational impact and advise proactive responses

Team Development & Organizational Stewardship

Develop mentor and inspire staff across the quality safety and patient experience portfolio in a culture of continuous improvement and collaboration
Provide subject matter expertise and education to clinical leadership medical staff and partners regarding quality patient safety regulations and emerging best practices
Develop and manage operating and capital budgets aligned with strategic priorities
Represent LHMC on relevant organizational system and national committees; chair quality and patient safety councils as required

Required Qualifications

Bachelors degree in Healthcare Administration Nursing or a related field required
Masters degree in Healthcare Administration Nursing Business Administration (MBA) or a related field strongly preferred
Minimum of eight (8) years of progressive leadership experience in quality patient safety or a closely related healthcare specialty
Demonstrated expertise in quality improvement methodologies patient safety science and regulatory standards
Demonstrated proficiency with both inpatient and ambulatory quality initiatives
Experience leading regulatory audits surveys or investigations (CMS DNV state agencies)
Experience leading enterprise-level patient safety quality and patient experience initiatives
Demonstrated knowledge of healthcare operations regulatory requirements accreditation standards and care delivery systems
Professional certification preferred but not required (CPHQ CPPS CPXP or CPHRM)

Shift:

Day Shift - Variable Hours (United States of America)

Schedule:

Logan Health operates 24 hours per day seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Notice of Pre-Employment Screening Requirements

If you receive a job offer please note all offers are contingent upon passing a pre-employment screening which includes:

Criminal background check
Reference checks
Drug Screening
Health and Immunizations Screening
Physical Demand Review/Screening

Equal Opportunity Employer

Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status race color gender sexual orientation religion national origin age disability or any other basis protected by applicable law. If you require accommodation to complete the application testing or interview process please notify Human Resources.

Required Experience:

Director