To be part of our organization, every employee should understand
and share in the YNHHS Vision, support our Mission, and live our
Values. These values - integrity, patient-centered, respect,
accountability, and compassion - must guide what we do, as
individuals and professionals, every day.
Under the direction of the YNHHS Executive Director, Safety and
Quality, the incumbent directs and manages operations of the
quality and safety components of the strategic quality and safety
agenda. S/he works extensively with System performance management
directors and delivery network senior executives to facilitate and
oversees the successful execution of a YNHHS performance
improvement plan to include, but not limited to, all aspects of
governance, data management, data analytics, progress of quality
initiatives, production of salient reports and presentations that
articulate the quality agenda of YNHHS. With YNHHS Medical
Directors and Chief Quality Officer, s/he assumes the lead in YNHHS
collaborative to reduce variation and standardize clinical care and
operational effectiveness according to best practices.
1. With general direction from YNHHS Executive Director
Safety and Quality and in collaboration with delivery network
hospitals, directs all aspects of the YNHHS safety and quality
initiatives as identified in the PI Plan.
2. Oversees major quality functions across the system
including quality, safety, data analytics, abstraction, and all
aspects of data display (in collaboration with JDAT).
3. When appropriate to achievement of YNHHS quality and
safety goals, engages outside consultants and vendors, negotiating
and preparing contracts and monitoring budget and progress.
4. Provides internal human resource management of staff,
prepares new and modifies older position descriptions, oversees
timelines and quality of personnel evaluations, and is primary
conduit to YNHHS Human Resources. Represents department at Vacancy
Review Committee to secure approval for vacant positions. Manages,
recruits, hires, administers disciplinary action and conducts job
performance reviews for staff assigned to incumbent.
5. Develops and maintains strong working relationships with
YNHHS senior management, advancing the System quality and safety
agenda through the system Quality Committee and Quality Council,
and advising on status of System PI plan and initiatives.
6. Collaborates with the Institute for Excellence in
analysis and development of curricular and educational offerings to
develop and maintain the YNHHS culture of safety and continuous
7. Enhances knowledge in the field of clinical quality
improvement, healthcare quality monitoring, federal and state
regulatory guidelines, standards, and practices by attending
meetings, visiting other sites, reading, reporting and
disseminating relevant literature. Publishes best practices.
8. Management and accountability for the YNHHS Safety and
9. Directs all training, competency validation and provides
ongoing oversight to all data processes including IRR, other
validation and data display checks while working collaboratively
within the YNHHS system and external benchmarking agencies to
assure the highest standard of quality information is available at
10. Completes an annual environmental scan of all available
data sources and critically analyzes performance to make
recommendations to Senior Leadership on organizational
11. Develops and participates in quality projects and
facilitates the dissemination of results through interpretive
presentations, automated electronic reports, and/or
12. Directs analytic and abstraction staff as assigned.
This includes management of data quality and integrity through high
13. Directs the development and integration of internal
databases with other Epic, other delivery networks and external
benchmarking information systems to facilitate, evaluate and assess
the quality of health care surveillance and outcome research.
14. Demonstrates high-level knowledge and skills in key
behaviors that reflect expertise in communication, customer service
orientation, professionalism, problem solving, resource management,
results orientation, teamwork and cooperation, business and
organizational expertise, leadership, and managing performance.
15. Directs production of reports to senior leadership and
collates and summarizes quarterly reports as requested by the
16. Reports data from special projects and other quality
reports to appropriate individuals, departments and committees.
17. Serves as the liaison to outside agencies such as
Vizient, CHA, Joint Commission, Premier and Qualidigm as well as a
resource for other YNHHS Delivery Networks in the areas of quality
improvement, quality measurement and quality operations.
18. Provides support and consultation to stakeholders as
related to design, upgrading and implementation of survey
instruments and systems. Directs surveys and qualitative
assessments across the organization
19. Provide education and consultation to senior leadership
in regard to changes in criteria, new data collection tools and/or
methods as well as medical record abstraction guidelines.
20. Directs and/or coordinate special projects as directed
by CMO, CQO, Medical Directors or other senior leaders to promote
continuing evaluation and improvement in processes and patient care
21. Meets frequently with employees and plans mutually
agreed upon individual performance goals. Monitors progress and/or
barriers, plans remedial education and/or training, modifies
performance expectations, and completes six-month and twelve-month
reviews as required.
22. Mentors staff across the system in quality measurement.
Maintains an exceptional work environment through effective
leadership, direction, supervision, role modeling, and
communication.Schedules, plans, facilitate, and conduct staff
23. Plans, facilitates, tracks, and modifies the
organizational performance goals and action plans annually and as
24. Performs other assignments as required and/or directed
by CMO, CQO and/or Medical Directors, Infection Prevention, Patient
Safety and Quality
Master's degree in healthcare administration, public health or
other related field required. Certified Professional in Healthcare
Quality (CPHQ) required.
At least 5-7 years progressive management experience in
hospitals and healthcare. Documented experience working
successfully with hospital senior management and physicians.
Clinical background preferred. Budget management.
Superior written and oral communication. Ability to effectively
work with and motivate personnel at varying levels within an
organization. Documented capacity to deliver results in a
highly-matrixed work environment. Strong skills in the following
areas: adaptability and flexibility, ability to learn quickly,
facilitation, analysis, critical thinking, working with minimal
supervision, and management of people and projects.Strong computer
Ability to travel between system locations on an at least weekly
basis. Ability to traverse campuses.
Not ready to apply, but interested in working at Yale New Haven
Department: Safety and Quality
Sub Category: DEPT HEAD
Status: Full Time Benefits Eligible