Assistant Vice President, Quality Operations and Performance Excellence
Apply NowCompany: WellStar Kennestone Hospital
Location: Marietta, GA 30062
Description:
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Job Summary:
The AVP of Quality Operations & Performance Excellence provides a leadership role, assuming responsibility for planning and coordinating efforts across the organization for strategic and operational excellence. The ultimate goal of this position is to create a competitive advantage through outcome improvements in key strategic processes. Success is measured in five key dimensions of quality (Keep Me Safe, Help Me Stay Well, Provide Me with the Right Care, Help Me Navigate my Care, Treat Me with Respect) with specific goals in each. The scope of the role includes, but is not limited to:
Knowledge of criteria for Performance Excellence/ Baldrige Excellence framework and actively supports successful hospital and system adoption of Baldrige Framework.
Expert knowledge of Governor's Sterling Award & Sustained Excellence criteria and actively supports successful achievement.
Drive for Quality and Focus on Results for Baldrige Excellence.
Develops and Leads Wellstar Health System level development of information supporting the Baldrige Excellence framework for use in business unit applications and if desired a system-wide application for the Sterling award.
Maintains a working knowledge of ANCC Magnet and Pathways to Excellence criteria.
Actively partners with organizational leaders and subject matter experts to align and integrate performance excellence frameworks across the system.
Provides leadership and guidance in the implementation, integration and improvement of system process improvement efforts.
Maintains documentation of Quality Performance Excellence initiatives.
Leads, coaches, and instructs process owners and teams in defining, documenting, measuring, analyzing, improving, and controlling business processes related to Quality Performance Excellence.
Spread successful improvement efforts across the organization, assuring systems sustainability of quality performance excellence
Develops collaboratively governance of quality and safety programs for the board and other high-level huddles, meetings, and retreats where quality and safety are featured.
Supports development of the organization on the journey to governance excellence including strategy development and deployment of quality topics and performance excellence.
Supports the Board of Safety and Quality and other governance committees for quality and safety.
Aligns and adopts best practices for quality and safety governance form the Institute for Healthcare Improvement (IHI) and other national authorities.
In conjunction with Quality and Safety Leadership , the AVP develops and implements the long-term and short-term strategy for Safety and Quality at WellStar. It is expected that the AVP stays abreast of quality and safety activities at the national level through engagement with institutions such as the National Associate for Healthcare Quality (NAHQ) and the Institute for Healthcare Improvement (IHI) and researches and advises on best practice solutions. Identification and promotion of evidence-based practice, as well as the use of Lean Management System. Lean Production System methods and High-Reliability Organizing principles are required.
The AVP will recognize and respond fluidly to varying situations that may require: influencing teams to develop, change, and adhere to standards, facilitating the spread of best practices and/or innovation and design of creative solutions especially as it relates to strategy development, deployment, and adherence to best practice as found in the Baldrige Framework of Excellence. This role necessitates political acumen, situational awareness, and a demonstrated ability to lead individuals and teams at all levels of the organization through influence.
Core Responsibilities and Essential Functions:
1. Leadership of Performance Excellence: Provide centralized direction, governance, and leadership for applications for the system and business units for Sterling or National Malcolm Baldrige Recognitions.
a. In conjunction with Quality and Safety Leadership develop and implement the long-term and short-term strategy for supporting applications based on the Baldrige framework.
b. Represents WellStar and participates in local, regional, and state collaborations, forums, and meetings as requested to ensure optimal understanding of industry trends and synergies.
c. Integrate Baldrige principles, Lean, HRO and other approaches into a cohesive and understandable Wellstar framework.
d. Works in partnership with Quality, Safety and Nursing Leadership for supporting ANCC Magnet and Pathways to Excellence work across the system,
e. Improve the improvement approach for Wellstar Health System.
a. Develop effective working relationships and efficient cross-functional processes with Medical Management, Utilization and Care Management, Provider and Member Services, Claims and Finance, and Information Systems
f. Provide oversight of Quality and Safety Awards and applications across the system.
2. Governance: Ensure governance-level Quality reports and communications support the Board of Trustees and delegated Board committees to meet the fiduciary responsibilities.
a. Provide critical data and information transparently and at an appropriate level to facilitate effective governance oversight.
b. Distill information in a manner that resonates with both clinical and lay Board members.
c. Meet all regulatory and accreditation requirements with respect to periodic quality and safety-related reports.
d. Co-lead interfacility, service line, and other collaboration meetings that identify improvement initiatives needed or desired and report key decision points to all governing bodies, such as the main quality governance leadership team
3. Other duties
a. Oversight of quality work at the System and Business Unit/Facility Level
b. Assists with onboarding and coaching of Business Unit/Facility Quality Department Staff in regards to Baldrige principle standards.
c. Monitoring existing processes and effectiveness within the Facility/Business Unit Safety and Quality Department and develop improvement strategies where necessary.
d. Regularly prepares proposals and presents ideas in formal meetings to senior leadership and Board members as needed
e. Maintain strict confidentiality of employee and organizational information in accordance with HIPAA and State privacy regulations
f. Provides an open environment and promotes teamwork. Acts as a catalyst to remove organizational barriers.
g. Coordinates other team members, systems, and processes to achieve organizational goals in accordance with organizational policies and practices
h. Other duties as assigned
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
Bachelor's Degree Healthcare, Business, or Engineering Required and
Master's Degree Healthcare, Business, or Engineering Preferred
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
Additional License(s) and Certification(s):
Certified Professional in Healthcare Quality Upon Hire Preferred
Required Minimum Experience:
Minimum 8 years Leading Baldridge application(s) for state or national-level awards with activity in the past 2 years. This includes being an examiner, writing part of an application, and being an examiner. The remainder of the required experience is required in healthcare, preferably in quality improvement, safety, accreditation, or similar. Required and
Required Minimum Skills:
Required Minimum Skills:
This role will focus on creating partners across the organization and being impactful along broad indirect reporting relationships. It is important that this person has the ability to engage and lead other leaders across the Quality framework. This positions responsibility is focused on managing overall governance and methodology Performance Excellence through the Baldrige Framework. High
Superior knowledge and expertise of the Baldridge Framework High
Experience writing (submitted or not submitted) and evaluating an application using the Baldrige Framework for Excellence. Medium
critical thinking, analytical, and problem-solving skills High
Exceptional interpersonal, team-building, and communication skills Medium
Ability to build consensus and foster change in an organizational setting High
Professional competence in applications such as Microsoft Office Suite, Microsoft 365, EPIC, etc., Medium
Expert skills in performance improvement including but not limited to Lean, PDSA, etc. Medium
Commitment to personal and professional growth High
Sense of responsibility to self, team and project Medium
Outstanding integrity, initiative, creativity, and passion Medium
Ability to work in an ambiguous environment Low
Ability to work cohesively with the Technology department counterparts Medium
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Job Summary:
The AVP of Quality Operations & Performance Excellence provides a leadership role, assuming responsibility for planning and coordinating efforts across the organization for strategic and operational excellence. The ultimate goal of this position is to create a competitive advantage through outcome improvements in key strategic processes. Success is measured in five key dimensions of quality (Keep Me Safe, Help Me Stay Well, Provide Me with the Right Care, Help Me Navigate my Care, Treat Me with Respect) with specific goals in each. The scope of the role includes, but is not limited to:
Knowledge of criteria for Performance Excellence/ Baldrige Excellence framework and actively supports successful hospital and system adoption of Baldrige Framework.
Expert knowledge of Governor's Sterling Award & Sustained Excellence criteria and actively supports successful achievement.
Drive for Quality and Focus on Results for Baldrige Excellence.
Develops and Leads Wellstar Health System level development of information supporting the Baldrige Excellence framework for use in business unit applications and if desired a system-wide application for the Sterling award.
Maintains a working knowledge of ANCC Magnet and Pathways to Excellence criteria.
Actively partners with organizational leaders and subject matter experts to align and integrate performance excellence frameworks across the system.
Provides leadership and guidance in the implementation, integration and improvement of system process improvement efforts.
Maintains documentation of Quality Performance Excellence initiatives.
Leads, coaches, and instructs process owners and teams in defining, documenting, measuring, analyzing, improving, and controlling business processes related to Quality Performance Excellence.
Spread successful improvement efforts across the organization, assuring systems sustainability of quality performance excellence
Develops collaboratively governance of quality and safety programs for the board and other high-level huddles, meetings, and retreats where quality and safety are featured.
Supports development of the organization on the journey to governance excellence including strategy development and deployment of quality topics and performance excellence.
Supports the Board of Safety and Quality and other governance committees for quality and safety.
Aligns and adopts best practices for quality and safety governance form the Institute for Healthcare Improvement (IHI) and other national authorities.
In conjunction with Quality and Safety Leadership , the AVP develops and implements the long-term and short-term strategy for Safety and Quality at WellStar. It is expected that the AVP stays abreast of quality and safety activities at the national level through engagement with institutions such as the National Associate for Healthcare Quality (NAHQ) and the Institute for Healthcare Improvement (IHI) and researches and advises on best practice solutions. Identification and promotion of evidence-based practice, as well as the use of Lean Management System. Lean Production System methods and High-Reliability Organizing principles are required.
The AVP will recognize and respond fluidly to varying situations that may require: influencing teams to develop, change, and adhere to standards, facilitating the spread of best practices and/or innovation and design of creative solutions especially as it relates to strategy development, deployment, and adherence to best practice as found in the Baldrige Framework of Excellence. This role necessitates political acumen, situational awareness, and a demonstrated ability to lead individuals and teams at all levels of the organization through influence.
Core Responsibilities and Essential Functions:
1. Leadership of Performance Excellence: Provide centralized direction, governance, and leadership for applications for the system and business units for Sterling or National Malcolm Baldrige Recognitions.
a. In conjunction with Quality and Safety Leadership develop and implement the long-term and short-term strategy for supporting applications based on the Baldrige framework.
b. Represents WellStar and participates in local, regional, and state collaborations, forums, and meetings as requested to ensure optimal understanding of industry trends and synergies.
c. Integrate Baldrige principles, Lean, HRO and other approaches into a cohesive and understandable Wellstar framework.
d. Works in partnership with Quality, Safety and Nursing Leadership for supporting ANCC Magnet and Pathways to Excellence work across the system,
e. Improve the improvement approach for Wellstar Health System.
a. Develop effective working relationships and efficient cross-functional processes with Medical Management, Utilization and Care Management, Provider and Member Services, Claims and Finance, and Information Systems
f. Provide oversight of Quality and Safety Awards and applications across the system.
2. Governance: Ensure governance-level Quality reports and communications support the Board of Trustees and delegated Board committees to meet the fiduciary responsibilities.
a. Provide critical data and information transparently and at an appropriate level to facilitate effective governance oversight.
b. Distill information in a manner that resonates with both clinical and lay Board members.
c. Meet all regulatory and accreditation requirements with respect to periodic quality and safety-related reports.
d. Co-lead interfacility, service line, and other collaboration meetings that identify improvement initiatives needed or desired and report key decision points to all governing bodies, such as the main quality governance leadership team
3. Other duties
a. Oversight of quality work at the System and Business Unit/Facility Level
b. Assists with onboarding and coaching of Business Unit/Facility Quality Department Staff in regards to Baldrige principle standards.
c. Monitoring existing processes and effectiveness within the Facility/Business Unit Safety and Quality Department and develop improvement strategies where necessary.
d. Regularly prepares proposals and presents ideas in formal meetings to senior leadership and Board members as needed
e. Maintain strict confidentiality of employee and organizational information in accordance with HIPAA and State privacy regulations
f. Provides an open environment and promotes teamwork. Acts as a catalyst to remove organizational barriers.
g. Coordinates other team members, systems, and processes to achieve organizational goals in accordance with organizational policies and practices
h. Other duties as assigned
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
Bachelor's Degree Healthcare, Business, or Engineering Required and
Master's Degree Healthcare, Business, or Engineering Preferred
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
Additional License(s) and Certification(s):
Certified Professional in Healthcare Quality Upon Hire Preferred
Required Minimum Experience:
Minimum 8 years Leading Baldridge application(s) for state or national-level awards with activity in the past 2 years. This includes being an examiner, writing part of an application, and being an examiner. The remainder of the required experience is required in healthcare, preferably in quality improvement, safety, accreditation, or similar. Required and
Required Minimum Skills:
Required Minimum Skills:
This role will focus on creating partners across the organization and being impactful along broad indirect reporting relationships. It is important that this person has the ability to engage and lead other leaders across the Quality framework. This positions responsibility is focused on managing overall governance and methodology Performance Excellence through the Baldrige Framework. High
Superior knowledge and expertise of the Baldridge Framework High
Experience writing (submitted or not submitted) and evaluating an application using the Baldrige Framework for Excellence. Medium
critical thinking, analytical, and problem-solving skills High
Exceptional interpersonal, team-building, and communication skills Medium
Ability to build consensus and foster change in an organizational setting High
Professional competence in applications such as Microsoft Office Suite, Microsoft 365, EPIC, etc., Medium
Expert skills in performance improvement including but not limited to Lean, PDSA, etc. Medium
Commitment to personal and professional growth High
Sense of responsibility to self, team and project Medium
Outstanding integrity, initiative, creativity, and passion Medium
Ability to work in an ambiguous environment Low
Ability to work cohesively with the Technology department counterparts Medium
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.