Job Summary: The VP/CQO serves as a key member of the Northern Light Health (NLH) Senior Management team, participating in thought leadership, policy formation, and direction setting to establish and achieve the strategic and operational goals of NLH. Key VP/CQO responsibilities are all areas with profound clinical implications, and ensuring the integrity of clinical processes, especially as they relate to population health and achieving the Triple Aim. The CQO will be considered an expert regarding quality, and safe care. The VP/CQO will report to the NLH Senior Vice President and COO. The role will be a key part of Leadership and subject matter expert to the NLH Board and will have an advisory role to member organizations regarding standards for clinical practice to ensure patient safety, patient experience, and high quality of care. This position will regularly interface with Massachusetts General Hospital, NLH's clinical affiliate.
•Provides vision and strategic support for quality and patient safety.
•Collaborates with executive clinical leaders to operationalize NLH's vision and strategy.
•Carries out supervisory responsibilities in accordance with the organization's values, policies, and applicable laws.
•Collaborates with others to oversee recruitment, employee relations, and retention programs including interviewing, hiring, and educating employees; appraising performance; rewarding employees and addressing and resolving issues.
•Embraces and leads change and clinical transformation relating to quality and patient safety. Develops others to be change leaders.
•Ensures appropriate education and training of key stakeholders regarding optimization of clinical and operational processes that support the highest quality of care and patient safety throughout NLH.
•Partner with key internal and external leaders in providing clinical leadership in care model transformation required to ensure NLH success in patient care and contracting.
•Supports the development of NLH - and its member organizations quality initiatives including planning, process improvement, system implementation, adoption measurement, and usability best practices adoption.
•Represent NLH and its member organizations at state and national levels in healthcare legislative activities, professional organizations, conferences, speaking engagements, and other leadership activities as determined by the NLH COO.
•Lead a broad portfolio of quality initiatives including patient safety and safety culture, quality measurement, patient experience, clinical and regulatory compliance, risk management, process improvement, value-based care and contracts and infection control.
•In collaboration with member organization SPEs, Beacon Health, and other key stakeholders, lead the design and execution of a system wide quality, patient safety, and patient experience plans.
•Actively encourage and drive the clinical quality and patient safety agendas across NLH, to include the establishment of monitoring mechanisms and outcomes tracking against national, state and NLH targets/goals, and take appropriate corrective action when problems are identified. Communicate relevant summary information to appropriate leadership, including governing boards and quality committees.
•Develops and effectively uses policies, procedures, and information systems to maintain compliance with relevant regulatory requirements and properly documents compliance.
•Engages with care providers across disciplines and across NLH to build relationships, create collaboration and foster a culture that results in better understanding and engagement In quality and patient safety.
•Maintains currency in trends in clinical process improvement and the application of evidence in the improvement of patient care.
• Support, evidence based clinical practice across NLH using order sets and other tools to drive value care.
•The CQO guides NLH's transformation of care within and across sites of care, and across the continuum of services in a population health model.
•CQO will have oversight of the patient safety, patient experience, clinical effectiveness, accreditation and certification
•Initiate, develop and maintain effective collaborative relationships with management across the system to formulate, coordinate, develop and evaluate organization-wide programs and initiatives related to improvement of clinical quality, patient safety, clinical risk management, and clinical effectiveness.
•Engages clinicians and other key stakeholders in the development, integration and use of clinical information systems, processes and environment design to enhance the care experience and patient safety.
•Provide leadership in the science of Performance Excellence, including incorporation of relevant Baldrige and other tested and proven approaches as well as a state-of-the-art business intelligence and analytics.
•Work with other NLH leaders to develop a best-practice Continuum of Care delivery system.
•The CQO will be a leader in supporting physician engagement in the design, development, and management of care processes along the continuum of care in order to coordinate patients' healthcare needs for better outcomes in quality and cost of care, all with alignment around the patient experience.
•Creates and monitors operating and capital budgets in collaboration with COO and other leaders as appropriate.
Experience and Competencies:
•Demonstrated success in leading initiatives in patient safety and safety culture, quality measurement, patient experience, clinical and regulatory compliance, risk management, process improvement, value-based care and contracts and infection control.
•Executive presence and ability to represent the NLH and its member organizations.
• A minimum of five years clinical experience required, five years management experience in hospital
setting required, tertiary care experience preferred.
• Experience in community hospitals or hospital system desired.
• A "can do" optimistic attitude and the ability to make timely decisions.
• Known for being accessible and responsive
• Known for handling confidential and sensitive events and issues well
• Known for being a 'go to' person who is disarming and helpful
• Strong knowledge base and expertise with patient safety, clinical compliance, risk mitigation and quality
• Evidence of continuous learning, scholarship, education, and professional development.
• Demonstrated success in synthesizing and presenting complex ideas and projects to individuals at all levels
and a variety of disciplines.
• Demonstrated ability to mentor and develop relationships with staff at all levels, with sensitivity to issues
surrounding sentinel events.
• Expert communication skills exemplified by timely follow-up; meeting participation; effective
negotiating skills; the ability to summarize and frame issues, discussions, conclusions; and development of effective communication plans.
• Expert presentation skills.
• Experience with, and a genuine commitment to, service excellence and a focus on stellar patient
• A self-directed individual who recognizes and values the inter-dependencies of roles, functions, and
processes necessary for success:
• Demonstrated success in accomplishing objectives in a matrix-managed organizational structure.
• Able to make, communicate about, and follow through on, difficult decisions with thoughtful
consideration, respect, and fairness.
• Collaborative style with a history of developing and maintaining good relationships and being
accessible. to staff, managers, physicians, and colleagues.
• Energetic, organized, and able to stay on task during multiple priorities.
• An individual of unquestionable integrity and ethics, both personal and professional.
Advanced degree in Business Healthcare Administration (Masters or above) or Clinical Field required.
Certifications, Licenses, Registrations
•Active Maine license in medicine or nursing if the incumbent is either an MD, DO, DPM, PA or RN
•Certification in Lean/ Six Sigma, preferred
This position will be responsible for supervision of Patient Experience Directors (2), Integrated Clinical Effectiveness Directors (2), Administrative Assistant and Quality Coordinator. (some reports are matrixed)
Supervision Received (ability to act independently)
Must be able to function as executive leader and execute operational business decisions within the scope of the role.
Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.
Note: the duties listed above reflect most of the duties of this job and does not, nor is it intended to, reflect all duties that may be required for an incumbent in this job to perform.