Vice President of Performance Improvement

Catholic Health is an integrated health care delivery system with some of the region's finest health and human services agencies. Catholic Health includes six hospitals, three skilled nursing facilities, a regional home nursing service, hospice, and a multiservice, community-based agency for persons with special needs. Under the sponsorship of the Diocese of Rockville Centre, Catholic Health serves hundreds of thousands of Long Islanders each year, providing care that extends from the beginning of life to helping people live their final years in comfort, grace, and dignity. Learn more about Catholic Health’s commitment to quality and about the services offered.

Serving the south shore of Long Island for more than sixty years, Good Samaritan Hospital (GSH) is a 537-bed (including 100 nursing home beds) teaching hospital and a member of Catholic Health. With almost 900 physicians on staff, and a level II Trauma Center, they care for well over 100,000 patients annually across the south shore of Long Island. Their reputation for excellence is built on great choices and empowered leadership. The care team is focused on evidence-based practice, continual learning, and exceptional quality of care. GSH has earned the prestigious Magnet recognition for excellence in nursing – reflecting their commitment to patient care and safety.

Position Overview

Catholic Health’s Good Samaritan Hospital is seeking a strong CPHQ executive to serve as Vice President of Performance Improvement to strategically lead its clinical quality improvement initiatives, department, and metrics.

The Vice President’s major duties and responsibilities include:

• Directs the overall functions of the PI department. 
• Leads the development and implementation of performance improvement projects, policies, and metrics for the Hospital Departmental Performance Improvement and Ambulatory Site Performance Improvement and Clinical Medical Department Performance Improvement programs.
• Oversees and runs the Readmissions Reduction Committee, HAC Reduction Meeting, 5 Star Improvement Committee and Fresenius PI contractual metrics meeting.
• Manages the review of all potential Hospital Acquired Conditions (HAC) from the Epic work queue in conjunction with Clinical Documentation Improvement (CDI) department.
• Generates the Quality/Safety/Experience Executive dashboard for the CMO
• Presents at the Quality Management Committee (QMC) of the CH Board.
• Writes the Annual Performance Improvement Plan for the hospital.
• Ensures the completion of the Leapfrog annual survey that includes Computerized Physician Order Entry (CPOE) in a live environment that includes multiple disciplines.
• Attends hospital wide Peer Review meetings and tracks clinical issues and mortalities.
• Represents GSH as appropriate to Catholic Health in areas of Performance Improvement.
• Directs and develops facility-wide PI initiatives and projects utilizing PDSA, Lean, and Six Sigma techniques as appropriate.
• Utilizes conflict resolution and negotiating skills to ensure timely resolution of issues.
• Serves as a subject matter expert for staff, hospital personnel and physicians in the recommendation of performance improvement projects.
• Educates and coaches Department Directors in process improvement methods to achieve positive impact.
• Keeps abreast of current trends and innovations in clinical safety and performance improvement.
• Establishes systems and structures designed to improve performance metrics.
• Integrates data and information from peer review, regulatory agencies, patient safety and chart reviews as they relate to working with clinical departments to improve care.
• Presents performance improvement materials at Medical Board and Performance Improvement committees. 

Qualifications

• Education: 
  • Master’s Degree in a healthcare related field of study.
  • Certified Professional in Healthcare Quality (CPHQ) and or Certified Joint Commission Professional (CJCP) strongly preferred.
  • Licensed Health Care Professional is preferred but not required.
• Experience:
  • 10+ years increasingly responsible leadership experience in healthcare administration, management or operations required.
  • Demonstrated ability to resolve issues in partnership with clinical care providers required.
  • Demonstrated ability to communicate with all levels of staff in an effective and professional manner required.