Overview

Summary Provides operational direction and guidance for Corporate Quality, Infection Prevention, Accreditation and Compliance including Environment of Care, Quality Data and Analytics. Works in close coordination with Chief Quality Officer in the implementation and deployment of comprehensive clinical quality and patient safety strategies, to include but not limited to, standardization of care, regulatory compliance and accreditation, and identification of best evidence-based practices in inpatient, outpatient, ambulatory, and post-acute settings, when appropriate. Facilitates change through the implementation of quality care delivery models, including care coordination, enhanced patient outcomes, and improved financial performance linking reimbursement to quality goals and measurements. Implements educational offerings and leads process improvement projects/activities. Works in partnership with system and entity leaders, physician constituents, clinical leaders, and interdisciplinary care teams, and other key stakeholders to create and sustain a culture of quality and safety, performance transparency, teamwork, measurement, and accountability in order to implement clinical quality transformation throughout Baptist and within all care settings. Supports Baptist's mission, vision, values, and principles. Responsibilities Provides operational guidance in the development, implementation, and evaluation of comprehensive quality improvement programs to enhance patient safety, achieve better health outcomes, and comply with regulatory standards. Assembles a high performing and engaged Corporate Quality team dedicated to teamwork, communication, and collaboration in the deployment, alignment, and accountability of programs, service delivery, and operational effectiveness. Participates in the development of quality measurement systems and other advanced technologies to strengthen Baptist's data capabilities and drive operational efficiencies and outcome improvement. Works in close collaboration with Chief Quality Officer, system clinical leaders, entity CEOs, BMG CEO, physician leaders, and other key stakeholders to validate organizational direction. Researches, evaluates, and recommends evidence based "best practices" focusing on value based care delivery and reimbursement methodologies which link to improved quality of care, enhanced patient outcomes and experience, and reduction in healthcare costs. Works collaboratively with interdisciplinary teams to monitor quality and patient safety performance and improvement efforts throughout the Baptist system. Works in partnership with hospital CEOs, CMOs, CNOs, clinical teams, physicians and the quality directors to drive standard data reviews and to identify problem solving opportunities through root cause analysis and continuous improvement methodologies. Works with Chief Quality Officer, clinical teams, physicians, and other key stakeholders, as appropriate, to identify care delivery gaps and develop/implement internal and external care coordination strategies focusing on defined populations. Monitors and evaluates quality improvements and health outcomes while driving cost efficiencies and resource utilization. Develops and monitors key performance indicators (KPIs) and quality metrics to assess the effectiveness of quality improvement and patient safety efforts, making adjustments as necessary to meet organizational goals. Leads multidisciplinary teams in the analysis of incident reports, root cause analyses, and failure mode effects analyses to identify systemic vulnerabilities and implement corrective actions. Utilizes advanced methodologies to analyze clinical data, identify trends, and implement evidence-based interventions to drive improved patient outcomes and healthcare delivery efficiency in acute care, outpatient, ambulatory, and post-acute care settings. Designs and implements patient safety initiatives, such as infection control measures, medication safety protocols, and p