Posted: 13-Jan-26
Location: San Antonio, Texas
Internal Number: 321506
Summary:
In collaboration with other clinical leaders in the Regional Group, the Associate VP Quality Management is responsible for the overall operations of the quality management program throughout the Health System Region. Under the direction of the Vice President, Quality and Safety and in collaboration with CHRISTUS Health & CHRISTUS Regional senior executive leadership, facility leaders, physicians, and the Board of Directors, collaborates with other leaders to develop the strategic direction and system-wide planning for the overall delivery of high-quality patient care across the continuum of health care service specifically related to improving organizational performance through high-reliability principles and practice. Cascades relevant system directives or recommendations throughout assigned region to Quality team, and both regional and ministry executive leadership teams as appropriate. Responsible for the design, implementation, tracking, and reporting of clinical quality of care in alignment with the corporate strategies for performance improvement throughout the Region. Possesses the skills to direct in redesign of clinical processes across the continuum of care, i.e., have the creativity to design and orchestrate innovative clinical transformation. Responsible for the design and implementation of the Quality Management Program and outcome reporting for the full continuum, which includes integration of national standards as well as national benchmarks, and include all elements of national quality initiatives, such as NHSN (National Healthcare Safety Network), TJC (The Joint Commission), CMS (Centers for Medicare and Medicaid Services) and other State and Federal quality standard-setting bodies.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Source: NAHQ Workforce Accelerator Competency Framework 2022: Eight Domains
- Quality Leadership and Integration-Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Advanced.
- Performance and Process Improvement-Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Advanced.
- Population Health and Care Transitions-Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Proficient.
- Health Data and Analytics- Leverage the organizations analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Advanced.
- Regulatory and Accreditation-Direct organization wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation and certification surveys and activities. Domain Level: Advanced.
- Patients Safety-Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Advanced.
- Quality Review and Accountability-Direct activities that support compliance with organization wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Advanced.
- Professional Engagement-Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Advanced.
Job Requirements:
Education/Skills
- Bachelor's Degree of Science in Nursing or other clinical degree specialty - required.
- Master?s degree in nursing or other healthcare-related profession ? strongly preferred.
- Communicate effectively to different audiences.
- Proficient in computer skills using EXCEL, PowerPoint, MS Office, and Flowchart tools.
- Knowledgeable on High-Reliability Principles and PDSA methodology.
- Knowledgeable on payment models for quality metric performance and national benchmarks.
Experience
- 5 years of progressive administrative experience in a clinical setting in a hospital or health system
- 5 years of experience in a strategic quality position oversight of multiple healthcare systems
Licenses, Registrations, or Certifications
- CPHQ (Certified Professional in Healthcare Quality) required or within 1 year of hire.
- Current license in a relevant clinical discipline is required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time