Market Director Patient Safety and Quality

Job Summary and Responsibilities

The Region Director of Patient Safety and Quality with CommonSpirit Health at Home is a pivotal leadership position responsible for defining, driving, and overseeing the strategic framework for patient safety, quality performance, and risk management across all Home Health, Hospice, Infusion, and Palliative Care operations. Reporting directly to the CNO as a primary strategic partner, this role is charged with developing a proactive, well-rounded ecosystem that ensures superior patient outcomes, mitigates systemic risk, and fosters an enterprise-wide culture of continuous improvement. While performance data and quality metrics are regularly reviewed to inform decision-making, the primary focus of this role centers on leadership, operational excellence, regulatory compliance, and clinical oversight. This leader will translate operational trends into innovative policies, systemic enhancements, and evidence-based practices that elevate the standard of care for every patient we serve. This role provides direct oversight for clinical education leadership and support for the leaders in patient safety quality ensuring that clinical education and quality initiatives are fully synchronized to drive clinical excellence.

National Strategic Leadership & Vision (Primary Strategic Partner to CNO): ● Serve as a critical strategic partner to the CNO, developing and implementing the vision and strategic roadmap for patient safety and quality across all service lines.● Formulate a comprehensive strategy for quality oversight and performance monitoring, ensuring seamless integration across the diverse Health at Home portfolio.● Lead the design and implementation of the enterprise-wide Patient Safety and Quality Program, ensuring adherence to national evidenced best practices and regulatory excellence.● Drive cross-functional, quality improvement initiatives, focusing on process re-engineering and the adoption of cutting-edge practices informed by quality reviews.

Performance Metrics & Operational Interpretation: ● Utilize quality reports and operational metrics to monitor, evaluate, and benchmark quality, safety, and operational performance across the entire national footprint.● Lead the executive-level review of national reporting data (e.g., HHQRP, CAHPS, infusion adverse events, palliative benchmarks), translating insights into practical policy updates and strategic resource allocation.● Collaborate with operational leaders to track enterprise-wide KPIs, focusing on patient outcomes, process efficiency (e.g., admission cycle times), and post-acute transitions.● Oversee strategic reviews of ACAs and EIAs, ensuring corrective actions address systemic vulnerabilities enterprise-wide.

Enterprise Infl uence & Education Synergy: ● Education Partnership: Directly engages with clinical education leadership to ensure that all clinical training, competency validation, and onboarding curricula are evidence-based and directly aligned with real-time quality findings and regulatory shifts.● Cultivate a culture of safety, influencing executive leaders, clinical directors, and frontline staff across all service lines to embrace a "safety-first" mindset.● Act as the primary executive change agent, driving the strategic adoption of innovative technologies and clinical best practices.

National Program Development & Regulatory Oversight: ● Set the strategic direction for enterprise-wide risk management, coordinating reporting, trend analysis, and executive-level mitigation strategies.● Ensure the strategic integrity of quality information systems, partnering with IT to drive system enhancements and data governance.● Provide enterprise-wide oversight for continuous compliance with federal/state regulations (CMS, OSHA, State Boards) and accreditation standards.● Direct the organization's preparedness for all national regulatory and accreditation surveys, overseeing the development and implementation of global systemic corrective action plans.

Job Requirements

Required:

- Minimum of 10 years of progressive experience with extensive, multi-service line exposure (Home Health, Hospice, Infusion, and/or Palliative Care) required.

- At least 7 years of executive leadership experience in a national or large-scale multi-state healthcare organization required.

- Demonstrated expert knowledge of Medicare Conditions of Participation (CoPs) and national quality reporting programs.

- Proven success in managing clinical education departments and quality/safety programs simultaneously in a complex, decentralized environment.

- Significant experience in leading organizational-wide change and driving clinical performance.

- Must possess superior verbal and written communication skills, with a track record of building collaborative partnerships across diverse departments.

Preferred:

- Master’s Degree in Nursing (MSN), Healthcare Administration (MHA), Public Health, or a related clinical field is preferred.

- Certification in Healthcare Quality (CPHQ), Patient Safety (CPPS), Lean Six Sigma (Green Belt), highly desirable.

Where You’ll Work

CommonSpirit Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.