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CommonSpirit Health · 1 day ago

Director Quality & Patient Safety Officer

Colorado Springs, CO

Full-time

Onsite

Lead/Staff, Director/Executive

$50.44/hr - $78.35/hr

5+ years exp

CommonSpirit Health is a leading healthcare organization dedicated to providing quality care. The Director Quality & Patient Safety Officer will lead quality programs, oversee patient safety initiatives, and ensure compliance with regulatory standards while fostering a culture of safety within the organization.

Health CareMedicalNon Profit

H1B Sponsor Likely

Responsibilities

Functions as the entity specific or medical group Patient Safety Officer (PSO) – and is available to serve as the entity expert on quality or patient safety related issues. Has knowledge of resources to access to assist when needed

Oversees and coordinates all intradepartmental and interdepartmental services of Quality and Patient Safety

Develops, facilitates, and manages the entity specific or medical group annual QAPI plan, and maintains a quality reporting structure in accordance with the QAPI plan, regulatory requirements, and operating or medical group processes

Integrates and aligns quality work and processes which may include corporate and/or enterprise efforts

Collaborates and supports the process of developing, approving, and aligning policies and procedures for the entity and enterprise

Develops a mechanism for the internal communication of patient safety and quality information

Provides direction, coaching and support for all supervised associates to maintain their assigned job responsibilities

Uses various communication techniques on a regular basis, to exchange all information necessary and appropriate to efficiently and effectively fulfill duties

Support a "culture of safety" through the development of a transparent and data- driven/proactive/preventive facility Quality and Patient Safety Program that is reviewed and refined annually via the QAPI plan

Develops and maintains excellent working relationships with management, clinical directors, hospital executives, and medical staff or medical group leaders, and ensures that performance improvement efforts are prioritized and aligned with key quality priorities and strategic goals

Oversees the provision of transparent and comprehensive quality reports to the Board as applicable through the quality reporting structure that include patient and healthcare errors, near misses and/or dangerous conditions within the facility, and other regulatorily required information

Oversees the coordination of all hospital or clinic activities to ensure that the hospital or medical group clinics are always in a state of readiness to meet external agency requirements which may include NCQA

Provides on-site consultation which may include individual departments to assure that data is being used in quality improvement and risk management initiatives

Oversees the design and implementation of educational presentations that facilitate the understanding and implementation of all regulatory standards in the organization

Works collaboratively with either the enterprise Director of Quality Operations or Health Network (CHN) leaders to analyze and understand current state of quality data and speak to opportunities clearly

May coordinate / Co-Chair the entity specific Quality and Patient Safety Committee (QPSC)

Promote and/or practice all components of the Lean and/or other PI methodology's, which may include the Health HRO toolkit or standardization throughout the facility for process improvement functions. Ensures all PI projects are reported through the quality reporting structure

Provides oversight in the analysis of occurrences and adverse events, and the reporting of learnings throughout the organization

Providing oversight and support in the analysis of HCAHPS data, development of reports, and related process improvement opportunities

Oversight and support for the management of patient complaints and grievances and/or may support resolution of patient grievances

Provides leadership, coaching and overall project support for continuous regulatory compliance with a focus on monitoring compliance and meeting requirement for all external regulatory standards

Mentors clinical managers in patient safety and risk reduction strategies to resolve issues found through occurrences or grievances

Provides oversight and support to the Infection Prevention Program Manager to ensure effective surveillance, actual and potential problem identification and resolution, and monitoring of clinical practice and consistent mandatory reporting

Works collaboratively with entity and operating group or medical group leaders to recommend and facilitate change(s) to improve clinical quality and patient safety. Actively participates in professional organizations that promote evidence-based practices

Provides oversight for the development of the entity-specific Patient Safety Culture using High Reliability Organization principles

Ensures transparency and shared learning s across the entity, operating group, and enterprise. Provides oversight for a robust Infection Prevention program with an emphasis on excellent Hand Hygiene, and transparent and thorough data reports and action plans as facilitated by the Infection Prevention Program Manager, as applicable

Continually improves physician engagement with quality efforts through relationship development, ongoing education/communication, participation in MEC or physician leadership meetings, participation in Peer Review or payor credentialling as applicable, and by engaging physician champions for specific clinical improvement efforts

Active participation in the operating or medical group and enterprise efforts to create quality standardization, efficiencies, alignment and excellent quality care

Prepares department budget, including personnel, space allocation and resources necessary to provide required services

Qualification

Quality Program LeadershipPatient Safety ExpertiseRegulatory CompliancePerformance ImprovementData AnalysisClinical OperationsCertified Professional in Health Care QualityCertified Professional in Patient SafetyStatistical AbilitiesPC SkillsSix SigmaLEANCommunicationProblem-Solving SkillsPresentation SkillsFacilitation Skills

Required

Bachelor Degree required

5 years' experience in a clinical healthcare environment with a focus on quality and safety

Two years leadership experience

Experience in clinical operations, performance improvement regulatory compliance, patient safety (including HRO concepts), and data analysis

Excellent communication, problem-solving, statistical and analytical abilities

Strong PC skills and knowledge

Strong presentation and facilitation skills

Certified Professional in Health Care Quality OR Certified Professional in Patient Safety - required at time of hire or within 6 months

Preferred

Master Degree preferred

Six Sigma or LEAN preferred

Company

CommonSpirit Health

Glassdoor3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10001+ employees

https://www.commonspirit.org

H1B Sponsorship

CommonSpirit Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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Trends of Total Sponsorships

2025 (12)

2024 (5)