Nashville General Hospital · 1 day ago
Sr Director of Quality/Patient Safety
Nashville, TN
Full-time
Onsite
Director/Executive
10+ years expNashville General Hospital is hiring a Full Time Sr Director of Quality/Patient Safety for Quality Assurance. This role involves overseeing patient safety programs, implementing quality and regulatory standards, and leading clinical excellence initiatives to improve patient care and safety outcomes.
Health CareHospital
Responsibilities
Oversee hospital-wide patient safety programs, including:
Event reporting systems
Root Cause Analyses (RCA)
Failure Mode and Effects Analysis (FMEA)
Serious safety event management
Promote Just Culture principles and psychological safety for staff
Lead efforts to reduce hospital-acquired conditions (HACs), preventable readmissions, and adverse events
Ensure timely follow-up, corrective action planning, and sustainability of safety improvements
Implement, maintain, and evaluate a comprehensive Quality and Patient Safety program that oversees care delivery performance and outcomes
Serve as the primary point of contact for The Joint Commission, CMS, CDC, and Leapfrog; coordinate all accreditation standards, surveys, and reporting in collaboration with leaders
Lead clinical risk management investigations, incident report analysis, and serve as a lead investigator for Root Cause Analysis (RCA) and Failure Mode and Effects Analysis (FMEA)
Oversee the integration of infection prevention and contamination control principles across all hospital units
Direct an integrated program for clinical excellence, incorporating Lean Six Sigma, Change Management, and Project Management methodologies into staff development
Oversee the peer review program and Ongoing Professional Practice Evaluation (OPPE) support in conjunction with physician leadership to ensure medical staff competency and high-quality care
QI support with GME programs, leading and responsible for Patient Resident Safety
Transfer and implement High Reliability Organization (HRO) principles, behaviors, and tools across the organization to foster a culture of safety and excellence
Link clinical outcomes and patient satisfaction data to targeted professional development initiatives to address identified performance gaps
Oversee the collection, validation, analysis, and interpretation of quality and patient safety data
Identify trends, disparities, and opportunities for improvement
Present quality and safety performance reports to executive leadership, medical staff committees, and the Board of Trustees
Qualification
Required
Bachelor level of Nursing
Active RN Licensure required
Master's degree in Nursing (MSN), Healthcare Administration (MHA), Business Administration (MBA), Quality and Safety (MHA) or a related field
Two of the following certifications (or equivalent) CPHQ, CPSO, CQMS, CLSSB at the time hire or obtained within 12 months of hired date (Candidates with a nursing or other clinical license will be given special consideration)
A minimum of (3) years of experience in the role of Director, Senior Director, or comparable, at an acute care hospital, preferably at an 'Essential Hospital' or hospital operating in a similar capacity
A minimum of (3) years of direct experience in the design, development and implementation of Quality/Incident Management/Lean/Patient Safety/Patient Experience/HRO
Knowledgeable of Joint Commission, CMS, CDC, and Leapfrog standards and demonstrated proficiency navigating the assessment and survey processes to achieve desirable and sustainable outcomes
Strong practitioner of LSS, Quality Management System, assessment and analysis, risk and error reduction, human factors, etc. tools and techniques
Must be able to link and make relevant care/services outcomes to patient satisfaction, financial, and other NGH goals
Active TN nursing license
BLS certified
ACLS required within 30 days of hire
Preferred
Experience in a teaching hospital or academic medical center, particularly in collaborating with Medical Staff Services and physician leadership for peer review and OPPE support
Doctorate in Nursing Practice (DNP), Doctor of Healthcare Administration (DHA), or related field (Ph.D.)
Benefits
Medical, Dental, and Vision Insurance within first 31 days of employment
Programs to reduce share of deductible and total out-of-pocket expenses
Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses (see NGH providers without co-pays)
Short and Long-Term Disability - up to 60% of eligible weekly pay
Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
Retirement Plan - eligible up to IRS max limits and includes company contribution
Shift and Weekend Differential Pay Offered on Nights and Weekends
Tuition Reimbursement for employee and dependents
12 paid holidays - any holiday worked is another holiday banked
Flexible Spending Accounts
Onsite Gym
Free Parking for all employees
Company
Nashville General Hospital
Nashville General Hospital has been serving the community as a steadfast beacon of care and compassion.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Joseph Webb, D.Sc, MSHA, FACHE
Chief Executive Officer
Mark Brown, DHA, MSHA, CRA
Chief Operating Officer
Recent News
Seattle TechFlash
2025-09-02
Nashville Business Journal
2025-03-01
Company data provided by crunchbase