Vice President, Quality

  • Oakland, CA
  • Quality
  • Quality and Compliance Admin
  • Full Time - Day
  • Management
  • Req #: 28065-18745
  • FTE: 1
  • Posted: November 19, 2020
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Job Summary: Alameda Health System is hiring! The Vice President of Quality’s scope of responsibilities includes quality & outcomes, infection control and prevention, regulatory and accreditation, environmental health & safety, and patient safety.  The VP will be responsible for developing strategic plans that focus on quality, safety, and accreditation compliance initiatives in collaboration with the Chief Quality Officer.  The Vice President of Quality reports directly to AHS’s Chief Quality Officer (CQO) and will work collaboratively with the CQO to achieve network-wide quality and safety goals. In addition, the Vice President of Quality will be responsible for implementing and maintaining quality and safety infrastructure for AHS. .


The VP of Quality will have organizational responsibility to update and monitor quality and safety metrics for the system, including but not limited to publicly reported quality and safety data, as well as best practice quality and safety goals for the organization. The VP of Quality shall also have organizational responsibility for the coordination for all aspects of regulatory readiness related to licensure and accreditation, system-wide. The VP of Quality will advise the clinical and operational leadership on important quality initiatives, state and regulatory requirements, and best practices related to quality and safety, will co-chair or appoint a designee to co-chair the quality committees of the medical staff, and prepare the safety and regulatory report to the board of trustees.


DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification; however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.


  • Must establish credibility and trust with AHS clinical leadership, administrative leadership, medical staff, and the Board. Becomes recognized across the organization as a visionary leader and strong advocate and sponsor for safety and quality improvement across the care continuum. Supports patient safety and quality as the top priorities of AHS.  Foster an environment that supports a Just Culture, in which staff members feel safe to report errors and participate in the analysis and mitigation of harm


  • Promote the principles of high reliability to drive sustainable performance improvement


  • Maintain and disseminate current knowledge of The Joint Commission and all other relevant regulatory and reporting organizations’ standards, accreditation and certification processes


  • Lead and manage the oversight and preparedness of continuous regulatory compliance and quality management for the system


  • Assists the medical staff, in updating internal quality standards


  • Partners with the system transformation leadership on process redesign, performance improvement projects and clinical standardization; provides leadership, coaching and support to departmental to drive performance improvement in their areas.


  • Interfaces with and oversees all correspondence with external regulatory agencies related to organizational issues.


  • Monitors organizational outcomes against external benchmarks, evidence- based knowledge and industry best practice


  • Guides organizational and medical staff leadership and the Board of Trustees in standards and methodologies to assure the delivery of quality, safe patient care.


  • Monitors organizational outcomes against external benchmarks, evidence- based knowledge and industry best practice Guides organizational and medical staff leadership and the Board of Trustees in standards and methodologies to assure the delivery of quality, safe patient care. Monitors the effectiveness of information systems and data management processes supporting the measurement and assessment of major clinical quality & safety improvement activities and the Quality Assurance & Per. Oversees activities to assure compliance with and maintenance of operational readiness for Joint Commission and California Department of Public Health Accreditation and Licensing.


  • Oversees all correspondence with regulatory agencies, including California Department of Public Health, Joint Commission, CMS, Cal OSHA and other related agencies.


  • Oversees all organizational activities related to patient safety and culture of safety.


  • Oversees all programs related to infection prevention & control.


  • Oversees peer review, mitigation strategies for hospital acquired conditions, prevention of hospital acquired infections, systems learning from harm or near miss events.


  • Oversees organizational risk management program to assure the integration of risk management activities into organizational performance improvement activities.


  • Oversees the development and ongoing performance measurement, assessment and improvement of patient care processes and supports the Medical Staff and Board of Trustees in identifying process and outcome indicators that effectively measure the quality of patient care and service and reflect organizational performance.


  • Oversees the development, data collection and reporting of uniform and integrated measurement systems that support the quality assurance and performance improvement programs provides ongoing education to leaders and staff related to licensing and accreditation requirements, and methods and tools of quality improvement and process redesign.



Education: A clinical degree, or Master’s Degree in Business or related health field with extensive experience in healthcare.

Minimum Experience: Three to five years’ experience in a senior management role in a hospital or major healthcare environment with experiences in regulatory affairs & licensing, accreditation, performance and quality improvement, risk management or patient safety.


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