Chief Quality Officer
Job no: 5038403
Work type: Full-Time (Salaried)
Location: Petersburg, Virginia
Categories: Health and Human Services
Title: Chief Quality Officer
State Role Title: 49172
Hiring Range: Salary to commensurate with experience
Pay Band: 5
Agency: Dept Behavioral Health/Develop
Location: Hiram Davis Medical Center
Agency Website:
Recruitment Type: General Public - G
Job Duties
Performance Management
- Supports staff in reaching their optimum performance, as well as assisting staff in further developing their professional skills, including:
-•Communicates expectations of staff clearly and relates them to the goals and objectives of the department or unit.
•- Ensures staff has the necessary knowledge, skills, and abilities to
accomplish goals.
-•Ensures that the requirements of the performance planning and evaluation system are met, and evaluations are completed by established deadlines with proper documentation.
-•Addresses and documents any performance, behavior, and attendance
issues as they occur.
- Ensures safety issues are reviewed and communicated to maintain a safe and healthy workplace resulting in a reduction in work related injuries.
- Completes DBHDS MVP courses in the Knowledge Center within (1) year of their start date.
- Ensures compliance with facility competencies and training requirements as
documented by training/competency records.
-•Adheres to and ensures staff adherence to the DHRM Civility Policy.
-•Ensures staff members receive frequent, constructive feedback,
recognition, including documented regular supervisory
sessions and interim evaluations as appropriate and in keeping with the XXX
values Ensures interdepartmental collaboration to support staff retention and satisfaction.
Quality Management
- Measures for effective quality management
- Develop and implement an annual Quality
- Assurance and Performance Improvement (QAPI)
- Plan aligned with key facility objectives, indicators,
and strategic priorities. •
- Use data-driven approaches such as Lean, Six Sigma, and PDCA/PDSA to identify improvement opportunities and monitor performance.
-•Establish, in conjunction with other hospital and DBHDS leaders, robust mechanisms for regular reporting and communication of performance and compliance data, including: o ORYX measures;
Core Measures o Electronic Clinical Quality Measures (eCQMs), Seclusion & Restraint (S&R) data
o Survey and inspection results
o Other relevant quality indicators as
relevant Lead or oversee root cause analyses (RCA) and implementation of corrective actions for quality issues, near-misses, sentinel events, critical events, and patient
safety events.
Regulatory Compliance and Survey Readiness
- Measures for effective Regulatory Compliance and Survey Readiness:
- Oversee facility compliance with The Joint Commission (TJC), Centers for - -
Medicare & Medicaid Services (CMS), and other certifying or accrediting agencies to ensure the facility
- maintains the highest standards of quality and safety.
- Conduct regular internal audits, continuous monitoring of regulatory changes, and proactive implementation of best practices.
-•Manage accreditation and certification
compliance systems.
Contributes to Facility Executive Leadership
- Participates as an active member of the facility executive leadership team
-•Serves as an administrator on call according to a rotating schedule
-•Serves on hospital, regional, and statewide committees as a representative for the facility and DBHDS as designated
-•Assists and supports the facility CEO and other leadership staff as requested or indicated in order to ensure that the facility
operations and clinical care are functioning according to the hospital's purpose, objectives, and standards
-•Develops, implements, and monitors pertinent policies and procedures, in
collaboration with the Leadership Team and Central Office.
Minimum Qualifications
- Extensive knowledge of healthcare quality management, risk management, and compliance principles and practices
- In-depth understanding of Joint Commission, CMS, and other regulatory standards applicable to healthcare facilities; including state and federal regulations
- Strong analytical and problem-solving skills, with the ability to interpret complex data and identify trends
- Excellent project management and organizational abilities
- Superior written and verbal communication skills, including the ability to present information effectively to diverse audiences
- Demonstrated leadership and team building capabilities
-•Proficiency in using quality improvement methodologies such as Lean, Six Sigma, or PDSA/PDCA
- Experience with electronic health records (EHR) systems and health information management
- Knowledge of HIPAA regulations and other healthcare privacy and security requirements-•- Ability to develop and implement effective training programs
-•Strong interpersonal skills and the ability to work collaboratively across departments
- Proficiency in data analysis and statistical methods
-•Experience in policy development, implementation, and management and implementation
- Ability to manage multiple priorities in a fast-paced environment
Additional Considerations
- Master's degree in healthcare administration, public health, or related field
- Extensive experience in healthcare quality management or compliance roles
- Certification in healthcare quality (e.g., CPHQ), compliance (e.g., CHC), or risk management (e.g., CPHRM)
- Certifications in Lean and Six Sigma
-•Experience with electronic health record (EHR) systems and data analytics
- Strong project management skills and experience leading cross-functional teams
- Familiarity with behavioral health or psychiatric care settings
Special Instructions
You will be provided a confirmation of receipt when your application and/or rsum is submitted successfully. Please refer to "Your Application" in your account to check the status of your application for this position.
Contact Information
Name: Hiram Davis Medical Center
Phone: 8045247600
Email:
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Advertised: 14 Jan 2025 Eastern Standard Time
Applications close: