Sys SVP Quality and Safety

				Overview:

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Responsibilities:

The role is Remote with travel as needed 

The System Senior Vice President (SSVP), Quality and Safety, is a transformational senior healthcare executive charged with advancing an unparalleled culture of clinical excellence, safety, and patient-centered care across CommonSpirit Health's vast and diverse enterprise. Reporting directly to the Chief Medical and Quality Officer, this leader will be the principal architect and executive champion for system-wide strategies and initiatives that elevate performance, reduce unwarranted variation, and eliminate preventable harm, ensuring seamless alignment with CommonSpirit Health's overarching clinical strategy. As CommonSpirit Health explores and integrates leading frameworks such as Vizient, this pivotal role demands a proven visionary who can inspire widespread adoption of leading-edge quality improvement methodologies, high-reliability principles, and advanced analytics to deliver measurable improvements in patient outcomes, clinical efficiency, and value-based care performance. The SSVP will ensure impeccable regulatory compliance, guide critical decision-making with expert counsel, and position CommonSpirit Health as a national leader in clinical quality and patient-safety innovation.

1. Serve Strategic Vision & Enterprise Transformation:
a. Develop and execute an enterprise-wide strategic roadmap for quality, patient safety, and clinical performance that aligns with CommonSpirit Health's mission, vision, and strategic imperatives, serving as a partner and advisor, directly supporting the Chief Medical and Quality Officer's broader clinical goals.

b. Lead profound organizational and cultural transformation toward a high-reliability culture, embedding safety as an immutable value in every facet of clinical operations.
c. Ensure the strategic direction anticipates and responds to evolving healthcare landscapes, technological advancements, and value-based care models.

2. System-Wide Clinical Performance & Outcomes Excellence:
a. Accountable for defining, measuring, and achieving top-quartile performance in all critical quality and safety metrics, including publicly reported outcomes, serious safety events (SSEs), healthcare-associated infections (HAIs), readmissions, and patient experience.
b. Develop and integrate robust clinical performance improvement programs utilizing advanced quality methodologies (e.g., Lean, Six Sigma, Virginia Mason Production System) to systematically identify, address, and sustain performance gains, leveraging appropriate benchmarking data and improvement tools from national collaboratives, potentially including Vizient.

c. Lead the integration of clinical informatics and advanced analytics to provide actionable insights, predictive modeling, and system-level transparency into quality and safety performance, utilizing data from external benchmarking partners such as Vizient to inform and contextualize performance.

3. High Reliability & Patient Safety Program Leadership:
a. Architect and champion a comprehensive patient safety program, integrating high-reliability principles, error prevention strategies, and a just culture that encourages reporting and learning.
b. Oversee the design, implementation, and continuous improvement of system-wide clinical event reporting, investigation, root cause analysis (RCA), and proactive risk assessment methodologies (e.g., FMEA).
c. Lead incident command structures and system-level responses to critical patient safety events, ensuring timely and effective resolution, learning, and prevention of recurrence.
d. Develop and implement innovative solutions to mitigate complex clinical risks across diverse care settings and patient populations.

4. Regulatory Compliance, Accreditation & Risk Management:
a. Ensure unwavering system-wide compliance with all federal, state, and local regulatory requirements, as well as accreditation standards (e.g., CMS, TJC, DNV, state public health agencies).
b. Serve as the executive liaison for regulatory bodies and accreditation organizations, representing CommonSpirit Health during surveys, audits, and compliance activities relating to quality and safety, in close collaboration with the Chief Medical and Quality Officer.
c. Partner closely with Enterprise Risk Management and Legal to proactively identify, assess, and mitigate clinical and patient safety-related liabilities and exposures.

5. Leadership, Engagement & Culture Cultivation:
a. Inspire, mentor, and lead a diverse team of quality and safety professionals across the system, fostering a culture of accountability, innovation, and continuous learning.
b. Collaborate extensively with clinical, operational, and administrative leaders at all levels of the organization (national, division, facility) to embed quality and safety as shared responsibilities.
c. Act as a compelling advocate for patient safety and quality, influencing practitioners and staff through effective communication, education, and change management strategies to drive behavior change.
d. Cultivate effective partnerships with academic institutions, professional organizations, and national forums to benchmark performance, adopt best practices, and contribute to the advancement of healthcare quality and safety, including engagement with improvement collaboratives and networks such as Vizient.

6. Strategic Alignment, Governance & Executive Reporting:
a. Actively participate in and provide expert guidance to key system-level clinical governance committees, ensuring quality and safety initiatives are integrated into broader clinical decision-making processes.
b. Prepare and present comprehensive quality and safety performance reports, analyses, data-driven insights, and strategic recommendations to the Chief Medical and Quality Officer, Boards of Directors, and other senior leadership forums, facilitating informed decision-making at the highest levels.
c. Serve as the organizational expert resource on national patient safety priorities, trends, regulatory requirements, and emerging best practices, providing critical input to the CMQO.

7. Innovation & Advanced Methodologies:
a. Identify, pilot, and scale innovative technologies, methodologies (e.g., AI/ML in risk prediction, simulation training), and best practices in quality improvement and patient safety.
b. Champion research, publications, and presentations that disseminate CommonSpirit Health's quality and safety achievements and learnings internally and externally.
c. Drive the development of cutting-edge educational programs and resources for clinicians and staff to enhance their competencies in quality improvement and patient safety science.

Qualifications:

Required Education and Experience:

● Master's Degree in a related field (e.g., Public Health, Healthcare Administration, Biostatistics, Epidemiology, Health Services Research).
● Minimum of 15+ years of progressive leadership experience in quality, patient safety, clinical excellence, or performance improvement roles within large, complex acute care health systems.
● Minimum of 7 years of e
			

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