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Job Title
Director I/II Safety Quality Patient Experience
Location
Weston
Facility
Florida Weston Hospital
Department
Clinical Quality-Clinical and Operational Improvement
Job Code
001537
Shift
Days
Schedule
8:00am-5:00pm
Job Summary
Job Details
Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education, all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale and Florida regions. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
As the Director of Safety, Quality and Patient Experience (SQPE), you will direct SQPE, act as a member of the local leadership team and support unique challenges within Florida Weston Hospital. SQPE Directors model Cleveland Clinic Core Values and behavioral standards, ensure compliance with reporting, accreditation and governance requirements, enable the safe, timely, effective, efficient, equitable and patient-centered (STEEEP) focus on SQPE, lead hospital SQPE departments to ensure consistency in application of assurance and improvement processes, and collaborate with subject matter expert leaders in nursing quality, accreditation, environmental health and safety (EHS), and more to drive the organization to a consistent approach to being the best place to get care anywhere.
We will hire our Director Safety Quality Patient Experience in two different job titles, based on educational background:
- Director I Safety Quality Patient Experience
- Director II Safety Quality Patient Experience
A caregiver in this role works a hybrid schedule, Monday through Friday, from 8:00 a.m. – 5:00 p.m., with onsite work three days per week and less than 10% travel required.
A caregiver who excels in this role will:
- Collaborate with hospital leadership and support teams to develop, implement, and maintain the Quality Plan and annual Performance Improvement (PI) and Safety Plan, ensuring alignment with organizational goals, regulatory requirements, and SQPE objectives.
- Communicate priorities to stakeholders at all levels, drive performance on hospital objectives and key results (OKRs), and serve as the local expert in quality, safety, and patient experience.
- Partner with clinical leaders to address quality concerns, support medical staff peer review and quality improvement committees, and ensure ongoing professional practice evaluations (OPPE) and focused professional practice evaluations (FPPE) are conducted thoroughly and fairly.
- Lead continuous improvement initiatives and coordinate quality, patient safety, and patient experience projects using the Cleveland Clinic Improvement Model (CCIM).
- Ensure continuous patient and survey readiness for the hospital and associated outpatient locations, review policies for regulatory compliance, and address findings through root cause analyses, case reviews, and corrective action plans.
- Partner with infection prevention leaders to reduce hospital-associated infections and improve care processes, patient safety, and clinical outcomes through specialty program oversight.
- Analyze performance data and publicly reported metrics, including Leapfrog, Vizient, CMS, IQR, and OQR, to identify trends, facilitate dashboard reviews, and develop sustainable improvement strategies with key stakeholders.
- Address medical staff quality concerns through review, collaboration, and resolution to support safe, compliant, and high-quality patient care.
- Develop and implement employee engagement action plans that address feedback, strengthen workplace culture, and support organizational performance goals.
- Manage the local quality department budget, ensuring responsible resource allocation and effective use of organizational resources.
- Build relationships with skilled nursing facilities, home care agencies, and other community partners to support patients served by the hospital.
- Coach and mentor caregivers and leaders to strengthen organizational improvement capabilities and support enterprise-wide improvement initiatives.
- Monitor the productivity, performance, and engagement of local clinical transformation team members, regardless of reporting relationships, to achieve SQPE goals.
- Present quality performance, improvement initiatives, and organizational goals to the hospital Executive Team, Governing Body, and Medical Executive Committee.
- Serve as Administrator on call as needed to provide leadership support, address urgent operational issues, and ensure continuity of safe and effective operations.
- Direct safety, quality, and patient experience (SQPE) across a submarket and serve as the onsite leader for SQPE at the largest hospital within that submarket.
- Ensure compliance with reporting, accreditation, and governance requirements within the submarket. Enable the STEEEP (Safe, Timely, Effective, Efficient, Equitable, and Patient-Centered) focus on SQPE.
- Lead submarket and hospital SQPE departments to ensure consistency in the application of assurance and improvement processes.
- Collaborate with subject matter expert leaders in Nursing Quality, Accreditation, patient experience, EHS (Environmental Health and Safety), Radiation Safety, Safety, High Reliability, Infection Prevention, and other areas, as well as submarket and hospital leaders, to drive a consistent organizational approach to being the best place to get care anywhere.
- Implement Cleveland Clinic’s commitment to objectives, key results, and operations management.
- Monitor, in partnership with the medical staff, the measured outcomes of clinical care activities, identify opportunities for improvement, and lead clinical improvement activities to improve those measured outcomes.
- Ensure documentation of the results of clinical activities and maintain an effective SQPE program across assigned submarkets.
- Assist facility leaders across the submarket with survey preparation and management of regulatory or accreditation surveys.
- Ensure appropriate responses to quality-of-care and clinical inquiries from regulatory agencies and third-party payers.
- Ensure physician-specific quality data is trended and made available for re-credentialing, including appropriate communication of provider information across facilities as permitted by data-sharing agreements.
- Coordinate public reporting of quality data and serve as a liaison with reporting agencies.
- Ensure all required measures are collected, validated for data integrity, and reported to appropriate entities, including external organizations with which Cleveland Clinic has agreed to participate.
- Ensure staff development, counseling, performance evaluations, and hiring for all positions within direct reporting areas.
- Develop and maintain policies and procedures for areas of responsibility.
- Manage the budget for areas of direct responsibility.
- Ensure results of all Performance Improvement activities are integrated submarket-wide.
- Facilitate, support, and organize process improvement teams and provide staff support services to those teams.
- Remain current on industry-wide clinical care best practices and evaluations for implementation.
- Educate the Governing Board and hospital administrative staff concerning current trends in SQPE management.
- Maintain and regularly update required management plans, such as the environment of care, safety, and performance improvement plans.
- Work with appropriate education staff to ensure educational activities reflect recommendations formulated by process improvement committees.
- Develop and track productivity standards for all direct reports.
- Ensure education on regulatory standards and compliance for all direct-report departments.
- Perform other duties as assigned.
Director I Safety Quality Patient Experience
Minimum qualifications for the ideal future caregiver include:
- Bachelor’s degree in nursing, Healthcare Administration, Business, Engineering, or related field
- Certified Professional in Healthcare Quality (CPHQ) required within one year of hire
- Seven years of process improvement or quality management experience
- Progressive quality and performance improvement research, leadership, supervision, or project team management
- Ability to manage SQPE at a multiple campus hospital under a single Medicare Provider number or a Large Specialized Medical Center
Preferred qualifications for the ideal future caregiver include:
- Master's Degree
- Certified Patient Safety Professional (CPPS), Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP), Process Improvement Certification: Lean, Six Sigma, etc., Certified in Infection Control (CIC) or Certified Patient Experience Professional (CPXP)
- Healthcare experience
- Quality Director experience
- Experience working with Physicians and Executives
Director II Safety Quality Patient Experience
Minimum qualifications for the ideal future caregiver include:
- Master’s degree and six years of relevant healthcare management experience with full understanding of hospital requirements for SQPE
- OR Bachelor's degree and seven years of relevant, progressive healthcare management experience with full understanding of hospital requirements for SQPE
Preferred qualifications for the ideal future caregiver include:
- Registered Nurse (RN)
- Other preferred certifications:
- Certified Patient Safety Professional (CPPS)
- Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP)
- Process Improvement Certification preferred: Lean, Six Sigma, etc.
- Certified in Infection Control (CIC)
- Certified Patient Experience Professional (CPXP)
- Quality Director experience
- Experience working with Physicians and Executives
*The compensation range provided corresponds to Director I Safety Quality Patient Experience or Director II Safety Quality Patient Experience position. Individual pay rates may vary depending on Education Background and Relevant Experience*
Physical Requirements:
- Ability to communicate and exchange accurate information.
- Ability to perform work in a stationary position for extended periods.
- Ability to work with physical records or operate a computer or other office equipment.
- In some locations, ability to travel throughout the hospital system.
- In some locations ability to move up to 25 lbs.
Personal Protective Equipment:
- Follow standard precautions using personal protective equipment as required.
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/
Please review the Equal Employment Opportunity poster.
Cleveland Clinic is pleased to be an equal employment opportunity employer.
