Job Summary
The Corporate Director of Quality Improvement (CDQI)—Strategic Resource/Support is a high-level leadership role dedicated to the company’s mission through the strategic allocation of resources and the successful execution of clinical outcome strategies across the Enterprise. This position serves as a critical bridge between corporate leadership and facility-based teams, operationalizing system-wide initiatives and standardizing quality practices to reduce clinical variation and improve patient safety. The CDQI provides expertise, education, and direct support to CHS-affiliated organizations, regional leaders, and corporate departments to prioritize and achieve the organization's quality agenda.
Reporting Structure
- Reports To: Senior Vice President, Quality
- Direct Support: Provides direct support and guidance to facility-based quality leaders and staff.
- Supervision: Responsible for the direct supervision of staff within the assigned area of responsibility.
Core Responsibilities
Operational Execution & Strategy
- Lead corporate-wide projects aimed at improving quality and clinical outcomes, including publicly reported measures.
- Operationalize system-wide initiatives and standardizing practices across multiple sites, including Ambulatory Surgery Centers.
- Ensure proper planning, organization, and implementation of quality strategic initiatives.
- Collaborate with senior leadership and service-line departments to implement processes that prevent patient harm.
Data Oversight & Public Reporting
- Provide leadership collaboration for quality improvement efforts related to publicly reported data (e.g., CMS Programs, Leapfrog Hospital Survey, Leapfrog Safety Grade).
- Analyze regional data to identify trends, prioritize improvement opportunities, and assess progress toward quality goals.
- Utilize statistical and process improvement tools to interpret data and develop sound improvement plans.
Standardization & Policy Maintenance
- Lead efforts to standardize policies, procedures, and products across the health system to reduce clinical variation.
- Provide oversight for the development and maintenance of quality toolkits and evidence-based policies.
- Ensure all policies reflect current evidence-based principles and regulatory standards.
Regulatory Readiness & Support
- Support assigned facilities in maintaining "survey-ready" status.
- Provide on-site support during regulatory audits and as needed by specific facilities.
- Coordinate with internal support departments to achieve individual, hospital, and corporate goals.
Staff Development & Education
- Recruit, orient, and mentor facility-level quality leaders to ensure consistent competency across the system.
- Design and lead company-wide, regional, and facility education programs and resource materials.
- Foster professional growth and help facility leaders develop core competencies in healthcare quality leadership.
Required Qualifications
Education
- Required: Bachelor’s degree in Nursing or another clinical healthcare degree.
- Preferred: Master’s degree (MPH, MSN, or MBA).
Experience
- Minimum Total: 5 years of current experience in Healthcare Quality.
- Management: At least 3 years of recent experience in quality management, performance improvement, or patient safety in a multi-site healthcare environment.
- Demonstrated Success: Proven track record in improving clinical outcomes and reducing patient harm or HAIs.
Certificates and Licenses
- Required: Certified Professional in Healthcare Quality (CPHQ), or obtain within two years
- Required: Current RN licensure or other applicable clinical licensure.
Skills & Abilities
- Technical: Proficiency in Google Workspace (Docs, Sheets, Slides, Meet) and the ability to troubleshoot quality/operational software.
- Communication: Ability to communicate effectively with all levels of leadership and external vendors.
- Project Management: Basic project management skills with the ability to lead multiple simultaneous initiatives.
