Senior Director Performance Improvement, Quality & Safety

Empower Every New Yorker - Without Exception - to Live the Healthiest Life Possible

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description

PURPOSE OF POSITION:

The System Senior Director for Performance Improvement is responsible for leading the system-wide vision, strategy, and implementation of performance improvement activities across NYC Health + Hospitals. The System Senior Director, Performance Improvement plays an instrumental role in overseeing system-wide performance improvement activities, including working closely with a variety of stakeholders at all levels throughout NYC Health + Hospitals to develop and foster a culture around continuous quality improvement.

SUMMARY OF ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Develop the framework and strategy for PI activities across the NYC Health + Hospitals that align with NYC Health + Hospitals' five (5) strategic pillars: Quality & Outcomes, Culture of
• Safety, Financial Sustainability, Care Experience and Access to Care
• Support quality leaders with selecting project metrics, utilizing baseline data to identify improvement targets and assessing the current state to effectively engage in improvement efforts
• Ensure PI projects have established diverse, functional teams with clearly identified roles and responsibilities (e.g., executive sponsors, project leads, team leaders etc.)
• Develop plans for quarterly projects to be presented to the QAPI Committee to the Board of Directors
• Create the strategy for Key Driver Reports to support facility leaders as they prioritize opportunities for improvement based on performance across several domains including CMS Hospital Star Ratings, Leapfrog Safety Grades, Value-Based Payment programs, and QAPI Committee to the Board prioritized metrics
• Promote understanding and execution of all phases of the PI life cycle including developing aim statements, scoping and aligning projects to strategic goals, developing tests of change, selecting and monitoring key metrics, ensuring projects have a measurable health equity lens, coordinating data oversight activities, and reporting measurable results to staff across all levels of the organization
• Provide "just in time" training to teams engaging in PI efforts as they begin PI projects, aligning with the Quality Academy curriculum and key principles
• Offer guidance to teams developing PDSA action plans, support for completing required standardized templates (e.g., PI Project Charters & One-Page Summaries) to outline project goals, deliverables, deadlines etc., and assistance in creating measure charts to display key performance metrics
• Lead meetings for System-wide PI Committee for facility PI leads, to provide an open forum for peers to share best practices and ongoing challenges with improvement projects
• Collaborate with Quality Improvement Capacity Building team to facilitate and mentor QI learning through didactics and improvement projects
• Collaborate with Data and Analytics team to create and enhance online site for PI resources and tools, and PI best practices database of projects
• Work with Quality Management leads to ensure quality measures reporting deadlines are met (e.g., for eCQMs, Sepsis reporting, etc.) and to develop methods to validate various quality measures
• Work closely with Vice President, Quality Management on a cadre of system-wide quality initiatives including but not limited to revision of prioritized quality metrics for the QAPI Committee to the Board, tracking of health equity data within improvement projects, and preparation of Healthcare Quality Week planning
• Perform other duties as assigned

Minimum Qualifications

1. Master's degree from an accredited college or university in Healthcare Administration, Health Care
   Planning, Business Administration, Public Administration or a related discipline; and seven (7) years of
   progressively responsible experience in health and medical service administration, public administration,
   personnel and labor relations, finance or appropriate functional discipline with an emphasis on planning,
   liaison and inter-organizational relationships, or related administrative or managerial functions; or
2. Bachelor's degree from an accredited college or university in disciplines, as listed in "1" above; and eight
   (8) years of progressively responsible experience in areas, as listed in "1"; or
3. Satisfactory equivalent combination of education, training and/or experience. However, all candidates
   must have a minimum of a Bachelor's degree in disciplines, as listed in "1" above.

Department Preferences

• Strong preference for a healthcare clinical degree including Medical Doctor, Nursing, or Nurse Practitioner.
• Ability to proficiently use Microsoft Word, Excel, and PowerPoint programs and applications
• Understanding of Epic electronic medical record preferred
• Willing to travel throughout the 5 boroughs to NYC Health + Hospitals facilities
• Ability to drive continuous improvement across NYC Health + Hospitals
• Ability to identify measures and areas that require improvement based on baseline data
• Ability to demonstrate success in designing and meeting PI goals across NYC Health + Hospitals
• Adept at data management and analytics
• Excellent planning and organizational skills
• Able to handle multiple, complex PI projects
• Impeccable verbal, written, facilitation, and presentation skills
• Ability to create a culture for accountability and action and manage activities in a face-paced environment
• Aptitude to coach and mentor clinical and administrative leadership
• Ability to effectively collaborate within a high-functioning team, as well as across multiple professional levels including executive leadership, administration, clinical, and ancillary staff

If applying online, please include your cover letter in the same file attachment with your uploaded resume.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs