Vice President of Quality, Risk, and Infection Control

Summary : At American Family Care (AFC), it is our mission to provide the best healthcare possible in a kind and caring environment while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.

Our VP of Quality Risk and Infection Control is essential in delivering our mission across the country. This outstanding leader will be working in a national role with both our corporate and franchise clinics.

Quality and Safety

• Develop Quality, Safety, Risk, and Infection Control Dashboards with Regular Reporting at All Levels in the Organization
• Create Quality Benchmarking in Urgent Care, Primary Care, and Occupational Medicine
• Oversee our MIPS / MACRA Program to Ensure Compliant and Timely Reporting
• Collaborate with Physician and APP Leadership to Create Programs to Optimize Performance in Quality Programs
• Coordinate with Internal and External Stakeholders to Optimize Our Performance in P4P Programs
• Support AFC in Becoming a High-Reliability Organization
• Develop a Safety Auditing Program to Identify Areas of High-Risk and Harm
• Create Safety Systems to Prevent Harm
• Develop and Support a Workplace Violence Prevention Program
• Build Educational Content in Collaboration with Training

Risk

• Oversee All Clinical Incident Reports and Quality of Care Complaints by :
• Ensuring Appropriate Completion of Investigations by Staff
• Leading RCAs, When Indicated
• Creating System Changes Related to Findings
• Referring to Peer Review
• Ensuring Appropriate Coaching and Retraining is Completed
• Monitoring the Appropriate Documentation of Incidents
• Reporting to Leadership Team on Metrics Monthly Related to Incidents and Quality of Care
• Perform Clinical Compliance Oversight as it relates to Clinical Policies and Procedures, Equipment, Radiation, Lab, and Vendor Compliance
• Ensure that Licensed and Unlicensed Staff are Working Within Scope of Practice for Each State
• Monitor to Ensure that Appropriate Training, Oversight, and Remediation is Occurring with Licensed and Unlicensed Staff
• Provide Expertise on Scope of Practice Regulations
• Serve as Clinical Expert with Practice Standards Across States
• Facilitates and Directs Organization Wide Compliance Program in Support of Statutory Mandates, Regulatory Requirements, and Accreditation Standards, including CMS, OSHA, etc
• Act as the Regulatory Liaison to CMS, OSHA, and DOH
• Lead as the HIPAA Compliance Officer
• Partner with Our Malpractice Carrier as Clinical Liaison and to Implement Best Practices and Reduce Risk

Infection Control

• Develop an Infection Control Plan to Prevent the Spread of Communicable Diseases with Our Locations
• Partner with Training to Develop and Maintain Education in Infection Control
• Develop Systems and Recommends Equipment Within the Clinic to Minimize Risk of Infection and Injury (ie safety needles, etc.)
• Oversee Employee Health in Infection Control (ie needlesticks, TB prevention, etc.)

Required Qualifications

• Bachelor’s Degree in Nursing, Healthcare Quality, Business, Public Health, or a Related Field
• 5+ Years of Clinical Practice Experience, Including Care in an Ambulatory or Outpatient Setting
• 5+ Years of Experience in Quality, Risk and / or Infection Control Oversight and Leadership
• Active, Unrestricted Clinical License in State of Residence
• Program Development Experience
• Outstanding Leadership Skills
• Strong Organizational, Planning, and Execution Skills
• Excellent Communication and Interpersonal Skills, Including the Ability to Influence Across a Matrixed Organization
• Change Management Experience
• Experience in Data Collection and Analysis
• Outstanding Skills in Microsoft Suite and Technology

Preferred Qualifications

• Lean Six Sigma or Other Performance Improvement Methodology Experience
• Master’s Degree in Healthcare-Related Field
• CPHQ, CPPS, APIC Certification
• RN or Other Clinical Degree (Respiratory Therapist, etc)
• Experience Working in Systems with Multiple Regulatory Bodies
18 days ago