Vice President, Safety and Regulatory Affairs R37789 Vice President - Baystate Health

Req# : R37789

Please ensure you read the below overview and requirements for this employment opportunity completely.

Category(s) : Executive Leadership, Vice President

Full Time / Part Time : Full-Time

Shift : First

Position Summary :

The Vice President of Safety and Regulatory Affairs is a senior executive responsible for leading the hospital’s enterprise-wide strategies in patient safety and regulatory compliance . Reporting to the Chief Medical Officer (CMO) , this role is critical in developing and sustaining a high-reliability culture that prioritizes the safety of patients, staff, and visitors. The VP oversees incident management, risk mitigation, policy development, and proactive strategies to reduce harm while supporting the hospital’s mission of delivering safe, high-quality, and patient-centered care. The VP of Safety and Regulatory Affairs also directs development and implementation of a system wide accreditation program to ensure continuous compliance with all federal and state regulatory standards (The Joint Commission, CMS, DPH, MA BORIM). The position requires expert knowledge in federal, state and TJC standards and clinical and operational expertise to achieve and maintain a continuous state of readiness. This includes, but is not limited to, functioning as an expert resource and consultant to the organization, as a liaison between the organization and accreditation or regulatory bodies, and as a resource in continuous improvement activities

Key Responsibilities :

Patient Safety Leadership

• Direct and continuously improve the hospital’s Patient Safety Program , including serious safety event (SSE) identification, response, and follow-up.
• Facilitate Root Cause Analyses (RCAs) and Failure Mode and Effects Analyses (FMEAs) , ensuring systemic improvements are implemented and sustained.
• Champion a Just Culture environment that promotes transparency, learning, and non-punitive reporting of errors.

Risk Management and Mitigation

Regulatory Compliance and Accreditation

Safety Culture Development

Data, Reporting, and Analytics

Leadership and Team Development

Drug Diversion Management

Minimum Qualifications :

Preferred Qualifications :

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.

DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.

Education : Certifications :

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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