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Division AVP Quality and Patient Safety
Division AVP Quality and Patient Safety-April 2024
Tallahassee
Apr 1, 2026
About Division AVP Quality and Patient Safety

  Description

  This position is incentive eligible.

  Introduction

  Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Division AVP Quality and Patient Safety with HCA Florida Capital Hospital, you can be a manager in an organization that is devoted to giving!

  Benefits

  HCA Florida Capital Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

  Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

  Free counseling services and resources for emotional, physical and financial wellbeing

  401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

  Employee Stock Purchase Plan with 10% off HCA Healthcare stock

  Family support through fertility and family building benefits with Progyny and adoption assistance.

  Referral services for child, elder and pet care, home and auto repair, event planning and more

  Consumer discounts through Abenity and Consumer Discounts

  Retirement readiness, rollover assistance services and preferred banking partnerships

  Education assistance (tuition, student loan, certification support, dependent scholarships)

  Colleague recognition program

  Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

  Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

  Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

  Note: Eligibility for benefits may vary by location.

  Come join our team as a(an) Division AVP Quality and Patient Safety. We care for our communities and employees! HCA Hope Fund in fourteen years reached a historic milestone: $50 million in help to our colleagues in need. Last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

  Job Summary and Qualifications

  Job Summary:

  This position is responsible for oversight and guidance of Quality and Patient Safety, and Medical Staff Initiatives throughout the North Florida Division, which includes 14 acute care hospital systems across a large geographic area.

  Responsible for managing and coordinating quality and patient safety initiatives, Infection Control, and Medical Staff Services in order to support the division strategic plan and goals, and meet HCA quality objectives and standards. In this regard, s/he will have responsibility for facilitating and coordinating activities in:

  Clinical excellence

  Patient safety

  Process improvement and outcomes management

  Regulatory readiness to include CMS Conditions of Participation, Agency for Healthcare Administration, and The Joint Commission

  Knowledge related to Disease Specific Certification

  Core Measures

  Medical Staff Office Credentialing Services

  Project Management to include annual Patient Safety Program.

  Coordinates his/her work closely with the Division VP Quality and the Division Chief Medical Officer. Responsible for ensuring facility compliance with The Joint Commission, Centers for Medicare and Medicaid Services (CMS) Conditions of Participation, AHCA, Disease Specific Certifications, and other standards, rules and regulations. Position requires occasional travel as well as temporary placement in hospitals in need of quality leadership.

  In this role you will:

  Facilitating the growth of division and hospital knowledge regarding quality, clinical performance and related areas, including the dissemination of “best practices” across the division.

  Leading division-wide standardization in targeted process improvement initiatives, and evaluating success through pre-established criteria.

  Supporting facility’s response to Serious Patient Adverse Events (SPAE)

  Leading proactive patient safety activities to create hospitals that are high reliability organizations, as reflected in reduced errors, elimination of unsafe processes, and increased involvement of staff and physicians toward a culture of safety.

  Contributing to the achievement of business and financial goals through optimal division performance in quality and patient safety.

  Collaborating with and supporting hospital quality, risk, safety and infection prevention leaders to achieve top ranking in national and state publicly reported data initiatives.

  Participating in regular analysis of division quality and risk performance data; planning steps for ongoing improvement.

  Working with Division VP Quality to support data analysis, reporting, and outcomes improvement. Contributing to ongoing enhancement of division quality reporting methods and dashboards.

  Continuously monitoring and evaluating quality outcomes for patient care across the division, while noting trends, and identifying and prioritizing opportunities to improve.

  Assisting with ensuring the data is reported to approved third parties, such as Leapfrog, VON, NHSN, NCDR & STS databases, etc.

  Assisting facilities in building a proactive quality department by implementing tracer teams responsible for identifying processes that are non-compliant with Joint Commission, COP, Title 22 and other regulatory requirements.

  Facilitating and/or leading clinical process improvement teams as needed to achieve quality improvement goals.

  Serving as a regulatory resource regarding state and federal regulations and standards, including but not limited to CMS, Joint Commission, CDC, Professional Practice Acts, and Agency for Health Care Administration.

  Staying current with NQF, AHRQ, Leapfrog, IHI and other quality performance initiatives.

  Job Requirements:

  Bachelor's degree required;Master’s Degree preferred

  Clinical licensure required (RN, Pharmacy, RT, PT)

  5+ years of experience in Leadership in a clinical and quality improvement setting in an Acute Care Hospital

  Management experience

  Certified Professional in Patient Safety (CPPS), or Certified Professional Healthcare Quality (CPHQ)

  Nashville-based HCA Healthcare is one of the nation's leading providers of healthcare services. Founded in 1968, HCA Healthcare created a new model for hospital care in the United States. In this model, we use combined resources to improve hospitals, deliver patient-focused care, and improve the practice of medicine. We have conducted several clinical studies. One of those studies includes a demonstration that full-term delivery is healthier than early elective delivery of babies. Another study identified a clinical protocol that can reduce bloodstream infections in ICU patients by 44 percent. We are a learning health system that uses its more than 31 million annual patient encounters to advance science, improve patient care and save lives. HCA affiliated facilities in the North Florida Division are a part of a quality healthcare network in North Florida. This network includes 15 affiliated hospitals, 5 surgery centers, and two consolidated service centers. Together, our network has over 3,100 beds, employs more than 14,000 team members, and has over 4,200 physicians on staff.

  HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

  "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

  HCA Healthcare Co-Founder

  Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Division AVP Quality and Patient Safety opening. Help HCA Healthcare create healthier tomorrows for patients and communities.

  We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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