Executive Director Quality - PCSTMC

Proudly serving the community since 1973, Providence Cedars-Sinai Tarzana Medical Center has provided excellent and compassionate care to the San Fernando Valley. In addition to heart, vascular, orthopedic, cancer and women’s services, we house the largest Level III Neonatal Intensive Care Unit (NICU) in the area and our emergency department has been designated by the Los Angeles County Department of Health as a STEMI and stroke receiving center.

Calling All Esteemed Leaders! Are you a clinical quality leader who is passionate about improving patient safety, quality outcomes, care experience, and regulatory excellence? Do you thrive in highly collaborative healthcare environments where strategic leadership, data-driven improvement, and clinical excellence work together to advance patient care across a region? If so, we invite you to explore this leadership opportunity with Providence.

The Role

The Executive Director Quality serves as a key Ministry and Regional Executive and provides leadership and coordinates ministry and region-wide efforts directed at delivering cost effective, efficient, high quality, and safe care in Southern California for their service area. The position reports to the Regional Chief Quality Officer (CQO) Southern California with dotted line reporting to ministry Chief Medical Officer (CMO).

The Executive Director Quality will provide strategic clinical leadership and form a strong linkage between ministry clinical and operational leadership with direct oversight for quality, performance improvement, analytics, clinical risk, patient safety and regulatory compliance, peer review, infection prevention, care experience and patient grievances and complaints. In collaboration with the CQO and Regional Director Infection Prevention, provides direct ministry leadership and direction in the development and ongoing monitoring of the Providence St. Joseph Health Quality Strategic Plan (QSP).

The Executive Director Quality will serve as the hands-on leader and clinical quality expert. The Executive Director Quality will lead, facilitate and oversee activities designed to support sustainability of improvements to clinical quality, patient safety, clinical risk, infection prevention and care experience, while using data effectively. This leader will also be expected to make meaningful contributions to quality and safety initiatives for the entire region in collaboration with the CQO.

In addition, the Executive Director Quality will be a resource for current and emerging regulatory and compliance issues, patient safety program (HRO), root cause analysis, failure modes and effects analysis, and future quality-related initiatives based on regional and national networking and benchmarking of evidence-based changes for all local and service area organizations in the respective service area.

What You’ll Do

• Knows, understands, incorporates and demonstrates the Providence St. Joseph Health Mission, Vision and Core Values in leadership behaviors, practices and decisions. Inspires physicians and others to reflect the mission, vision, and core values. 

• Champions the continuous improvement of patient care to advance safety and quality outcomes, satisfaction, and efficiency initiatives across their service area and region. 

• Acts as clinical dyad for their service area in the Southern California region. 

• Develops and implements strategies to ensure cost effective, efficient care delivery for optimal quality, safety, and experience outcomes. 

• Works with local ministry leadership to develop a cost effective structure and develop required services and governance to redesign care and improve clinical outcomes. 

• Creates a compelling vision for clinical excellence and value that helps position PSJH as a leading provider in the region. 

• Coordinates with local efforts in regulatory compliance. 

• Assesses and benchmarks the current PSJH quality, safety, and clinical performance improvement processes, initiatives, resources, and outcomes against that vision. 

• Ensures that the operational and clinical systems, resources, and processes are in place to meet PSJH Quality and Patient Safety Goals. In this effort, deploys clinical program improvement across the ministries in the service area and region. 

• Identifies and integrates best practices within and outside the system to create unified programs and knowledge-sharing tools that encourage front-line physician participation, engagement, and ownership in quality, safety, and clinical improvement initiatives and outcomes, as well as support the movement to value. 

• Coordinates, integrates, and communicates clinical excellence initiatives in a manner which values the contributions of physicians and staff currently working in the quality, safety, and clinical improvement arena, while ensuring consistency of outcomes across the service area and region. 

• Connects and integrates regional and facility-level resources in order to streamline systems and goals for effectively monitoring and reporting quality and safety in the ministries. 

• Ensures the existence of state-of-the-art scorecards and systems for tracking, evaluating, and communicating patterns in care delivery, patient safety, and health status. 

• Monitors patient safety data for trends, recommends changes, as appropriate, and interfaces with risk managers to support patient safety and clinical loss prevention strategies, including the provision of expert consultation for patient safety and clinical loss prevention issues, as appropriate. 

• Monitors care experience data for trends, recommends changes and supports initiatives to improve care experience and reduction of grievances, supporting the cultural work related to caregiver experience. 

• Co-leads with the Regional CQO all Clinical Effectiveness initiatives with a goal to decrease cost per case and improve care efficiency. 

• Participates in the ongoing evolution of information systems for the purposes of tracking the effectiveness of quality and safety initiatives. 

• Participates in PSJH Clinical Council meetings representing the service area in the Region, in collaboration with the Regional CQO. 

• Provides leadership and support for all clinical leaders in the acute care ministries in their service area, participates in MOR meetings to support service area teams, as well as quality and improvement committees in their respective service area ministries. 

• In collaboration with the CQO, provides leadership and direction in identifying, developing and refining region-wide patient safety, quality improvement and reporting systems in a manner which ensures quality measures are included, properly analyzed and reported in internal and external PH&S reports and documents.

What You’ll Bring

Education & Credentials

• Master's Degree in Healthcare related field (e.g., Nursing, Public Administration, Business Administration), or Bachelor's Degree in Healthcare related field (e.g., Nursing, Public Administration, Business Administration).

• Within 30 days of hire: California Fire and Life Safety Card - National Organization (Vendor Managed).

Experience & Expertise

• 7 years of experience in Clinical Leadership.

• 5 years of senior management experience in a large healthcare organization with responsibility for leading clinical quality improvement functions, including experience as a clinical leader with responsibility for clinical quality and clinical leadership development and education; experience in a complex, multi-site health system; and experience with The Joint Commission accreditation and DNV processes and standards.

Professional & Leadership Capabilities

• The Executive Director Quality has highly effective interpersonal skills and a motivational approach to leadership which will:

  • Create excitement for the potential associated with achieving a higher standard in clinical excellence.

  • Leverage existing leadership, resources, knowledge base, and best practices.

  • Serve as a thought leader in conceptualizing, communicating, and delivering on the myriad opportunities associated with clinical excellence.

• Demonstrated competence in:

  • Developing and managing a quality program in a hospital setting.

  • Program development and design of clinical care systems with measurable results.

  • Service and clinical quality improvement.

  • Clinical Risk Patient Safety program implementation.

  • Infection Control.

  • Tools development to support process improvement and clinical excellence.

  • Care experience encompassing caregiver/culture and patient experience.

  • Developing trusting relationships with physician and ministry leaders.

  • Utilization of data and reporting to drive urgency for change and improvement.

  • Understanding and communicating culture of safety program concepts and tools.

  • Facilitating process improvement and clinical excellence.

  • Understanding the drivers for and improving patient experience.

  • Executing on strategic objectives at multiple ministries.

  • A strong commitment to the mission of Catholic healthcare.

  • A leader who strategically, politically, instinctively, and operationally understands and can communicate concerns and issues within a highly-matrixed organization.

  • A strategic systems thinker, accompanied by the orientation and presence to analyze and interpret complex data situations and relationships in a manner which envisions future delivery models and approaches. In addition, proven ability to partner with others in operationalizing highly conceptual and innovative health management strategies and achieving successful outcomes in the ministries in their service area.

Why Join Us?

• Regional Quality Leadership: Lead quality, patient safety, clinical risk, infection prevention, regulatory compliance, and care experience efforts across a Southern California service area.

• Strategic Clinical Impact: Help shape and advance the Providence St. Joseph Health Quality Strategic Plan while supporting region-wide quality and safety initiatives.

• Collaborative Leadership Environment: Partner closely with the Regional Chief Quality Officer, Chief Medical Officers, ministry leaders, physicians, and operational teams to drive clinical excellence.

• Patient Safety & Performance Improvement Focus: Advance quality outcomes, safety initiatives, clinical effectiveness, regulatory readiness, and continuous improvement across acute care ministries.

Ready to Shape the Future of Healthcare?

If you are a clinical quality leader with a passion for patient safety, quality improvement, regulatory excellence, and healthcare transformation, we encourage you to apply and help advance clinical excellence across Providence.

The full pay range is listed in accordance with applicable law. Final compensation will be determined based on qualifications, experience, organizational compensation alignment, and the approved hiring department budget for the position. This position may also be eligible for incentive compensation and benefits.

At Providence we believe in the importance of human connection and the impact of in-person collaboration towards team cohesion and caregiver engagement. Further, we want our leaders to live in or near the communities we serve.