Atlantic Health System

  • Vice President of Quality & Patient Safety

    Job Location(s) US-NJ-Morristown
    Position Type
    01812200-Quality and Patient Safety
    Corporate Office - Morristown
  • Overview

    Atlantic Health System, headquartered in Morristown, New Jersey is a leading non – profit healthcare delivery system in New Jersey. The New Jersey network includes:  Morristown Medical Center in Morristown, Overlook Medical Center in Summit, Newton Medical Center in Newton, Chilton Medical center in Pompton Plains, Hackettstown Medical Center in Hackettstown, Goryeb Children’s Hospital in Morristown and Atlantic Rehabilitation and Atlantic Home Care and Hospice. This vital leadership position reports directly to the Senior-Vice President and Chief Medical and Academic Officer. This position will be based at Atlantic Health System's corporate headquarters in Morristown, but will require travel to other sites, such as the AHS medical centers.


    The principal role of the Vice President of Quality and Patient Safety is to lead and develop a comprehensive and unified program that implements AHS's vision of excellence in clinical quality outcomes and patient safety, driven within a progressive, value-based care delivery model. ln collaboration with AHS leadership, the Vice President of Quality and Patient Safety (VPO&PS) will establish a system structure that supports AHS through quality and patient safety consult and guidance, data analytics and analysis, quality and safety program oversight, report and strategic directives.


    The qualified candidate willl directly supervise the Directors of Quality and Patient Safety, the Atlantic Health System  Director of Infection Prevention, the Director of Quality and Performance Measurement, the Director of Quality for Atlantic Medical Group, the Manager of Patient Safety, and the Manager of Accreditation. S/he will indirectly supervise the quality/safety/infection prevention team and work with the quality team that supports the Atlantic ACOs (including Optimus) and Atlantic Home Care and Hospice. In addition, s/he will work closely with the Presidents of the Medical Centers, the service line directors, and physician and nursing leadership. S/he will champion communication and transparency, teamwork, and a culture of continuous learning.


      • Responsible for designing, planning, directing and implementing a comprehensive quality/patient safety program and infection prevention program
      • Coordinates and provides leadership, strategic direction, insight and guidance with respect to clinical quality/patient safety improvement/infection prevention initiatives across AHS
      • Responsible for developing and directing quality policies, programs, and initiative in order to improve the overall quality of patient care services
      • Work strategically with the medical and nursing staff and system leaders to develop quality and patient safety strategic plans and infection prevention plans - and the training/education essential to support those plans
      • Work with AHS leadership across the continuum including: AMG, ACO, Home Care and Hospice, etc. -- to set priorities and goals, and facilitate communication between programs, medical centers, to leadership and to the AHS BOT
      • Establish relationships with thought leaders, consultants and key clinicians in the health-care industry to maximize the benefits of the AHS Quality and Patient Safety program and Infection Prevention program
      • Provides direct supervision of the Director and Manager level staff and indirect supervision of their direct reports and assist in their development and competency
      • Set standards for best practice driven performance pertaining to quality measurement, review and problem solving
      • Provide leadership for system-wide quality/safety/infection prevention committees and provide direction for the medical center quality improvement committees (QICs)
      • Coordinate communication to the Medical Center Medical Executive Committees (MECs) on an on-going basis and with groups within AHS that are dedicated to quality improvement including: physicians, nursing, service lines and department quality improvement committees
      • Develop quality and patient safety goals In conjunction with the Medical Center and AHS QICs, the MECs, senior leadership, and the Board Patient Safety Committees
      • On an on-gong basis, Identify problem areas in need of focused attention - plan and oversee implementation of actions to drive improved outcomes
      • Achieve the best outcomes tied to CMS and other pay for performance programs, including those that are tied to commercial carriers, through partnerships with the Medical Staff, Nursing, Health Information Systems, Information Services, Finance Department, etc.
      • In collaboration with clinical staff and service chiefs, participate in the development, monitoring, reporting, and improvement of quality/patient safety/infection prevention activities related to their respective service lines/departments
      • Provide appropriate oversight, support, and/or consultative services (project design, selection of data required, development of documentation tools, etc.) to quality improvement teams
      • Develop and improve performance improvement systems that integrate quality practices throughout the organization
      • Develop and implement a plan to improve the organizations Culture of Safety – including the concept of a “Just Culture”
      • Continue to implement initiatives that support becoming a high reliability organization
      • In coordination with Risk Management, review and recommend opportunities for improvement on all Root Cause Analyses (RCAs) to ensure completeness, thoroughness, creditableness and timeliness
      • Analyze, aggregate, track and trend occurrences/sentinel events/RCAs and identify outcome reports to include corporate and facility specific trends and patterns
      • Provide leadership and ensure regulatory compliance, including constant Joint Commission readiness, CMS (including pay for performance programs, star quality program, MACRA, MIPS, etc.) and the NJ Department of Health compliance as pertains to clinical quality and patient safety
      • Provide leadership for continued improvement with regard to outside “rating” organizations, including: CMS, UHC, Leapfrog, US New and World Report, Health-grades, etc.
      • Support the development, implementation and on-going analysis of CMS bundle programs and other like-programs
      • Oversees data and analytics within the department and work closely with the developing Clinical Business Intelligence Group
      • Develop scorecards/dashboards for internal and external customers
      • Design quality measurement systems that enable clear reports for internal use including: system leadership, medical center Presidents, Directors, Supervisors, and Physician leaders (including Infectious Diseases specialists
      • Lead Quality and Patient Safety group in the Epic implementation



    • Bachelor's degree in Nursing or related clinical field required.
    • Master's Degree in Business Administration in Health Services Management or related health field required.

    Experience Required:

    • Minimum of 5 years’ experience in Quality Management or closely related field
    • Patient Safety knowledge and experience
    • Infection Prevention knowledge and experience
    • Extensive experience and proven track record with patient initiatives and change management; Demonstrable leadership role and achievement in a complex healthcare delivery system
    • Knowledge and experience of quality infrastructure is needed, including how to develop and implement decision tools, protocols, and guidelines, and outcome measurement assessments
    • Black belt preferred

    Alantic Health System aims to deliver the highest quality and care combined the best experience for our patients and their families. We are confident that you will find success within Atlantic Health System, which has been named for the 10th  year in a row to Fortune’s “Top 100 Best U.S. Companies to Work For” list. We believe you’ll find that our culture of collaboration and care exemplifies the value we place on our patients, their families and our employees.


    All qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.


    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    Connect With Us!

    Not Ready to apply? Stay connected with us to learn more about upcoming career opportunities and onsite Recruitment events. Connect with us