Vice President of Quality, Accreditation and Patient Safety

How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk!

HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.

Emp Status

Regular Full time Work Shift Compensation Range

The base pay scale for this position is $352,100.00 - $388,025.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

What You Will Be Doing

The Vice President (VP) of Quality, Accreditation and Patient Safety serves as a senior executive leader responsible for the oversight of the quality and safety programs for HSS Enterprise including the development, strategy and execution of patient safety and quality initiatives that support the mission and vision of HSS. This role integrates enterprise quality, patient safety, accreditation, medical staff quality, value-based care, infection prevention and occupational health and safety into an operational model that drives an innovative experience and cohesive delivery in the coordination of care to ensure excellence in patient experience and patient outcomes, workforce sustainability and wellbeing, financial performance, and enterprise alignment.

The VP will provide transformational leadership to drive enterprise-wide efficiencies and improvements by collaborating and leading teams, standardizing, integrating, and aligning models of care to drive clinical excellence and variation management, streamlining processes and operations in quality, patient safety, and regulatory affairs; and leveraging technology and analytics to improve patient outcomes. This position will lead the evolution towards advancing innovation and digital transformation in quality improvement and patient safety. The VP will design value-based quality infrastructure and drive performance to surpass national leader performance. The VP will partner with HSS IT leadership to continuously seek opportunities for innovation to enhance patient care and outcomes and using data science or advanced analytics for quality transformation.

The VP ensures Quality and Clinical Excellence is positioned not only as a high-performing, innovation-oriented, financially disciplined, strategic partner in advancing HSS's mission: helping every person live the life they love through the power of movement.

Core Scope of Responsibility

1. Quality Management and Patient Safety

Sets the vision and direction for HSS enterprise quality and patient safety initiatives aligned with organizational goals, broad priorities and value-based care initiatives.

Oversee quality management and comparative analyses, developing and implementing strategies that enhance and optimize highest quality and safety care.

Oversee public reporting, pay-for-performance, national quality improvement initiatives and performance trends.

Foster a culture of continuous improvement and engagement to optimize efficiency and effectiveness and ensure competitiveness to new market challenges.

Drive innovation, digital transformation and leverage data-driven decision-making.

Liaise with physician leadership and other key stakeholders on medical staff quality matters.

Lead in developing, directing and coordinating innovative, multidisciplinary peer review and other medical staff quality committees.

Supports behavior standards for medical staff.

Proactively identifies potential risks, implements preventive measures, and ensures that quality and patient safety issues are addressed promptly to mitigate any adverse impact.

Partner with Risk Management.

Collaborates with HSS executive leaders and other stakeholders across all departments to integrate quality as a fundamental aspect of daily operations.

Champions high reliability, a culture of safety and drives workforce safety and well-being.

Supports capital planning and technology investment decisions impacting quality and patient safety systems.

Development of data visualizations of enterprise and local performance in quality data trends for local and system executives and the Board of Trustees.

2. Accreditation and Regulatory Requirements

Develop a strong regulatory enterprise team approach, including regional and onsite support for mock audits and regulatory and/or accrediting activity.

Understand and accountable for compliance with all relevant regulatory requirements including local, state, federal, and accreditation organization.

Ensure relevant regulations are integrated into policy and procedure and are effectively communicated and operationalized across the enterprise.

Support Enterprise Policy & Procedure Governance Committee to develop and mature processes to guide clinical locations in best practices for timely policy and procedure development.

Development of data visualizations of enterprise and local performance in regulatory and accreditation trends for local and system executives and the Board of Trustees.

Oversee the development of actionable responses to audits, incidents, issues, and complaints, ensuring timely resolution and enterprise-wide learning.

Provide leadership, collaboration and coordination of all activities required to sustain accreditation status.

3. Infection Prevention and Occupational Health and Safety

Oversee the development and success of HSS Infection Prevention and Control and Occupational Health and Safety programs to align with HSS goals and vision.

Lead cultural transformation of safety practices to foster trust, communication and ownership at all levels.

Establish consistent safety KPIs and reporting frameworks to track performance across owned and outsourced operations.

Promotes the use of technology to streamline operations, enhance communication, and optimize work processes.

Leadership Expectations

The VP of Quality and Clinical Excellence is expected to:

Operate as a strategic enterprise leader, not solely a functional owner.

Translate quality and patient safety strategy into measurable operational execution.

Build bench strength at the n-1 and n-2 levels.

Model fiscal accountability and data-driven decision-making.

Lead through ambiguity with clarity and composure.

Strengthen cross-functional collaboration with Service Lines, Periop, Clinical Support, Finance, HR, and IT.

Key Outcomes (First 24-36 Months)

Establish a fully integrated Quality and Patient Safety Model aligned to long-term CNE design.

Surpass national performance in key quality indicators.

Optimize department staffing model while maintaining top-tier engagement and retention.

Build a sustainable leadership and education pipeline.

Lead continued regulatory readiness.

Non-Discrimination Policy

Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.