SUMMARY OF DUTIES AND RESPONSIBILITIES
The Chief of Strategy, Quality, and Safety (CSQS) is a key executive leader responsible for driving strategic direction, performance improvement, clinical quality, patient safety, and regulatory compliance across the division's home and community-based service lines. This includes certified home health, care management, and other population health programs. The CSQS leads division-wide initiatives to enhance health outcomes, reduce harm, and promote a culture of continuous improvement, accountability, and equity.
Key Responsibilities:
Strategic Planning and Execution:
1. Lead strategic planning efforts in alignment with health system strategic pillars, priorities and evolving healthcare trends.
2. Design and operationalize multi-year strategic initiatives for quality, safety, and performance improvement across the division's programs and services.
3. Partner with finance, operations, and clinical leadership to set measurable goals for growth, patient outcomes, and value-based performance.
4. Oversee integration of care delivery models that support population health, reduce disparities, and align with regulatory and payer requirements.
Quality, Safety, and Performance Improvement:
1. Direct the development and implementation of a division-wide Quality Management Program.
2. Establish systems to measure, monitor, and improve clinical quality, patient safety, patient experience, and service delivery outcomes.
3. Ensure compliance with all applicable CMS Conditions of Participation, Joint Commission standards, state Department of Health regulations, and managed care quality metrics (e.g., HEDIS, CAHPS, VBP).
4. Lead investigations, root cause analyses, and corrective action planning for adverse events, clinical variances, and quality of care concerns.
5. Develop and review the division's QAPI quarterly board report and annual QAPI plan
6. Serve as quality advisor for performance improvement projects reported to the QAPI Committee of the Board of Directors
Regulatory and Accreditation Oversight:
1. Serve as the division's executive lead for regulatory surveys, accreditation site visits, and external audits.
2. Ensure ongoing readiness for state and federal inspections across all programs.
3. Liaise with compliance, legal, and risk departments to ensure policy development and documentation standards meet regulatory expectations.
Data Analytics and Reporting:
1. Oversee the development and dissemination of dashboards, scorecards, and reports that provide actionable insights on quality, utilization, and patient outcomes.
2. Collaborate with IT, data and analytics teams to improve data accuracy, risk stratification, and predictive modeling tools. Utilize data to drive evidence-based decision-making and program refinement.
Clinical Risk Management and Patient Safety:
1. Champion a high-reliability culture focused on proactive risk identification, mitigation, and safety event prevention.
2. Develop policies, training, and interventions to reduce preventable harm, hospitalizations, and emergency visits.
3. Implement systems to capture, analyze, and report patient safety events and near misses.
Leadership, Staff Development, and Culture:
1. Lead and mentor directors, managers, and specialists/analysts in quality, strategy, and safety roles.
2. Promote a just culture that values transparency, learning, and continuous professional development.
3. Foster cross-functional collaboration among clinical, operational, and administrative teams
External Relations and Innovation:
1. Represent the organization in quality collaboratives, VBP partnerships, and city/state/national improvement initiatives.
2. Identify and implement innovative practices and technologies to enhance care delivery in the home and community.
3. Support strategic payer/provider relationships through data-sharing, performance reporting, and contract alignment.
Performs other duties as assigned by the Senior VP/ Chief Nursing Executive Officer and leadership of the NYCH+H Office of Quality and Safety.
