HCA Citrus Memorial - Inverness, FL
VP, Quality & Patient Safety
Job Summary
VP, Quality & Patient Safety
We are looking for a candidate with ample experience to lead the Quality department at Citrus Memorial Hospital in Inverness, Florida. You will report to the Chief Executive Officer and will have 3 to 4 direct reports to manage at this 204 bed facility.
You will need a Bachelor’s Degree in Nursing and a Postgraduate’s Degree in Nursing or Healthcare related field completed or in progress. You must have at least 5 years of director level experience, and previous experience in clinical, risk management, or administrative arenas is preferred. A CPHQ or CHCQM is required, though individuals without CPHQ will be granted a 12 month grace period to obtain their certification if all other qualifications are met. Patient Safety Certification is preferred.
HCA Citrus Memorial
HCA Florida is made up of over 50 hospitals and hundreds of care facilities, including freestanding emergency rooms, surgery centers, diagnostic facilities and physician practices.
Celebrating more than a 60 year history of healing, Citrus Memorial Hospital is the leading provider of healthcare in Citrus County and the surrounding area. The 204-bed acute care hospital offers services including ER 24/7, Heart and Vascular Center, Orthopedic and Spine Center of Excellence, and the Women and Baby Center. A range of minimally invasive and robotic surgeries are offered including bariatric, thoracic, colorectal, urologic, gynecological and general surgeries. Citrus Memorial also offers outpatient rehabilitation at the hospital and three off-campus locations as well as wound care and hyperbarics, behavioral health, diagnostic imaging including a breast imaging center of excellence, cardiopulmonary rehabilitation and laboratory services. The hospital’s Graduate Medical Education program includes a Transitional Year program as well as an Internal Medicine Residency program affiliated with the USF Morsani College of Medicine.
About the town
INverness, FL
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Leapfrog Hospital Safety Scores
Citrus Memorial Hospital
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Dangerous object left in patient’s body What’s This? | 0.000 | 0.359 | 0.02 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.036 | .0004 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Patient falls and injuries What’s This? | 0.292 | 1.778 | 0.42 | 0.000 | CMS | 07/01/2017 – 06/30/2019 |
| Infection in the blood What’s This? | 1.163 | 3.420 | 0.81 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Infection in the urinary tract What’s This? | 0.762 | 2.644 | 0.75 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Surgical site infection after colon surgery What’s This? | 1.081 | 2.887 | 0.80 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| MRSA Infection What’s This? | 1.979 | 3.055 | 0.84 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| C. diff. Infection What’s This? | 0.857 | 1.949 | 0.54 | 0.000 | 2021 Leapfrog Hospital Survey | 04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020 |
| Death from treatable serious complications What’s This? | 174.76 | 206.08 | 159.67 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 0.97 | 3.35 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.62 | 8.80 | 0.58 | 0.04 | CMS | 07/01/2018 – 12/31/2019 |
| Collapsed lung What’s This? * | 0.18 | 0.48 | 0.23 | 0.12 | CMS | 07/01/2018 – 12/31/2019 |
| Falls causing broken hips What’s This? * | 0.09 | 0.16 | 0.09 | 0.07 | CMS | 07/01/2018 – 12/31/2019 |
| Blood Leakage What’s This? * | 1.93 | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | 1.16 | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | 5.51 | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 3.87 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | 4.64 | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | 0.82 | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 0.90 | 3.97 | 1.21 | 0.37 | CMS | 07/01/2018 – 12/31/2019 |
| * This measure is a part of the Harmful Events Composite and is not used for scoring. | ||||||
Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Doctors order medications through a computer What’s This? | 100 | 5 | 85.77 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Safe medication administration What’s This? | 100 | 5 | 83.25 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Specially trained doctors care for ICU patients What’s This? | 100 | 5 | 62.82 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Effective leadership to prevent errors What’s This? | 120.00 | 46.15 | 116.85 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Staff work together to prevent errors What’s This? | 120.00 | 0.00 | 116.49 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Enough qualified nurses What’s This? | 100.00 | 17.65 | 98.16 | 100.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Handwashing What’s This? | 100 | 15 | 74.36 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Communication with nurses What’s This? | 90 | 73 | 91.10 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Communication with doctors What’s This? | 87 | 80 | 91.00 | 98 | CMS | 01/01/2019 – 12/31/2019 |
| Responsiveness of hospital staff What’s This? | 83 | 60 | 84.38 | 94 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about medicines What’s This? | 76 | 53 | 77.66 | 92 | CMS | 01/01/2019 – 12/31/2019 |
| Communication about discharge What’s This? | 84 | 67 | 86.51 | 96 | CMS | 01/01/2019 – 12/31/2019 |
Official job description
VP, Quality & Patient Safety
The VP of Quality and Patient Safety is responsible for developing and executing organizational quality and performance improvement. This position is also responsible for leadership and organizational wide direction in ensuring a continuously improving culture of safety.
We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, an employee stock purchase program and student loan repayment at select facilities.. We would love to talk to you about this fantastic opportunity.
Qualifications
Education: Bachelor’s Degree in Nursing; Post Graduate Degree in Nursing or Healthcare related field required or in process
Experience: Minimum 5 years of experience. Knowledge of State, Federal, and JCAHO regulations. Previous experience in the clinical, risk management, and/or administrative arenas preferred.
Training: CPHQ (Certified Professional in Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians)
Individuals without CPHQ or ABQUARP will be granted a 12 month grace period to obtain CPHQ or ABQAURP to obtain, if all other qualifications are met.
SHIFT: No Weekends
SCHEDULE: Full-time
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