Assistant Vice President, Quality and Performance Improvement

Location US-NY-New York
Posted Date 2 months ago(10/12/2021 2:54 PM)
Job ID
Innovation & Strategic Operations
Emp Status
Regular Full-Time
Hours per Week


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


AVP Quality and Performance Improvement


The Assistant Vice President, Quality and Performance Improvement oversees the HSS mission in all matters relating to the quality of care at HSS. This position works to eliminate preventable harm to patients, family members, and staff, to attain unsurpassed clinical and patient-reported outcomes, and build hospital-wide participation through transparency, collaboration, and mutual learning. Working in partnership with senior administrative and medical staff leadership, the AVP will oversee the institutional approach to quality and lead a comprehensive quality/performance improvement program. This position is responsible for planning and directing the hospital's performance improvement programs to enhance the quality of care provided at HSS. This includes minimizing financial risk related to pay-for-performance programs and ensuring best outcomes to strengthen the HSS brand.




Reports to clinical leadership (CNO, VP Clinical Operations).  Supervises QI assistant Directors, team leaders, Specialists, and administrative support staff; oversees and coordinates daily activities of QI staff; mentors and develops staff; and manages staff performance. Works collaboratively with the executive leadership of HSS to execute strategic objectives toward achieving national leader performance.




Monitor, report, and improve the activities related to ensuring the best patient outcomes and the highest value of care provided by all HSS employees. Lead the organization to achieve the strategic direction set by senior leadership to maintain/attain the highest publicly reported public rankings in CMS Hospital Compare, Leapfrog, US News and World Report, State of New York Pay-for-Performance programs, and others. Develop and implement comprehensive, strategic, and tactical plans to achieve annual quality goals and revise strategic plans accordingly. Recommend quality improvement priorities based on knowledge of national, state, and local priorities, regulations, and accreditation requirements. Serve as a liaison for clinical quality initiatives with state/federal regulatory agencies, clinical communities, and key constituencies throughout the organization. Utilize leadership and operational expertise, knowledge and application of multiple quality improvement frameworks, evidence-based practice, quality literature, and statistical processes to facilitate the operationalization of the organization's quality and safety goals. Assess current hospital and clinical departmental performance on quality-of-care indicators; regularly perform gap analyses and recommend focused improvement initiatives to ensure exceptional hospital performance on those indicators. Maintain effective working relationships with key stakeholders. Regularly follow-up with clinical department leadership, vice chairs, nursing leadership, physician advisors, and hospital leadership to ensure compliance with reporting and improvement initiatives. Participate in HSS quality efforts to align strategic priorities, interventions, and standard work to harmonize system-wide approaches at HSS where appropriate.




Directly manage QI department operations, including all human resource and budget- related functions. Recruit and train QI staff. Prioritize employee engagement, retention, and professional development. Focus on diversity goals. Mentor staff on a routine basis. Manage staff performance. Ensure timely implementation of new policies and procedures that impact the QI department. May conduct in-service education as requested. Analyze problems and provide guidance to QI staff members. Maintain ongoing communication with staff to manage institutional and departmental goals.




Master's Degree in Business Administration, Healthcare Administration, Nursing, or comparable area of study; A doctoral degree is desirable. 7-10 years of progressive quality improvement experience and a minimum of 3 years of progressive managerial experience in healthcare is preferred. Comprehensive understanding of performance improvement, quality assessment, regulatory and risk management, patient safety, and program management. Quality experience in an academic healthcare setting (including hospital) is highly preferred. Extensive knowledge base of performance improvement theory and applications; financial and data analysis; national, state, and local quality improvement initiatives, regulations, and accreditation requirements. Familiarity with quality improvement tools and techniques (PDSA, Lean Thinking, Six Sigma, robust process improvement, etc.). Experience in achieving results and a documented track record of implementing and accomplishing quality/safety improvements in a large, complex hospital. Extensive knowledge base and experience with public reporting, pay-for-performance, national quality improvement initiatives and performance trends, APR DRGs, coding optimization, third-party payor requirements related to quality indicators, and regulatory standards (TJC, CMS, etc.).

Other Requirements



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