Job Summary Are you an experienced leader passionate about making a tangible impact in healthcare quality? Join our team at Tower Health to lead clinical quality measurement, analysis, improvement, monitoring, and reporting. In this hands-on leadership and management role, you will leverage your expertise to standardize quality strategies across our entire health system. Spearhead organizational performance and transformation, uphold excellent patient care, and impact performance scores. Directs and oversees the work of the Quality Leads at each of the Tower Health Hospitals. Works collaboratively with leadership, hospital departments, and medical staff to advance the principles of continuous quality improvement to enhance the provision of safe, timely, effective, efficient, equitable, and patient-centered care and services. Proactively advances strategic priorities through alignment with, but not limited to patient safety, infection prevention and control, patient experience, nursing quality (Magnet designation), regulatory and accreditation. Through effective leadership and knowledge of current healthcare laws, regulations, standards, and best practices, creates an environment that supports and conveys a culture of continuous improvement and employee engagement to drive organizational transformation in care delivery and operations. Brings a comprehensive, collaborative, quantitative, results-driven approach to the work, while building relationships and alliances with internal and external constituencies. Implements, sustains, and cascades a quality management system which creates the greatest value to patient care, in alignment with organizational strategic objectives. Works collaboratively throughout Tower Health to establish a consistent, comprehensive approach to data collection, analysis, and reporting of internal and external quality indicators and benchmarks to stakeholders. Oversees all quality monitoring activities and reporting for the system and works closely with key stakeholders to identify, resolve, and monitor quality issues. Monitors external CMS star rating, value-based purchasing, and other key benchmarks (i.e. Leapfrog Safety Grade) for the system to understand current performance, establish priorities and set performance targets. Oversees the accurate and timely completion and submission of surveys and documents for external benchmarking entities related to quality (i.e. CMS). Serves as the organizational subject matter expert for this work. Provides timely leadership and experienced guidance to investigate, establish corrective actions, and implement improvements related to quality issues arising from: payor reviews (i.e. CMS), external benchmarking efforts (i.e. Vizient), and surveillance of outcome measures (i.e. mortality, readmissions, re-operation, complication rated). Assists in the design or redesign of clinical processes and the development of standard work to achieve and maintain the highest quality of care delivered to patients throughout Tower Health. Reviews, analyzes, evaluates, and distributes data from all system Quality reports (i.e. Core Measures Results Reports, Complication reports, CMS QIO data), and relates the data analysis to the appropriate committees, and the CMO. Aligns national trends, strategic plan, quality monitoring, and quality improvement. Ensures the Quality Plan and all required reports are presented timely to PI Committee, MEC and Board. Develops organizational competency in QI principles and application. Launches key initiatives to support new mandatory or voluntary quality measurement and reporting programs to guide successful operational implementation. Remains current on national and state trends in quality measurement and benchmarking. #LI-AH1 #IND123 Qualifications Master's Degree. Combination of relevant education & experience may be considered in lieu of Master's Degree. Relevant experience in healthcare quality, analytics, and improvement is required. Clinical background strongly preferred. CPHQ certification helpful. Overview Tower Health is a regional integrated healthcare system that offers leading-edge, compassionate healthcare and wellness services to communities in Berks, Chester, Montgomery, and Philadelphia Counties. With more than 10,000 employees, Tower Health consists of Reading Hospital in West Reading; Phoenixville Hospital in Phoenixville; Pottstown Hospital in Pottstown; and St. Christopher's Hospital for Children, a partnership of Tower Health and Drexel University in Philadelphia. For more information, please visit https://towerhealth.org/. Discover why our hospital is a great place to work—take a virtual tour of Reading Hospital here: https://youtu.be/hH6ItnuIIsc