Director, Quality and Patient Safety

Charlottesville, VA
Mar 01, 2019
Apr 17, 2019
Full Time

Sentara Martha Jefferson Hospital, located in Charlottesville, Virginia, is hiring a full time Director of Quality and Patient Safety.

Position Overview
  • Strategic oversight and support for the hospital's patient safety program
  • Root Cause Analysis program effectiveness, training and support
  • Organization-wide quality improvement activities
  • Infection prevention and control
  • Oversight of physician peer review processes
  • Participation in annual DNV/ISO processes
  • Oversight of 5.5 FTE's:
    • Infection Control
    • Stroke
    • Quality Improvement
Sentara Martha Jefferson Hospital Overview
Sentara Martha Jefferson Hospital, located in Charlottesville, Virginia, is a Magnet Accredited and nationally recognized 176 bed non-profit facility featuring all patient friendly private rooms. We are ideally located at the foot of the Blue Ridge Mountains, just a few hours away from Washington, DC. We offer state of the art facilities, however, it is our "caring tradition" of compassion and personal care that makes us stand out in the community. Since its founding more than 100 years ago, Sentara Martha Jefferson Hospital has constantly evolved to meet the diverse healthcare needs of the patients who trust us with their care. Today, our vision is as clear as it was to our founders. We will continue to set the standard for clinical quality and personalized healthcare services.

Sentara Overview
For more than a decade, Modern Healthcare magazine has ranked Sentara Healthcare as one of the nation's top integrated healthcare systems. That's because we are dedicated to growth, innovation and patient safety at more than 300 sites of care in Virginia and northeastern North Carolina, including 12 acute care hospitals.

When you join Sentara in a professional or management role, you become part of a progressive team of business leaders and operational experts. Our organization and our people are highly respected for the knowledge and innovation that we demonstrate each day. Working with us is an opportunity to have a positive influence on our growth and the communities we serve.

Sentara Benefits
As the third largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
  • Medical, Dental, and Vision Insurance
  • Paid Annual Leave, Sick Leave
  • Flexible Spending Accounts
  • Retirement funds with matching contribution
  • Supplemental insurance policies, including legal, Life Insurance and AD&D among others
  • Work Perks program including discounted movie and theme park tickets among other great deals
  • Opportunities for further advancement within our organization

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit:

Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development and growth!

Change Management experience required. Event Prevention Philosophies experience required. Knowledge of human error and event prevention required. Project Management experience required. Travel required.


Strategic oversight and support for the hospitals patient safety program. Advise top management on strategies for improving culture of safety. Apparent, root cause analysis, tool & behavior training & support; evaluation of program effectiveness, data; coordinate with system wide PS director to assure integration of corporate initiatives. Facilitates the organization-wide quality improvement activities, assure continuous readiness & compliance with health care accrediting standards, compliance with CMS Core Measures, PFP, MU quality data and Q-HIP programs. Coordinate quality and PI initiatives, including oversight of the reporting and tracking system to ensure ongoing quality and performance. Oversight of the IPC department; development & monitoring of processes to ensure compliance with regulatory requirements which enhance the quality and safety of care. Provide oversight for OPPE & peer review activities to ensure quality of care is achieved and maintained. Report to top management performance of the QMS program. Ensure corrective & preventive actions reviewed/sustained; ensure conformance to ISO standards & hospital processes; annual evaluation; coordinates hospital DNV/ISO surveys and required follow up; ensures internal audit process compliance.


Education Level
Master's Level Degree

Required: Healthcare - 5 years, Leadership - 5 years, Organizational Development - Previous experience, Performance Improvement - Previous experience

Preferred: None, unless noted in the "Other" section below

None, unless noted in the "Other" section below


Preferred: None, unless noted in the "Other" section below

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