Catholic Health Initiatives MKT VP QUALITY - SVI HEALTH ADMIN - FULL TIME in LITTLE ROCK, Arkansas



Provides leadership through oversight, planning, and execution of initiatives in the areas of, Quality Improvement, Performance Excellence, Regulatory Compliance, Patient Safety, Risk Management, Infection Prevention, and Care Management for St. Vincent Health System. This would include, although not be limited to, the implementation of Quality Improvement initiatives, operational and clinical Performance Improvement initiatives, overseeing the appropriate utilization of clinical resources (Clinical Effectiveness), overseeing and coordinating efforts to improve clinical core measures, develop and maintain a data repository and implementation of patient safety initiatives (national and local). Will include the development of policies, statistics, protocols and program to help accomplish these goals.


  1. Leadership
  • Operate the department within scope of responsibility using fiscal policy as determined through the budgeting process.

  • Become a part of and support the mission of SVI and CHI.

  • Lead and evaluate activities of the department within scope of responsibility.

  • Serve as a resource person, for hospital’s long range planning process related to quality improvement and clinical effectiveness.

  • Develops, coaches and trains staff on effective team/meeting management and quality improvement tools and techniques as needed.

  • Provides assistance, consultation and support for the development and implementation of departmental, service line and facility-wide quality improvement plans and initiatives. Conducts just in time training for clinical and quality improvement teams as needed.

  • Assist Vice President, Chief Medical Officer in special projects, research, planning, and/or modifying or establishing programs or service.

  • Exhibits a high level of initiative, accuracy, diplomacy and self-direction; must be able to prioritize workload.

  • As leader of the department would be responsible for the yearly modifications and assist with implementation of the SVI Performance Improvement Plan and Patient Safety Plan.

  • Lead SVI Performance Improvement Councils.

  1. Communication
  • Maintain knowledge base in professional and technical areas pertaining to departments within scope of responsibility.

  • Monitor trends and developments nationally and among local competition in order to identify and respond to potential challenges and opportunities.

  • Coordinate using department resources to help other departments in the Performance Improvement Process

  • Department will monitor and distribute the Patient Satisfaction data to the appropriate parties.

  • Department develops and presents bi monthly Joint Conference Quality reports to the SVI Board Joint Conference Committee.

  • Reviews and reports outcome and quality information to Administration, Medical Staff, Management, Staff and Board of directors/Joint Conference Committee.

  • Collaborates with physicians, management, staff and other personnel on patient care, quality, safety and satisfaction issues.

  1. Quality Improvement/Regulatory Compliance/Risk Management
  • Arrange for the provision of reports and data necessary to accomplish the objectives of the hospital(s) and its medical staff.

  • Assist in the hospital(s) meeting the JCAHO requirements for accreditation as it relates to overall performance improvement initiatives, clinical quality improvement and patient safety initiatives.

  • Where possible identify and implement national external benchmarks for best practices in related department areas.

  • Department will help identify and implement Clinical Effectiveness initiatives

  • Work closely with appropriate Medical Directors on Clinical Effectiveness goals.

  • Works closely with Risk Management to review any Sentinel Events to include helping perform a Root Cause Analysis related to the Sentinel Event.

  • Coordinates performance improvement for clinical and support departments including the collection, analysis and reporting of quality data.

  • Coordinates improvement projects with/through the Performance Improvement Council.

  • Ensure a successful Patient Safety/Medical Error Reduction Program (and committee) is in place to meet organizational needs.

  • Provides coordination and direction of the hospital’s Patient Safety Program, including evaluation of the effectiveness of the program to ensure goals are established, risks prioritized, proactive risk analysis takes place, and data is utilized to monitor performance and identify improvements.

  • Department will serve as the main educational resource for the System in regards to Performance Improvement Initiatives and tools – from both a clinical and operational standpoint.

  • Department will serve as the major source with the facility for clinical data analysis to include peer review, physician profiles, core measures, cardiovascular data bases, credentialing info and other sources of data as identified.

  • Overall coordination and responsibility for state, federal and JCAHO accreditation standards as well as other state and national accreditation standards. This would include a comprehensive continuous survey readiness program.

  • Perform other related duties as assigned.



Education: Master’s degree required.

Experience: At least eight years of progressively more responsible management in health care, which included at least three years experience in areas, related to job summary

Physical Requirements: Able to perform moderately difficult manipulative skills and tasks which require hand-eye coordination, good visual acuity and able to hear normal sounds with some background noise; must be able to concentrate on fine detail with some interruption; attend to task/function for 45 minutes at a time.

Skills: Must possess demonstrated oral and written communication skills at all organizational levels. Must process computer skills in word processing, PowerPoint and excel. Must possess demonstrated skills in Quality Improvement and/or Utilization Management. Must possess demonstrated skills in planning, organizing, and management of professional and management skills.

Job Director/Manager/Supervisor


Daily Schedule FULL TIME

Scheduled Hours per 2-week Pay Period 80

Weekends Required Occasional

Req ID: 2018-R0161529

We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.