NYC Health + Hospitals
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Associate Director, Quality Assurance
role at
NYC Health + Hospitals
NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally‑sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person‑centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
NYC Health + Hospitals provided pay range This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $125,000.00/yr - $125,000.00/yr
Duties & Responsibilities
Purpose of the Position : Responsible for supporting and assisting with the implementation of the hospital’s Quality and Patient Safety Program. Monitor performance improvement activities across departments. Ensure alignment with regulatory and accreditation standards (Joint Commission, CMS, DOH and other regulatory bodies). Serves as a principal Assistant to the Chief Quality Officer of the facility and exercises initiative in the administrative direction and coordination of major activities and functions of the facility as it relates to Quality, Safety and Performance Improvement.
Project Lifecycle Management
Coordinate and manage specific quality and safety improvement projects from start to finish, including planning, execution, and delivery of project outcomes and supporting sustainability.
Develop and implement operational processes, templates, and procedures that support project activities related to quality and safety initiatives.
Ensure that project objectives and development are aligned with the hospital's strategic goals and quality priorities.
Manage the gathering of data and preparation of key reports, including the Quality Assurance Performance Improvement (QAPI) report to the Board of Governors (Board Report), providing updates on project progress and outcomes.
Manage the preparation and organization of hospital-wide quality meetings (HWQAPI), coordinating agendas, materials, and data relevant to quality and safety initiatives.
Project/Program Execution
Utilize project management methodologies to ensure that specific quality and safety projects are organized, planned, and executed efficiently.
Develop contingency plans for addressing potential delays or obstacles to ensure project success.
Work proactively to anticipate challenges and ensure smooth project delivery.
Monitor the day‑to‑day activities of PI and quality projects, ensuring timely completion of deliverables and resolving issues as they arise.
Maintain regular communication with stakeholders to keep them informed of project progress, milestones, and challenges.
Collaboration with Key Stakeholders
Work with departmental leaders, clinical and non‑clinical teams, and other key stakeholders to define and refine project objectives, timelines, and resource allocation for each quality and safety project.
Coordinate project tasks across various teams to ensure that each department is aligned with the project’s goals and timelines.
Facilitate communication between internal teams and external partners to ensure projects are delivered smoothly and successfully.
Support for Operational Improvements
Focus on delivering targeted improvements within specific areas of quality and safety, such as clinical processes, patient safety, and workflow efficiencies.
Develop and implement processes for tracking project progress, ensuring that milestones are met and deliverables are on schedule.
Work with teams to identify bottlenecks and inefficiencies, proposing solutions for continuous improvement within the scope of each project.
Training & Implementation Support
Provide support for training programs and educational sessions related to the implementation of quality and safety projects, ensuring that staff understand and can execute new processes.
Assist in the rollout of new tools, systems, or protocols as part of quality improvement initiatives, ensuring proper adoption and integration across departments.
Performance Monitoring & Reporting
Establish and track performance metrics for each project to ensure that objectives are being met.
Regularly report on the status of projects to leadership, highlighting progress, risks, and potential delays.
Contribute to the preparation and presentation of the QAPI Board Report and hospital‑wide quality meetings, ensuring that performance data accurately reported and presented.
Budget Administration & Resource Management
Oversee the budget administration for quality and safety projects, including the Quality Academy, ensuring that allocated funds are utilized appropriately and that spending aligns with project goals.
Collaborate with hospital finance teams to create and track project budgets, ensuring accurate financial reporting and adherence to budget constraints.
Monitor project expenditures, identify potential budget discrepancies, and work to resolve any issues that may impact project funding.
Provide regular updates on the financial status of quality and safety projects to the CQO office, ensuring transparency and accountability in the use of hospital resources.
Problem‑Solving & Risk Mitigation
Identify and resolve issues or risks that arise during the execution of quality and safety projects, minimizing disruptions to the hospital’s daily operations.
Develop contingency plans for addressing potential delays or obstacles to ensure project success and adherence to deadlines.
Work proactively to anticipate challenges and ensure smooth project delivery.
Regulatory and Compliance Support
Ensure that quality and safety improvement projects comply with hospital policies, regulations, and accreditation standards.
Support the preparation of documentation needed for regulatory and accreditation reviews, ensuring that projects are in alignment with required standards.
Works collaboratively with regulatory to identify problem areas that need improvement, identify gaps and help with improvement projects related to compliance with The Joint Commission, Department of Health, and other regulatory agencies.
Continuous Improvement
Engage in ongoing process analysis to identify areas for improvement in the implementation of quality and safety projects.
Make recommendations for future project modifications or improvements based on evaluation and feedback.
Other Duties as Assigned
Perform other tasks related to execution and support of quality and safety improvement projects as directed by the CQO office or hospital leadership.
Additional Responsibilities
Assists the Chief Quality Officer in coordination and submission of the quarterly report to the Board of Directors and the semi‑annual and annual Governing Body Reports.
Assists the Chief Quality Officer in the Hospital‑wide Quality Assessment and Performance Improvement (HWQAPI) activities.
Works closely with nursing quality to improve compliance with quality indicators.
Works with Department Heads/leaders and other stakeholders to improve compliance to standards and improve the quality of care provided.
Develops and implements a comprehensive strategy to electronically organize, securely store, and share Quality and Safety Key indicators.
Ongoing readiness for Quality Academy schedules and sessions. Serves as a liaison in the Quality Academy capacity building program.
Minimum Qualifications
Qualification for Central Office.
a. A Baccalaureate Degree in Public Administration, Public Health or Health Care Specialization; and, five years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.
b. A Masters Degree in Public Administration, Public Health or Health Care Specialization; and, four years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.
Department Preferences: Not specified.
How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
Seniority level Director
Employment type Full‑time
Job function Quality Assurance
#J-18808-Ljbffr
Associate Director, Quality Assurance
role at
NYC Health + Hospitals
NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally‑sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person‑centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
NYC Health + Hospitals provided pay range This range is provided by NYC Health + Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range $125,000.00/yr - $125,000.00/yr
Duties & Responsibilities
Purpose of the Position : Responsible for supporting and assisting with the implementation of the hospital’s Quality and Patient Safety Program. Monitor performance improvement activities across departments. Ensure alignment with regulatory and accreditation standards (Joint Commission, CMS, DOH and other regulatory bodies). Serves as a principal Assistant to the Chief Quality Officer of the facility and exercises initiative in the administrative direction and coordination of major activities and functions of the facility as it relates to Quality, Safety and Performance Improvement.
Project Lifecycle Management
Coordinate and manage specific quality and safety improvement projects from start to finish, including planning, execution, and delivery of project outcomes and supporting sustainability.
Develop and implement operational processes, templates, and procedures that support project activities related to quality and safety initiatives.
Ensure that project objectives and development are aligned with the hospital's strategic goals and quality priorities.
Manage the gathering of data and preparation of key reports, including the Quality Assurance Performance Improvement (QAPI) report to the Board of Governors (Board Report), providing updates on project progress and outcomes.
Manage the preparation and organization of hospital-wide quality meetings (HWQAPI), coordinating agendas, materials, and data relevant to quality and safety initiatives.
Project/Program Execution
Utilize project management methodologies to ensure that specific quality and safety projects are organized, planned, and executed efficiently.
Develop contingency plans for addressing potential delays or obstacles to ensure project success.
Work proactively to anticipate challenges and ensure smooth project delivery.
Monitor the day‑to‑day activities of PI and quality projects, ensuring timely completion of deliverables and resolving issues as they arise.
Maintain regular communication with stakeholders to keep them informed of project progress, milestones, and challenges.
Collaboration with Key Stakeholders
Work with departmental leaders, clinical and non‑clinical teams, and other key stakeholders to define and refine project objectives, timelines, and resource allocation for each quality and safety project.
Coordinate project tasks across various teams to ensure that each department is aligned with the project’s goals and timelines.
Facilitate communication between internal teams and external partners to ensure projects are delivered smoothly and successfully.
Support for Operational Improvements
Focus on delivering targeted improvements within specific areas of quality and safety, such as clinical processes, patient safety, and workflow efficiencies.
Develop and implement processes for tracking project progress, ensuring that milestones are met and deliverables are on schedule.
Work with teams to identify bottlenecks and inefficiencies, proposing solutions for continuous improvement within the scope of each project.
Training & Implementation Support
Provide support for training programs and educational sessions related to the implementation of quality and safety projects, ensuring that staff understand and can execute new processes.
Assist in the rollout of new tools, systems, or protocols as part of quality improvement initiatives, ensuring proper adoption and integration across departments.
Performance Monitoring & Reporting
Establish and track performance metrics for each project to ensure that objectives are being met.
Regularly report on the status of projects to leadership, highlighting progress, risks, and potential delays.
Contribute to the preparation and presentation of the QAPI Board Report and hospital‑wide quality meetings, ensuring that performance data accurately reported and presented.
Budget Administration & Resource Management
Oversee the budget administration for quality and safety projects, including the Quality Academy, ensuring that allocated funds are utilized appropriately and that spending aligns with project goals.
Collaborate with hospital finance teams to create and track project budgets, ensuring accurate financial reporting and adherence to budget constraints.
Monitor project expenditures, identify potential budget discrepancies, and work to resolve any issues that may impact project funding.
Provide regular updates on the financial status of quality and safety projects to the CQO office, ensuring transparency and accountability in the use of hospital resources.
Problem‑Solving & Risk Mitigation
Identify and resolve issues or risks that arise during the execution of quality and safety projects, minimizing disruptions to the hospital’s daily operations.
Develop contingency plans for addressing potential delays or obstacles to ensure project success and adherence to deadlines.
Work proactively to anticipate challenges and ensure smooth project delivery.
Regulatory and Compliance Support
Ensure that quality and safety improvement projects comply with hospital policies, regulations, and accreditation standards.
Support the preparation of documentation needed for regulatory and accreditation reviews, ensuring that projects are in alignment with required standards.
Works collaboratively with regulatory to identify problem areas that need improvement, identify gaps and help with improvement projects related to compliance with The Joint Commission, Department of Health, and other regulatory agencies.
Continuous Improvement
Engage in ongoing process analysis to identify areas for improvement in the implementation of quality and safety projects.
Make recommendations for future project modifications or improvements based on evaluation and feedback.
Other Duties as Assigned
Perform other tasks related to execution and support of quality and safety improvement projects as directed by the CQO office or hospital leadership.
Additional Responsibilities
Assists the Chief Quality Officer in coordination and submission of the quarterly report to the Board of Directors and the semi‑annual and annual Governing Body Reports.
Assists the Chief Quality Officer in the Hospital‑wide Quality Assessment and Performance Improvement (HWQAPI) activities.
Works closely with nursing quality to improve compliance with quality indicators.
Works with Department Heads/leaders and other stakeholders to improve compliance to standards and improve the quality of care provided.
Develops and implements a comprehensive strategy to electronically organize, securely store, and share Quality and Safety Key indicators.
Ongoing readiness for Quality Academy schedules and sessions. Serves as a liaison in the Quality Academy capacity building program.
Minimum Qualifications
Qualification for Central Office.
a. A Baccalaureate Degree in Public Administration, Public Health or Health Care Specialization; and, five years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.
b. A Masters Degree in Public Administration, Public Health or Health Care Specialization; and, four years of increasingly responsible experience in hospital administration, with particular emphasis on development and evaluation of health care delivery services.
Department Preferences: Not specified.
How To Apply If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
Seniority level Director
Employment type Full‑time
Job function Quality Assurance
#J-18808-Ljbffr