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Summary The Quality and Patient Safety, Chief is an advanced healthcare executive who executes responsibilities that demonstrate leadership, experience, and innovative approaches in the guidance and direction of a variety of complex patient care programs and services. They function as a leader, administrator, and consultant accountable to the Medical Center leadership with authority broad enough to improve care for Veterans through their influence over policy development and decisions Responsibilities This position is open to both Registered Nurses and Physicians. If you are a: Registered Nurse, apply to VIN: 12765271 Physician, apply to VIN: 12765474 Note: Only 1 (one) selection will be made. Our hospital provides primary care and specialty health services, including bariatric surgery, mental health care, palliative and hospice care, suicide prevention, women's health care, and more. The Quality and Patient Safety, Chief is a member of the Medical Center's Executive Leadership Team (ELT). The Quality and Patient Safety, Chief is a catalyst for the integration and collaboration of with other professional disciplines and functional areas in the mutual achievement of optimal Veteran-driven organizational goals at the Medical Center level. Major duties include, but are not limited to: Strategic planning, performance measures, organizational assessment, quality outcomes, and facility program development. Participate with the ELT and strategic thought leaders in Medical Center to initiate and execute planning and decision-making processes for their program. Authority and responsibility for establishing standards of quality across all levels of the health care system ensuring quality of care across the Medical Center. Exercise authority and approval for Medical Center policy, practices, and the standards to measure, assess, and improve patient outcomes. Appropriately delegates activities to those staff within the Quality Management (QM) Program under their purview. Planning and managing effective processes that support an effective ongoing accreditation cycle for all services provided as required by VHA Directives such as The Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF). Responsible to support a system-wide continuous readiness framework for the maintenance of full accreditation by identifying risks and supporting mitigations and processes to effectively address identified standards non-compliance through corrective actions. Manage all phases of inspections and reviews from inception to report closure by internal and external regulatory agencies such as but not limited to The Office of Healthcare Inspections, Office of the Medical Inspector, VA Office of Inspector General, or contracted vendor surveys for specialized areas such as the community living centers. Provides management of the Quality and Patient Safety department programs that support the healthcare system in risk identification and mitigation for clinical services through patient safety and risk management programs, surgical quality audits, controlled substances programs and performance improvement programs among other programs and initiatives. Champions a High Reliability Organization (HRO) within their area of responsibility founded on a collective mindfulness approach to develop evidence-based health care solutions that promote a culture of prevention and safety and a healthy work environment through the implementation of shared decision-making, a spirit of inquiry and an academic environment supportive of education and research. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Relocation Incentive: Authorized Permanent Change of Station (Relocation Assistance): Authorized Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday to Friday, 7:30 am to 4:00 pm Requirements Conditions of Employment U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed. Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences. Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs. Proficiency in spoken and written English. Preferred Qualifications/Experience: Experience in a Quality Management position for at least the past two years is highly desired. At least 3 years of progressive leadership experience as a section/service chief with clinical and administrative oversight for a full range of areas (including inpatient, outpatient care ). Administrative/Process improvement experience and exposure to VISN/National partnership forums/collaboratives/committees. At least 5 years Quality, Safety, and Improvement Experience. Board Certified /Board Eligible. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: See VA Directive and Handbook 5019. Physical Requirements: Lifting up to 35 pounds, intermittently; moderate carrying (15-35 pounds), intermittently; lifting over 35 pounds with assistive devices in accordance with the Safe Patient Handling Policy except in emergent situations requiring prompt patient care; pulling, intermittently; pushing, intermittently; reaching above the shoulders, intermittently, both hands required; walking, intermittently; standing, intermittently; kneeling, intermittently; and repeated bending. Education Degree of Doctor of Medicine or an equivalent degree resulting from a course of education in allopathic medicine or osteopathic medicine. The degree must have been obtained from an institution whose accreditation was in place for the year in which the course of study was completed. Approved schools are: Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.] NOTE: The Under Secretary of Health or designee in the VHA Central Office may approve the appointment under authority of 38 U.S.C. 7405 of a physician graduate of a school of medicine not covered above if the candidate is to be assigned to a research, academic, or administrative position with no patient care responsibilities. The appointment will be made only in exceptional circumstances where the candidate's credentials clearly demonstrate high professional attainment or expertise in the specialty area. Additional Information This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement. Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.