Masters Degree Required
St. Francis Hospital, The Heart Center is New York State's only specialty designated cardiac center. A member of Catholic Health Services of Long Island, St. Francis is consistently recognized by U.S. News & World Report as a national leader for Cardiology & Heart Surgery, as well as for Gastroenterology & GI Surgery. Additionally, U.S. News rates St. Francis as high performing in Geriatrics, Neurology & Neurosurgery, Orthopedics, and Pulmonology. Nursing care at St. Francis is also nationally recognized, with multiple Magnet designations, as well as the AMSN PRISM Awards and Beacon Awards. St. Francis has regularly out-scored other hospitals on Long Island.
St. Francis Hospital is dedicated to providing a supportive environment, committed to the highest standards of patient care, where health care professionals can develop their expertise and strengthen their credentials.
The Vice President of Quality, Regulatory and Performance Improvement (PI) at St. Francis Hospital reports to the Chief Medical Officer and is responsible for the administration of all programs and initiatives relating to quality, including publically reported and commercial quality metrics, and serves as a resource for Process Improvement throughout the organization, while ensuring full compliance with all accreditation and regulatory requirements. The successful candidate will plan, organize and direct the following functions including, but not limited to:
Abstracting data for reporting to Federal, State and accrediting agencies to include:
Core measures abstraction and validation (inpatient and outpatient), The Joint Commission and CMS
Abstraction and validation of data submitted to PCI, Open Heart, TAVR, ICD and CMS Carotid Artery Stent registries
Abstraction and validation of data for submission to NYSDOH and to AHA Get With the Guidelines
Assisting with data analysis and data display to:
Assure timely and complete submission of data to the above registries
Develop high level reports and scorecards for Hospital and Medical Staff leadership
Organize and prepare data for use in Focus and Ongoing Professional Practice Evaluation by Medical Staff
Directs a comprehensive Performance Improvement/Patient Safety Program
St. Catherine Of Siena