Executive Director of Quality & Patient Safety, Adult Services

University of California, San Francisco
Parnassus Heights (SF)

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Employment Type
Full Time
Institution Type
Four-Year Institution
Job Code and Payroll Title
Job Summary
Under the general direction of the Vice President for Quality & Patient Safety, UCSF Health and in close
partnership with the Adult Services executive team, the Executive Director for Quality & Patient Safety,
Adult Services provides strategic direction, executive-level leadership, planning, organization, and general
management for all aspects of the Adult Quality & Patient Safety program. This highly visible and matrixed
senior leadership role will partner with the Adult Services (Adult, HDFCCC, LPPH, FPO, Affiliates &
Partners) executive team, the UCSF Health Quality and Patient Safety executive team, and other key
partners (e.g. physician leaders, UCSF Health leaders, Office of Experience, Strategic/Continuous
Improvement/Lean, Nursing Quality, etc.) to develop and execute a strategy for Quality and Patient Safety
across the Adult Services enterprise across the health system. The incumbent is responsible for facilitating
the prioritization of goals, as well as meeting or exceeding the goals set for Quality & Patient Safety across
Adult Services and to external reporting bodies.

Specific areas of responsibility include the following:
  • Adult Quality Improvement (across spectrum of care)
  • Adult Patient Safety
  • Hospital Epidemiology & Infection Prevention (HEIP), in partnership with UCSF Health Director of
  • HEIP
  • Clinical Documentation Integrity (CDI), in partnership with UCSF Health Director of CDI
  • Analytics & Clinical Effectiveness (ACE), in partnership with UCSF Health Director of ACE
  • Strategic Quality & Patient Safety Initiatives

Req Number
Job Title
Executive Director of Quality & Patient Safety, Adult Services
Employee Class
Shift Length
8 Hours
Additional Shift Details
Mondays through Fridays
Bargaining Unit
99 - Policy-Covered (No Bargaining Unit)
Job Category
Professional and Managerial, Supervisory / Management
Required Qualifications
  • Bachelor's degree in nursing or another healthcare profession, or a combination of comparable clinical education and/or experience
  • This position requires the flexibility to orient and work at all UCSF Health locations as needed
  • An advanced degree in Nursing or related Health Care field (e.g., MPH, MBA, MHA, etc.) or an equivalent combination of education and experience is required
  • At least five (5) years of increasingly responsible management and leadership experience in a large academic medical center with a proven track record in quality improvement, program development, and related planning (ideally in a multi-site hospital system)
  • Strong hospital management experience, with progressive and in-depth expertise in quality and process improvement methodologies, statistical analysis, and database management
  • Strong knowledge of relevant healthcare information technology, including QI workflows and processes, relevant systems, and data management techniques and methodologies
  • Strong knowledge of relevant QI regulatory requirements, as well as related legislative, accreditation, licensing, and compliance environments
  • Strong organizational and leadership skills to solve complex issues. Must communicate with impact, to build and maintain a climate of trust. Must interact and negotiate in a professional manner with a variety of highly influential entities, including the Chancellor and Campus Senior Leadership, UCSF Health and School of Medicine Leadership, major donors/members of the UCSF Foundation, Congressional and Legislative offices, UCOP, Deans, Department Chairs, Chiefs (e.g., CMO, CNO, CIO) and Faculty, and Department and Clinical Managers
  • Excellent skills in developing strategic plans, creating benchmarks, integrating programs, building staff competencies, organizing operations, and fiscal management
  • Excellent leadership and fiscal management skills, with the ability to create a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives
  • Advanced analytical, organizational, and problem-solving skills, with in-depth ability to develop and pursue goals, synthesize data to identify system vulnerabilities, and develop and apply innovative solutions
  • Demonstrated leadership/management skills and excellent interpersonal relationship skills
  • Astute in hospital finance and information systems; business acumen and analytic skills
  • Proven track record in the recruitment, retention, and development of talent
  • Commitment to an academic mission that supports education, research, and staff development
  • Strong ability to work collaboratively and effectively with medical staff, nursing leadership, ancillary departments, and staff

Preferred Qualifications
  • Master’s degree in a health-related field (e.g. Master of Public Health, Master of Science in Nursing, Master of Business Administration, Master of Public Administration, Master of Healthcare Administration, etc.)
  • National specialty certification (e.g., Certified Professional in Healthcare Quality, Certified Clinical Documentation Specialist, Nurse Executive Advanced board certification, Certified in Executive Nursing Practice)
  • Experience with LEAN methodologies and/or knowledge and support of LEAN principles
  • Previous executive-level experience

Position Type
Full Time
Department Name
Adult Quality Improvement
Equal Employment Opportunity
The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Department Description
The Department of Quality & Safety consists of Adult Quality & Safety, BCH Quality & Safety, Hospital Epidemiology & Infection Prevention, Analytics & Clinical Effectiveness, and Clinical Documentation Integrity. The teams are made of multidisciplinary professionals with diverse backgrounds. The role of the Department is the support UCSF Health to deliver safe, equitable, and high-quality care to the communities we serve.
About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.

In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.
Parnassus Heights (SF)

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