Chief Quality & Patient Safety Officer - Behavioral Health | Summit Healthcare Mgmt | Franklin, Tennessee
About the Job:
PURPOSE STATEMENT:
The Chief Quality & Patient Safety Officer provides executive leadership and is accountable for developing and implementing patient safety, clinical quality, and performance improvement strategies across all service lines. This role shapes the organization’s vision for high-reliability care, driving enterprise-wide initiatives that improve patient outcomes, reduce risk, and foster a culture of quality and patient safety. Operating within a matrixed environment, the SVP collaborates with executive and operational leadership to ensure the seamless integration of quality and patient safety priorities into daily clinical and operational practices. The SVP oversees the Vice President of Quality and Patient Safety - SUD and Vice President of Quality and Patient Safety - Acute and partners closely with clinical, regulatory, compliance, and operational teams to drive sustainable improvements and ensure organizational excellence.
Roles and Responsibilities:
Develop, review, update internal clinical procedures, outcomes measurement, patient satisfaction, clinical/financial tools, and resources.
Work cross-functionally with clinical leaders, medical staff, risk management, compliance, and frontline teams to advance patient safety and quality initiatives.
Works across technology and data teams to oversee the development, implementation, and tracking of key performance indicators (KPIs) to measure and enhance patient safety, clinical quality, and operational effectiveness.
Establish and refine systems for timely and effective reporting, investigation, and response to patient safety incidents, ensuring lessons learned are embedded in operations.
Ensure compliance with all federal, state, and accreditation standards related to patient safety and quality, including The Joint Commission, CARF, CMS, and state licensure requirements.
Build and mentor a high-performing quality and patient safety team, providing leadership, guidance, and professional development opportunities.
Lead investigations into alleged violations of rules, regulations, policies, and Codes of Conduct by evaluating and recommending investigations as appropriate. Coordinate resolution of ethics reports with the Chief Compliance Officer.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Advanced degree(s) in healthcare-related fields, such as MD, PhD, MPH, MHA, MBA, PsyD, MSW, APRN, or related disciplines
Ten or more years of experience in healthcare quality, patient safety, and/or clinical leadership, with at least five years in a senior leadership/management role.
Deep understanding of regulatory, accreditation standards, standard quality measures, and value-based care including The Joint Commission, CARF, CMS, NCQA, and state regulations.
Exceptional communication, facilitation, collaboration, and influencing skills with diverse stakeholders.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
SUPERVISORY REQUIREMENTS:
Ten or more years’ supervisory/management experience required, preferably in behavioral health.
Why Summit Healthcare Mgmt?Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE.
Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
