Director of Quality & Patient Safety

Direct hospital-wide quality and patient safety programs, ensure regulatory compliance with CMS and The Joint Commission, lead accreditation activities, and drive data-driven quality improvement. Collaborates with infection prevention, risk management, nursing, administration and interdisciplinary teams to implement evidence-based practices, health equity initiatives, and clearly defined metrics. Develops and reports quality performance dashboards, fosters a Just Culture, and oversees budget and staff while advancing clinical quality and outcomes improvement across the organization.