Divisional AVP of Quality in Salt Lake City, Utah, United States
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MountainStar Healthcare

Divisional AVP of Quality

Salt Lake City, UT, United States
Full-time • No Weekends
Executive   Job ID: 1379491
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This position is incentive eligible.


Are you ready to manage in a new era as a Divisional AVP of Quality where building a healthier tomorrow is more than a job? Our MountainStar Healthcare team is committed to partnership, innovation, legacy and improving more lives in more ways. Share your resume today.


MountainStar Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are dedicated to improving human life. Each year about five percent of all U.S. hospital services happen at an HCA Healthcare facility. Be an impact as a(an) Divisional AVP of Quality where your passion for leading and creativity are valued? We want your knowledge and expertise!

Job Summary and Qualifications; Division AVP of Quality

As Division AVP of Quality, you will have the opportunity to use your leadership background to effectively lead a team that is dedicated to patient safety and passionate about ensuring the best atmosphere for patient outcomes and experience. In this role you will:

  • Provide the mission and strategic approach to developing, operationalizing, and sustaining a strong infection prevention program for the Division. Create a safe environment for all division entities, free from infections by integrating leadership skills with expert knowledge.
  • Direct and coordinate infection prevention and control program division-wide through a variety of activities involving medical staff and personnel to ensure protection of patients, families, visitors, employees and healthcare personnel. 
  • Assist with and provide administrative direction and organization for all epidemic investigations occurring at facilities related to healthcare associated or community-acquired infections and/or occupational exposures in order to assure necessary patient safety and risk management practices are addressed following current evidence-based approach and regulatory requirements.
  • Provide guidance for the coordination, development and education and educational materials regarding disease transmission and practices for infection prevention and control for all system entities.
  • Provide leadership and consultation to medical staff (MEC) and leadership at all levels.
  • Direct division performance improvement process and reporting for infection prevention and under DVPQ/DCMO leadership.
  • Coordinate medical and hospital research projects within the division regarding infection prevention and control issues, outcomes and cost-benefit studies. Actively participate in HCA supported research projects, assigning resources and coaching participating study units. 
  • Assist with human resources management within areas of responsibility to achieve quality services and maintain positive employee relations for facility.
  • Promote professional development of self and division entities.
  • Provide direction for fiscal management for division operations to ensure proper utilization of financial resources across IP programs within the division.
  • Maintain a working knowledge of and provide information to ensure compliance with rules, regulations and recommendations from Federal, State, and accrediting agencies as they relate to infection prevention and control across division entities.
  • Required travel.

What qualifications you will need:
  • Master's Degree or higher in a healthcare clinical or healthcare administration-related field.
  • Current state license.
  • 5+ years of relevant work experience
  • 3+ years of management experience
  • Certified Professional Healthcare Quality (CPHQ) must be obtained within 1 year of employment start date

Special Knowledge, Skills, and Abilities:

  • Proven leadership skills in healthcare environments, expertise in acute care systems and/or complex large teaching healthcare institutions with ability to provide leadership, guidance and support for the division.
  • Experience in developing successful IP Programs across a continuum; strong collaborative partnerships with internal and external partners (i.e. leaders in medical staff, nursing, surgical team, EVS, state dept. of heath, etc.) for team building to improves process.
  • Capability to build a strong IP program across the system by:
    • Hiring, developing and sustaining facility infection prevention talent in alignment with the division model
    • Implementing strategic program to reduce infections
    • Reviewing, creating, standardizing facility competencies and processes
    • Assessing facility needs across the division – including skill level, educational needs, team engagement
  • Expertise in process improvement in the realm of HAI trended data/outcomes; expertise in the reduction/elimination of infection prevention risks (i.e High level disinfection, hand hygiene compliance)
  • Capability to measure, analyze, improve and scale positive outcomes in partnership with quality
  • Must have strong verbal and written communication skills
  • Proficient in consulting, teaching, preparing presentations for diverse groups and stakeholders
  • Proficient in NHSN: Operational and surveillance definitions, including plans and location mapping
  • Utilization of evidence-based practice(s)
  • Ability to travel as needed to all facilities within the division’s purview
  • Ability to interact and collaborate with leadership at all levels
  • Experience/ knowledge in data mining system
  • Demonstrate Infection Prevention Expertise
  • Knowledgeable in outbreak investigations and control
  • Knowledge of epidemiologic investigative methodologies.
  • Clinical knowledge related to processes of care.
  • Knowledge of regulatory requirements (OSHA, CMS, State Department of Health), accreditation standards (Joint Commission, state regulatory agencies) and evidence based practice guidelines (CDC).
  • Knowledge of electronic medical record and surveillance software programs for data analysis and presentation.
  • Certified Professional Healthcare Quality (CPHQ) must be obtained within 1 year of employment start date

HCA’s Mountain Division offers careers within 11 respected and integrated hospitals within Utah, Idaho and Alaska. While each site is unique in location, size, and community, all Mountain Division facilities share commonalities of compassion, patient-focused, quality care and collaborative teamwork. We know that together, we’re greater. We know that what makes us better makes our patients better. That’s why our facilities consistently receive national recognition for top quality and exceptional safety.

HCA’s Mountain Division hospitals are part of HCA Healthcare - a network of more than 300 affiliate hospitals, outpatient centers and business offices across the country – offering employees the opportunity for travel and relocation. HCA facilities are all about caring for people, and that care extends to patients, families and employees.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If this is the kind of dynamic growth opportunity that compels you, apply for the Divisional AVP of Quality role. We are interviewing apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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Full-time • No Weekends

About HCA Healthcare

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