Summary The Director of Quality, Safety & Value Service provides program oversight, coordination and leadership in quality and performance management processes. Responsible for planning, designing, integrating, implementing, modifying and administering a Quality and Performance Management Program. Operates under broadly delegated authority, taking action to develop or modify objectives and boundaries of assignment as indicated, and plays a critical role in organizational performance improvement. Responsibilities The Director of Quality, Safety & Value provides program oversight, coordination and leadership in quality and performance management processes throughout the facility. Working within the established medical facility and network organizational structure, the Director of Quality, Safety & Value is responsible for planning, designing, integrating, implementing, modifying and administering a Quality and Performance Management Program to evaluate and continuously improve services to the Veterans it serves. The incumbent operates under broadly delegated authority, taking action to develop or modify objectives and boundaries of assignment as indicated, and plays a critical role in organizational performance improvement as a member of the management team. (20%) Broadly defined, this position is dedicated to the pursuit of excellence in performance in priority areas established by VHA nationally and at the Network level. The position is also dedicated to the attainment of key organizational goals through direct responsibility and/or the application of expertise and oversight for the Quality, Safety and Value Service which includes oversight of the following program segments: Risk Management, Patient Safety, Safety, Green Environmental Management System (GEMS), Industrial Hygiene, Occupational Health, Integrated Ethics, Systems Redesign, Performance Improvement (PI) and Accreditation Management (30%) Coordinate information gathering and completion of accreditation participation requirements for survey by the Joint Commission (TJC). Coordinate completion and then submit to TJC the required annual periodic performance review. Update the facility survey applications as needed. Notify TJC as required of any changes to services delivered and any additional locations where care is provided. Monitor facility major accreditation functions and initiate review activities as needed to ensure continuous survey readiness. (10%) Coordinate facility preparation, information gathering and completion of requests for inspection reviews and self-assessments by VISN20, VA Central Office (VACO) and the Office of Inspector General (OIG). Review and assign new program Directives and Handbooks and coordinate implementation of requirements as necessary. Monitor VACO reports on OIG major QSV Systems' findings and initiate review activities as needed to ensure compliance. Respond to OIG Hotline Complaints, White House and Congressional requests as appropriate to designated areas. (10%) Chair the Quality, Safety & Value Council and ensures assessment and monitoring of the overall QSV System for compliance with VHA Directive and ensures findings of patterns and/or trends impacting effectiveness are used to modify and improve the QSV system and facilitate accomplishment of the facility's goals and objectives. This responsibility includes participating in the decision-making process of managing QSV system operations, establishing QSV system goals and priorities, providing direction on program development and establishing strategic plans and initiatives on which the QSV system is to operate. (10%) Provide recommendations for new policies and procedures and revisions to existing policies and procedures as necessary; compiling, coordinating and completing facility responses to recurring and non-recurring and special reports requested by VHA and VISN leadership in response to Congressional oversight or non-VA Accreditation organizations. These responsibilities require a comprehensive knowledge of the VHA healthcare management system including aspects that are in concert with local, VISN 20, VHA, and VA vision and strategic plans. (10%) Implement the facility risk management program assuring systematic processes for management and review of administrative claims, tort claims, and incident reports referred by the Patient Safety Program, coordination of administrative investigations, and administration of the Protected Peer Review Program for Quality, Safety & Value. Assures risk management information is managed, and opportunities for improvement are properly monitored, follows-up on requests from the VISN, VA Central Office, and Regional Counsel for further information, including timely action items and submission of required reports, memoranda. Generates risk management reports as necessary containing findings, conclusions and recommendations based on activities and provides to the Director, Chief of Staff. (10%) Work Schedule: Monday-Friday; 8:00am-4:30pm Telework: Not Available Virtual: This is not a virtual position. Position Description/PD#: Supv Health System Specialist - Director of Quality, Safety and Value Service/PD802930 Relocation/Recruitment Incentives: Not Authorized Financial Disclosure: Not required Requirements Conditions of Employment You must be a U.S. Citizen to apply for this job To be considered for this position, you must complete all required steps in the process. In addition to the application and questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Selective Service Registration is required for males born after 12/31/1959 Subject to background/security investigation Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued dentification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP) Qualifications To qualify for this position, applicants must meet all requirements within 30 days of the closing date of this announcement, 11/24/25. Time-In-Grade Requirement: Applicants who are current Federal employees and have held a GS grade any time in the past 52 weeks must also meet time-in-grade requirements by the closing date of this announcement. For a GS-13 position you must have served 52 weeks at the GS-12. The grade may have been in any occupation, but must have been held in the Federal service. An SF-50 that shows your time-in-grade eligibility must be submitted with your application materials. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate you possess one-year time-in-grade, as required by the announcement. In this instance, you must provide an additional SF-50 that clearly demonstrates one-year time-in-grade. Note: Time-In-Grade requirements also apply to former Federal employees applying for reinstatement as well as current employees applying for Veterans Employment Opportunities Act of 1998 (VEOA) appointment. You may qualify based on your experience as described below:- Specialized Experience: You must have one year of specialized experience equivalent to at least the next lower grade GS-12 in the normal line of progression for the occupation in the organization. Examples of specialized experience would typically include, but are not limited to: progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work may have been performed in a operating health care facility or higher organizational echelon with advisory or directional authority over such facilities. Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical or other service activities, and provided knowledge of the following: missions, organizations, programs, and requirements of health care delivery systems; regulations and standards of various regulatory and credentialing groups; and government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement. You will be rated on the following Competencies for this position: -Administration and Management -Performance Measurement -Quality Management -Organizational Awareness -Planning and Evaluating Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Note: A full year of work is considered to be 35-40 hours of work per week. Part-time experience will be credited on the basis of time actually spent in appropriate activities. Applicants wishing to receive credit for such experience must indicate clearly the nature of their duties and responsibilities in each position and the number of hours a week spent in such employment. Physical Requirements: This work is primarily sedentary, although some slight physical effort may be required. For more information on these qualification standards, please visit the United States Office of Personnel Management's website at https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/. Education There is no educational substitution at this grade level. Additional Information Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act. Placement Policy: The posting of this announcement does not obligate management to fill a vacancy or vacancies by promotion. The position may be filled by reassignment, change to lower grade, transfer, appointment, or reinstatement. Management may use any one or any combination of these methods to fill the position. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This job opportunity announcement may be used to fill additional vacancies. For more information on the "Who may apply" eligibility requirements, please refer to the OHRM Status Candidates and Other Candidate Definitions document. If you are unable to apply online view the following link for information regarding an Alternate Application.
