City of Hope Director, Nursing Quality in Duarte, California

About City of Hope

City of Hope, an innovative biomedical research, treatment and educational institution with over 5,000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.

Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation's 20 leading cancer centers that develops and institutes standards of care for cancer treatment.

Position Summary:

The Director, Nursing Quality leads nursing efforts across all inpatient, outpatient and community settings in establishing an environment that supports the delivery of high quality, exquisite patient care. The Director provides leadership, direction and consultation to nursing leadership and clinical nurses regarding all patient quality, safety issues. She/He develops and implements programs and systems to meet the department and divisional objectives consistent with City of Hope's philosophy, mission, vision and strategic plan.

The Director, Nursing Quality leads a commitment to quality as defined by internal and external customers in a way that makes quality knowable and measurable. He/she works to ensure a shared sense of purpose in creating both value for the customer and the committed involvement of nursing staff at all levels. The Director provides focus on the inadequacies of work processes as a source of error, trains others in quality improvement strategies and techniques, and develops an infrastructure to give nursing staff access to the problem-solving process, removing barriers to quality, and offering freedom from fear of reprisal. The Director supports the PDCA model of quality improvement and works with senior leadership to integrate annual quality goals of the City of Hope and key result areas with quality improvement/safety initiatives within nursing units and departments. The Director serves as a leader and mentor within nursing and throughout the Medical Center. He/She partners with physicians, hospital executives, and leadership and managers to execute key performance improvement strategies.

The Director is responsible for oversight and direction of the nursing quality program and plan within the City of Hope. She/He is responsible for coordinating and integrating nursing quality improvement initiatives with other departments and serves as a role model, resource and mentor for patient care staff through support and active participation in the City of Hope Nursing Shared Decision Making Councils. This position is responsible for planning, developing and directing comprehensive, cross-functional, quality improvement to achieve national best practice performance levels related to evidenced based guidelines, quality metric performance improvement and quality of nursing services rendered to patients and internal/external customers while maintaining exceptional level of professionalism and customer service.The Director is a licensed nursing professional with management and leadership expertise who plans, directs, coordinates and leads the entire nursing quality function.

Essential Functions:

This role performs in support of roles based practice and adherence to the Board of Registered Nurse's Scope of Practice, Regulation #2725 for the State of California, the California Nurse Practice Act, Title 22 and the Joint Commission Standards in addition to California licensing requirements as they pertain to this role. This role has the degree of independence required to achieve operating results consistent with approved operating plans, objectives, and policies. The Director of Nursing Quality is responsible for the overall operations of the Department, including frequent engagement and collaboration with the Medical Staff, compliance with all regulatory agencies (DHS, FACT, TJC, TITLE 22, etc.) for all areas of responsibility. This position must have the ability to engage and influence physicians, staff, and leadership through the use of effective communication and data driven decision making. This position must be familiar with the three (3) collective bargaining agreements representing the employee's e.g. SEIU/UHW; CNA; and Local 30.

Quality Leader

  • Responsible for nursing quality goal development, planning, execution and evaluation of goal achievement. Develops short, mid and long-term nursing quality goals with plans to facilitate/guide goal achievement that are consistent with the mission and values of the City of Hope and the overall quality department. Involves unit staff in goal development, planning, execution and evaluation via our shared. Revises plan based upon evaluation of progress toward goals. Assists areas within department with goal development, planning, execution and evaluation. Submits annual report.
  • Effectively communicates with patients, visitors, management staff, departmental personnel, physicians, peers and other City of Hope personnel. Participates in area meetings. Rounds off shift in areas. Demonstrates effective problem solving, negotiating, and conflict resolution skills. Promotes teamwork.
  • Serves as role model, motivates, mentors, and inspires management staff and department personnel; demonstrates flexibility and impartiality when dealing with others. Participates in interviews, hiring, and evaluation of quality related staff. Serves in the mentor role for the City of Hope Nursing Quality Council.
  • Participates in and assumes leadership role in City of Hope committees, task forces and special projects. Demonstrates dependability in meeting target dates for reports and project completion. Represents the City of Hope in professional and civic activities locally, across the state or nationally as requested. Remains up-to-date in current level of practice.
  • Develops, implements and evaluates programs with emphasis on improvement in outcomes, service, operations and cost.
  • Adheres to regulatory compliance standards (JCAHO, ODH, etc.)

Internal Quality Consultant

  • Communicates the mission, vision and goals of City of Hope Nursing in all interactions with nursing personnel and other disciplines/departments.
  • Fosters collegial professional relationships within nursing service and across hospital departments.
  • Partners with leaders in other patient care disciplines to promote quality patient care.
  • Designs, delivers and evaluates educational programming to support quality, safety, and nursing practice initiatives.
  • Integrates evidence-based patient safety principles in all clinical practice initiatives.
  • Fosters a culture of safety. Encourages reporting of events and near misses.
  • Participates through leadership role modeling in FEMA and root cause analyses.
  • Leads and evaluates nursing initiatives to refine systems and processes to promote patient/nurse safety.
  • Develops, administrates and evaluates framework for the nursing quality improvement program, including data collection and analysis processes, report generation, process improvement, benchmarking, and outcomes management.
  • Provides direction and coordination of quality assessment and improvement initiatives within all nursing units
  • Integrates professional standards and evidence-based practice in development and evaluation of quality initiatives.
  • Ensures that performance data is disseminated and activity reviewed for opportunities to change practice.
  • Serves as a resource expert in educating nursing about quality improvement methodologies.
  • Collaborates with magnet office to help manage city of Hope participation in the National Database of Nursing Quality Indicators.
  • Participates in external benchmarking as determined by the organization.
  • Ensures the nursing quality improvement program is congruent with the city of Hope mission and goals.
  • Collaborates with the City of Hope Vice President for Quality and staff to communicate and coordinate Quality improvement functions and projects
  • Establishes and maintains collegial relationships with nursing and quality professionals across the campus, affiliated Colleges of Nursing and NCI CCC hospitals
  • Provides leadership for nursing involvement in interdisciplinary quality improvement initiatives.

Fiscal Management

  • Acts in a fiscally responsible manner
  • Develops revenue growth and effective expense management strategies, inclusive of management of capital and human resources.

Personnel Management & Development

  • Recruit, develop, train and retain quality individuals. Provide leadership and mentoring to develop accountable top quality staff.
  • Motivate, influence and foster culture change with staff, colleagues, peers, physicians, other department directors and stake holders in the organization to support the mission and core values.
  • Performs annual employee performance evaluation and motivates employees to perform in an efficient and professional manner; recruits and maintain the staff necessary to carry out the functions of the departments.

Other Duties as Required

Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, includingadherence to theworkplaceCode of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.

Performs other related duties as assigned or requested.

Position Qualifications:

Minimum Education:

  • MSN required

Minimum Experience:

  • 8 to 10 years nursing experience required with a minimum of 5 years in nursing leadership. Experience in leading Nursing Quality Initiatives

Req. Certification/Licensure:

  • California RN license required.

Pref. Certification/Licensure:

  • Quality Certification recommended


  • Proven track record of strategic programmatic leadership.
  • Knowledge of Title 22, DHS, and JCHO standards
  • Must have Excellent Interpersonal skills, must have the ability to effectively influence and persuade nursing, physician, and hospital leadership to implement change.

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.