ORGANIZATION background AND culture

For more than a century, ProHealth Care has been the health care leader in Waukesha County, Wisconsin, and surrounding areas, providing outstanding care across a full spectrum of services. We strive to continuously improve the community’s health and well-being by combining skill, compassion and innovation. ProHealth’s regional health care system includes:

• ProHealth Waukesha Memorial Hospital, a major tertiary center
• ProHealth Oconomowoc Memorial Hospital, a community hospital
• ProHealth Waukesha Memorial Hospital-Mukwonago, a community hospital
• ProHealth Rehabilitation Hospital of Wisconsin, in partnership with Kindred Rehabilitation
• ProHealth Medical Group, with nearly 300 providers and 16 clinics in Waukesha, Jefferson and Racine counties
• The UW Health Cancer Center at ProHealth Care
• The UW Health Heart & Vascular Center at ProHealth Care
• Home health care
• Hospice care, offered at home and at ProHealth AngelsGrace Hospice
• ProHealth Care Moreland Surgery Center
• Rehabilitation services
• Employer services
• ProHealth Regency Senior Communities
• ProHealth West Wood Health & Fitness Center

With about 5,000 employees and hundreds of physicians and other health professionals, the people of ProHealth Care stand ready to work in partnership with you for better health.

For 2021, ProHealth Care reported net revenue of $948.2 million and an operating income of $92.2 million.

ProHealth Care's Hospitals

ProHealth Care is proud to offer sophisticated technology and advanced diagnostic, surgical and medical care capabilities at its three hospitals — ProHealth Waukesha Memorial Hospital, a tertiary hospital near downtown Waukesha, in the center of ProHealth’s service area; ProHealth Oconomowoc Memorial, a community hospital in the western part of the service area; and ProHealth Waukesha Memorial Hospital-Mukwonago, a new community hospital in the southern part of the service area. ProHealth’s hospitals offer advanced technology, clinical research, the latest diagnostic and treatment options, and a multidisciplinary, evidence-based approach to care.

ProHealth Rehabilitation Hospital of Wisconsin, located in Waukesha, provides outstanding post-acute care for patients recovering from neurological conditions including stroke, traumatic and non-traumatic brain injuries, and neuro exacerbations. The hospital’s rehabilitation experts also provide care for orthopedic conditions including hip fractures and scheduled orthopedic surgeries.

Hospital Awards and Recognition

Joint Commission accreditations

ProHealth Care’s commitment to providing safe, effective patient care has earned it the Joint Commission’s Gold Seal of Approval for:

• Hospital Accreditation
• Home Care Accreditation
• Behavioral Health Care Accreditation

Excellent ER experience

ProHealth Oconomowoc Memorial Hospital holds a 2021 Press Ganey Guardian of Excellence Award for Patient Experience for Emergency Department care. The award honors hospitals that rank in the 95th percentile or above in the Press Ganey patient satisfaction survey. It is the first and only hospital in Wisconsin to receive this honor for 14 consecutive years.

Blue Distinction Centers

BlueCross BlueShield recognizes ProHealth for its high-quality specialty care and patient results with the following designations:

• Blue Distinction Center for Cardiac Care (ProHealth Waukesha Memorial Hospital)
• Blue Distinction Center for Knee and Hip Replacement (Oconomowoc Memorial and Waukesha Memorial)
• Blue Distinction Center for Maternity Care (Oconomowoc Memorial and Waukesha Memorial)

Certified joint replacement

ProHealth Oconomowoc Memorial Hospital holds Joint Replacement Certification for Hip and Knee from the Joint Commission. That means patients can expect coordinated, comprehensive care from pre-surgical consultation through recovery.

Accredited and certified cancer care

ProHealth is accredited by the Commission on Cancer (CoC). Maintaining this accreditation means we offer access to the full scope of services required to diagnose, treat, rehabilitate and support patients with cancer. We have maintained this accreditation since 2004.

Outpatient hematology and oncology clinics at the UW Cancer Center at ProHealth Care are certified by the Quality Oncology Practice Initiative (QOPI) Certification Program, an affiliate of the American Society of Clinical Oncology (ASCO). We have maintained this certification since 2014.

The National Accreditation Program for Breast Centers and National Accreditation Program for Rectal Cancer have evaluated program performance and noted that ProHealth's specialized cancer care services offer the best possible treatment from a collaborative team of specialists.

Accredited imaging services

Accredited by the American College of Radiology in computed tomography (CT), magnetic resonance imaging (MRI, including breast imaging), mammography, stereotactic breast biopsy and ultrasound.

Accredited by the Intersocietal Accreditation Commission (IAC) in echocardiography, nuclear medicine, PET imaging and vascular testing.

Breast imaging services are also accredited by the National Accreditation Program for Breast Centers and certified by the U.S. Food & Drug Administration as part of the Mammography Quality Standards Act.

Partner in MS care

ProHealth Neuroscience Care is recognized by the National Multiple Sclerosis Society as a Partner in MS Care and a Center for Comprehensive Care.

Award-winning stroke care

Waukesha Memorial and Oconomowoc Memorial are designated Primary Stroke Centers by the Joint Commission.

Waukesha Memorial has earned the Get With the Guidelines Gold Plus Achievement and Quality Award from the American Stroke Association.

Oconomowoc Memorial has earned the Get With the Guidelines Silver Plus Achievement and Quality Award from the American Stroke Association.

Accredited Sleep Center

ProHealth’s Sleep Center is accredited by American Academy of Sleep Medicine (AASM), which means the caregivers comply with the gold standard for patient care in the field.

Certified cardiac and pulmonary rehab

ProHealth’s cardiac rehabilitation and pulmonary rehabilitation programs are certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).

ProHealth Medical Group

Our medical group consists of approximately 170 employed physicians and 120 advanced practice providers. One of the leading physician-led group practices in southeastern Wisconsin, ProHealth Medical Group operates 16 clinics and 10 urgent care centers.

ProHealth Care voluntarily reports quality information. Find information about ProHealth on the following websites that report health care charge and quality information:

• Wisconsin Collaborative for Quality Healthcare (WCHQ)
• HealthGrades
• The Leapfrog Group
• CheckPoint 
• Medicare

Awards & Recognition

Diabetic Physician Recognition Program

More ProHealth Medical Group physicians than any other health care system in Wisconsin have been awarded recognition by the National Committee for Quality Assurance (NCQA) in the Diabetic Physician Recognition Program (DPRP).

The NCQA/ADA Diabetes Physician Recognition Program is a voluntary effort to identify physicians who provide diabetes care consistent with the comprehensive diabetes care measures within the Health Plan Employer Data and Information Set, ADA's Standards of Medical Care and the Diabetes Quality Improvement Project.

Group Practice Improvement Network

Founding member of Group Practice Improvement Network (http://www.gpin.org/) and continues to support the network with active participation.

National Surgical Quality Improvement Program

ProHealth Waukesha Memorial Hospital was the first hospital in Wisconsin to participate in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP), a nationally recognized outcome measurement and quality improvement system.

Offering Physicians a Satisfying Work Environment

ProHealth Medical Group values satisfied physicians, staff and patients. The group’s turnover rate for physicians and staff is much lower than industry standards. ProHealth has a high physician and staff retention rate. Physicians who are employed by ProHealth Medical Group are surveyed annually by the American Medical Group Association (AMGA). Overall, the physicians highly rate their satisfaction in the following categories: 

• Leadership and communication
• Quality of care
• Time spent working
• Patient interaction
• Administrators
• Compensation
• Relationship with staff
• Resources available
• Acceptance by colleagues
• Paperwork
• Computers

Human Resources

Was recently named Wisconsin’s number one large employer by Forbes, Inc.

Position Summary

As a member of ProHealth Care’s senior executive team, the Chief Quality Officer will be responsible for advancing quality and patient safety initiatives throughout ProHealth Care to continuously improve the performance, outcomes and patient experience. Other areas of responsibility and organization-wide initiatives and programs may be assigned.

Key Responsibilities

The Chief Quality Officer is responsible for the following:

Administrative/Management Responsibilities

• Accountable for quality and safety across the entire scope of ProHealth Care’s clinical operations.
• Provides leadership and direction in the activities that address the National Academy of Medicine's Six Domains of Health Care Quality: safe, effective, patient-centered, timely, efficient and equitable.
• Raises the standard of care for all patients by developing and communicating a vision of quality and safety for providers and other clinical staff.
• Provides leadership and direction in the development, implementation, interpretation and maintenance of quality and safety standards.
• Fosters a culture of continual improvement for clinical quality and safety.
• Provides leadership and direction in the development, implementation, interpretation and maintenance of standards, policies and procedures for areas assigned and ensures compliance with local, state and federal regulatory requirements and other governing and accrediting agencies such as the Joint Commission.
• Develops, communicates and tracks quality and safety metrics and standards for clinical care.
• Serves as the primary clinical spokesman for the organization for both internal and external audiences.
• Represents ProHealth Care on clinical matters in front of managed care payers, community organizations, employers and consumers.
• Ensures the development and implementation of evidence-based protocols across professional disciplines to optimize quality of care and efficiency across ProHealth Care.
• Leads efforts to reduce non-value-added clinical variation across the enterprise.
• Develops effective working relationships with the medical staff, other health care providers, administrative staff and other leaders.
• Drives, integrates, monitors and evaluates quality assurance and disease management, and develops standards to improve quality outcomes both clinically and administratively to ensure the highest standards in treatment and care of patients and to ensure compliance with all relevant licensing and accrediting bodies.

Operational Leadership

• Implements and promotes a customer-focused vision. Ensures staff understands the mission and goals and performs their duties with superior customer service.
• Establishes organizational change plans and oversees the implementation and integration of organizational change efforts to ensure that objectives are met.
• Provides leadership and direction through effective communications with staff and ProHealth Care departments.
• Develops effective working relationships with other executives and leaders throughout the organization to ensure coordination of systems and services.

Human Resource Management

• Establishes and develops an effective management team to ensure the highest standards of excellence in practice and patient/physician/stakeholder satisfaction.
• Creates an environment of accountability through establishment of clear expectations and consequences. Monitors performance and behavior of teams by providing ongoing feedback and support.

Fiscal Management

• As a member of the executive team, participates in the formulation and forecast of operating and capital expenditures of ProHealth Care.
• Directs the development and administration of the operating and capital expenditure budgets for areas assigned. Monitors activities to ensure adherence to budgetary goals and objectives.

Safety

• Leads the organization’s clinical safety team, spearheading safety improvement efforts across ProHealth Care.
• Provides leadership and direction to management staff to ensure compliance with applicable regulatory agencies, including the Joint Commission, OSHA and other local, state and federal agencies along with the policies and procedures of the organization.

Other Responsibilities:

• Acts as a role model for excellence.
• Serves on boards, executive committees and project teams.
• Represents ProHealth Care at professional and community meetings and to the community at large.
• Maintains and promotes positive working relationships with departments and staff, board members, governing agencies and other external contacts.
• Ensures that employees perform their duties in a manner that is consistent with ProHealth Care’s mission, values and patient experience standards.
• Demonstrates behaviors appropriate to ProHealth Care's core values.
• Complies with policies and procedures, regulatory agencies and institutional and operating systems, including corporate compliance policies and code of conduct.
• Protects patient confidentiality.
• Complies with HIPAA regulations as they apply to the job.
• Performs other related duties as assigned.

PROFESSIONAL EXPERIENCE/QUALIFICATIONS

• Ten years of clinical practice, preferably to include at least three years as part of a large teaching hospital.
• Five years of senior management experience in a health care setting is preferred. Prior experience as a Chief Quality Officer highly desirable.
• Demonstrated knowledge of Joint Commission accreditation standards.
• Experience in designing effective clinical practice patterns and clinical protocols to decrease unnecessary utilization and enhance quality
• Demonstrated knowledge and experience in implementation of system-wide quality initiatives preferred.
• Knowledge of advanced principles, techniques and theory in quality and patient safety.
• Knowledge and ability to apply principles of team process and dynamics, employee empowerment strategies, personnel management and physician relations.
• Ability to establish, lead and maintain an effective and results-oriented management
• Knowledge of governing agencies' rules, regulations, guidelines and policies related to functions, services and activities provided by areas assigned.
• Ability to communicate effectively, both orally and in writing, with a broad range of people.
• Ability to direct and coordinate organization-wide initiatives and projects.

EDUCATION

• An MD or DO degree is required.