Division Director of Professional Practice Eval

This position is incentive eligible. Introduction We are seeking a(an) Division Director of Professional Practice Eval with HCA Midwest Health to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us Benefits HCA Midwest Health, 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._ We are seeking a(an) Division Director of Professional Practice Eval for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us Job Summary and Qualifications The Division Director of Professional Practice Evaluation (PPE) directly supports the professional practice evaluation process as applicable to the MidAmerica Division and affiliated facilities. Division Director of PPE provides oversight of systems and processes related to professional practice evaluation to include the review, screening, and organization of cases by the Medical Staff Facility Managers, Vice Presidents of Quality and Medical Staff Professional Practice Evaluation Reviewer(s), and maintains processes to ensure timely presentation of cases to the MidAmerica Division and affiliated facilities optimizing patient outcomes, safety, and clinical performance. This position is responsible to support the peer review process, to include the Focused Professional Practice Evaluation (FPPE) for new applicants and new privileges, within the facility while working closely with the Vice President of Quality, Chief Medical Officer & appointed medical staff leadership. The Division Director of PPE will work collaboratively with staff from Quality, HIM, Coding, Medical Staff Services, Administration and various physician, nursing and ancillary care groups. The DDPPE will provide division-level oversight of the mortality and complication review program to support clinical excellence across the system. This position further partners with facility Vice President of Quality in driving accountability for outcomes related to complications, safety of care, and regulatory expectations. Essential Functions: - Designs, plans and coordinates a consistent, medical staff peer review process throughout MidAmerica Division and affiliated facilities. - Analyze, interpret, and communicate performance data to executives and medical staff leaders to guide decision-making and performance monitoring - Reviews medical records, peer review trigger reports, and other data sources to screen for selected quality indicators. - Provides guidance to Medical Staff Manager, PPE Reviewer, PPE Committee, CMO, VPQ and appointed medical staff leadership related to the preparation and review of cases. - Management of Division PPE systems and operational processes escalating to AVP of Quality, as necessary. - Lead and support mortality review program processes and Quality Coordinators to reduce preventable mortalities across the division. Major Responsibilities: 1. Leads and operationalizes the divisionu2019s PPE strategy to ensure alignment with corporate priorities, accreditation standards, and CMS Conditions of Participation. 1. Monitor compliance with all TJC standards related to FPPE/OPPE and Medical Staff Standards. 1. Drives implementation of high-reliability practices and evidence-based clinical workflows within the mortality and complications reduction programs across the system. 1. Oversees division-wide initiatives including mortality reduction, sepsis performance, PSI/HAC reduction, and other safety priorities 1. Act as a Subject Matter Expert (SME) to division facilities related to all PPE matters. 1. Analyzes data for patterns or trends and opportunities for improvement, as indicated by the Ongoing Professional Practice Evaluation Process and the Focus Professional Practice Evaluation Process that includes managing the periodic reporting. 1. Act as an education resource and consultant to facility Vice President of Quality. 1. Takes an active part in all new systems implementation, training and management related to Practitioner Excellence and Professional Practice Manager. 1. Identify and voice process improvement opportunities or problems that must be identified and resolved immediately so process is not delayed. 1. Ensure that operations conform to local, state, and federal governmental regulations. 1. Monitor compliance with HCA model policies, procedures and bylaws. 1. Provides ongoing education, support and training to the Division Medical Staff Facility Managers and Facility Department Chairs 1. Ensures timely division-level notification of potential or confirmed medical staff safety events. 1. Supports initiatives to strengthen psychological safety, Just Culture adoption, and high-reliability behaviors What qualifications you will need: Clinical degree in a healthcare-related field preferred. Preferred Substantial experience performing clinical chart reviews & data analysis within a healthcare setting. Required Minimum of 3 yearsu2019 direct experience with medical staff peer review, leading quality improvement or administering patient safety programs. Required Minimum of 5 yearsu2019 working in a clinical setting with demonstrated progressive leadership roles Required u200bCertified Professional in Healthcare Quality (CPHQ) u200bu200bu2610u200b u200bu200bu2612u200b Preferred u200b12 months (Or CPHQ) u200bCertified Professional in Patient Safety (CPPS) u200bu200bu2612u200b Required u200bu200bu2610u200b within u200b12 months (OR CPPS) Knowledge of PATIENT SAFETY science principles, theory, methods, standards and - regulatory requirements and experience with patient safety analysis techniques (methods), including root cause analysis, cause and effect analysis, and failure mode and effect analysis. Required Ability to USE DATABASE SOFTWARE to enter, retrieve, sort, and filter information as necessary for reporting or report generation Preferred HCA Midwest Health ( is Kansas City's largest network and recognized pioneer in healthcare. Our network includes doctors, hospitals, emergency rooms (ERs), urgent care centers, outpatient centers, physician practices, and surgery centers across more than 150 locations. We offer access to a network of board-certified or board-eligible physicians. This includes 2,000+ experts trained in 80+ medical specialties. We are professionals bound together by one missionu2014to deliver exceptional, personalized care. People are our core and at the very heart of our family-centered system of world-class healthcare. HCA Healthcare has been recognized as one of the Worldu2019s Most Ethical Companiesu00ae 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.

Created: 2026-03-09