The Quality, Safety and Value (QSV), Chief has direct responsibilities for the development, oversight, and effectiveness of the organization Quality, Safety, and Value program as outlined by VHA Directive 1026 - VHA Enterprise Framework for Quality, Safety and Value. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program