Performance Improvement Specialist - Quality Management
Performance Improvement Specialist - Quality Management
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Houston Methodist Standard
Refer to departmental Scope of Service and Provision of Care plans as applicable for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
- Provide personalized care and service by consistently demonstrating our I CARE values:
- INTEGRITY: We are honest and ethical in all we say and do.
- COMPASSION: We embrace the whole person including emotional ethical physical and spiritual needs.
- ACCOUNTABILITY: We hold ourselves accountable for all our actions.
- RESPECT: We treat every individual as a person of worth dignity and value.
- EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
- Practices the Caring and Serving Model
- Delivers personalized service using HM Service Standards
- Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET Managing Up Key Words)
- Intentionally collaborates with other healthcare professionals involved in patients/customers or employees experiential journeys to ensure strong communication ease of access to information and a seamless experience
- Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
- Actively supports the organizations vision fulfills the mission and abides by the I CARE values
Responsibilities
- Collaborates with Education on instructing/informing staff on new or revised quality programs or plans regulatory and accreditation standards and/or performance improvement processes as applicable.
- Collaborates in an interdisciplinary manner on hospitalwide patient safety performance improvement and data management/analysis functions to maximize outcomes.
SERVICE ESSENTIAL FUNCTIONS
- Leads accreditation readiness initiatives. Participates in regulatory and accreditation surveys.
- Serves as a resource for basic data analysis. Develops summary reports and assists with presentation of findings to various audiences.
- Coordinates the agenda and meeting materials for the quality and patient safety committees of the hospital for assigned areas.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Maintains all programs to ensure compliance to accreditation standards and regulatory agency requirements.
- Abstracts pertinent information and enters into department databases using standardized methods and processes. Routinely performs discrepancy management activities to maintain data integrity. Presents meaningful reports and analysis with measurement description statistical information and benchmarking information. Reports data to external agencies as needed.
- Concurrently reviews and analyzes inpatient records to ensure that compliance to quality indicators is met.
- Provides basic analyses of hospital performance against patient safety quality and outcomes measures.
- Utilizes results from performance improvement activities to identify and prioritize areas of focus for improvement. Evaluates and provides input on the effectiveness of performance improvement programs.
- Supports improvement efforts for potential or actual quality of care/risk issues including participation/facilitation of Root Cause Analysis (RCA) Failure Modes Effects Analysis (FMEA) or event review as needed. Supports leadership and staff with the development and implementation of process changes. Summarizes events and presents findings as needed. Facilitates systems design to hardwire patient safety processes.
- Conducts record review for performance improvement peer review patient safety risk management and other projects.
FINANCE ESSENTIAL FUNCTIONS
- Proactively identifies quality and safety improvement opportunities through analysis of internal and external data to include federal incentive programs as applicable.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Designs develops and implements project plans related to strategic quality and safety initiatives. Manages reporting of these projects/measures to internal departments/committees and/or outside agencies as needed. Provides oversight for these projects to ensure desirable outcomes are met.
This job description is not intended to be allinclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications
- Bachelor of Science or higher degree in Nursing required
WORK EXPERIENCE
- Three years of experience in a hospital or outpatient clinical role
- One year of experience in a quality management and/or patient safety risk management decision support or similar information analysis role
License/Certification
- RN Registered Nurse Texas State Licensure and/or Compact State Licensure within 60 days OR
- RNTemp Registered Nurse Temporary State Licensure within 60 days
LICENSES AND CERTIFICATIONS PREFERRED
- CPHQ Certified Professional in Healthcare Quality (NAHQ) OR
- CPPS Certified Professional in Patient Safety (CBPPS) OR
- or other related professional certification preferred
KSA/ Supplemental Data
- Demonstrates the skills and competencies necessary to safely perform the assigned job determined through ongoing skills competency assessments and performance evaluations
- Sufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients physicians family members and coworkers in a manner consistent with a customer service focus and application of positive language principles
- Knowledge of statistical analysis techniques and software
- Knowledge of performance improvement methodologies and principles
- Knowledge of the principles of patient safety
- Knowledge of accreditation and regulatory agencies requirements for performance improvement and patient safety
- Ability to learn and apply use of databases for aggregation of data for analysis
- Strong leadership qualities (task completion motivation)
- Ability to independently analyze and solve problems
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) No
ONCALL*
*Note that employees may be required to be oncall during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.
- On Call* No
TRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes
Company Profile
Houston Methodist The Woodlands opened in 2017 as the eighth hospital in the Houston Methodist system. This 187bed 470000squarefoot fullservice acute care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also on the $380 million hospital campus located at the intersection of I45 and TX 242 is a medical office building which opened in 2016. Medical Office Building 1 includes a breast care center cancer center & infusion center orthopedics & sports medicine rehabilitation services wellness services and an outpatient laboratory in addition to multispecialty physician practices. A second medical office building and 785car parking garage opened in 2018.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
