Quality Outcomes Specialist Houston Methodist West

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

• Leads facility partners to bring expert assessment and problem-solving skills to ensure reliable safe systems of care for all patients.

• Develops and maintains positive working relationships with leadership physicians colleagues and peers and works collaboratively to achieve desired outcomes.

• Collaborates and effectively communicates and drives culture of safety and high-reliability initiatives; partners with leadership and clinicians to implement improvements. Increases patient safety and evidence-based practice awareness and practice among clinicians and staff through mentoring and education. Manages project and process improvement expectations to stakeholders sponsors and others advising them on project progress potential issues obstacles conflicts or challenges.

• Serves as a key quality contact with leadership managers and staff responsible for the execution of corrective actions initiatives/projects and compliance with customer requirements.

• Supports leadership with the development and implementation of quality improvement and patient safety process changes. Makes recommendations for unit-based process change activities. Evaluates the effectiveness of process change initiatives.

• Maintains all programs to ensure compliance to accreditation standards and regulatory agency requirements. Conducts record review for performance improvement peer review patient safety risk management and other projects.

• Facilitates and leads process and performance improvement teams and initiatives. Participates in and facilitates unit-based and departmental process change activities. Evaluates the effectiveness and sustainability of process change initiatives and makes changes as necessary to achieve goals.

• Tracks analyzes and uses data for trending and develops appropriate action plans and strategies in collaboration with clinicians and leadership. Conducts record review for performance improvement peer review patient safety risk management and other projects.

• Abstracts pertinent information and enters into department databases using standardized methods and processes to maintain data integrity. Routinely performs discrepancy management activities to maintain data integrity. Presents meaningful reports and analysis with measurement description statistical information and benchmarking information. Creates and presents executive summaries as needed to various audiences to drive change.

• 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.

• Focuses on implementing and reinforcing principles that support a high-reliability organization. Contributes to the continued improvement of patient safety practices employs evidence-based practice and researches high-reliability practices through national Patient Safety Organizations (e.g. Agency for Healthcare Research and Quality (AHRQ) National Patient Safety Foundation (NPSF) Institute for Healthcare Improvement (IHI) National Quality Forum (NQF)). Facilitates systems design to hardwire patient safety processes.

• Utilizes efficient and cost-effective work practices with department resource and supplies; provides recommendations to reduce expenses.

• Facilitates performance improvement projects/initiatives to improve outcomes ultimately impacting hospital finances.

• Identifies and recommends opportunities for improvement in accordance with hospital leadership.

• Analyzes and assesses present and future needs trends challenges and opportunities related to hospital processes and operations. Communicates innovative and best practices to hospital leadership and clinicians. Identifies opportunities to align policy and procedure with regulatory/accreditation requirements.

• Bachelors degree in nursing allied health healthcare administration business administration or a clinical discipline required

• Bachelors degree in is nursing preferred

• Masters degree preferred

• Four years of experience in clinical care activities in a hospital setting

• Two years of experience in Hospital Quality Improvement Case Management or Utilization Management role preferred

• Two years of leadership experience preferred

• N/A

• CPHQ - Certified Professional in Healthcare Quality (NAHQ) AND
• CPSO - Certified Patient Safety Officer (IBFCSM) AND
• CPPS - Certified Professional in Patient Safety (IHI) AND
• RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency)

• 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 co-workers in a manner consistent with a customer service focus and application of positive language principles

• Demonstrates knowledge and application of process improvement tools and techniques (statistical process control tools and team tools)

• Demonstrates knowledge of regulatory and accrediting standards as they apply to performance improvement

• Skill in developing and maintaining interpersonal relationships with a wide variety of healthcare professionals and hospital leadership

• Ability to define problems collect data establish facts and draw valid conclusions and evidence performance improvement via measurable results

• Ability to enter and abstract data using personal computer as well as the ability to utilize data to facilitate the improvement and change in processes

• Computer skills to include Excel Word and PowerPoint

• Ability to facilitate performance improvement teams present data and promote a collaborative approach toward goal achievement

• Ability to work independently and interdependently

• Presentation skills and expertise in designing and implementing teams/educational offerings related to clinical quality

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs No
• Business professional Yes
• Other (department approved) No

ON-CALL*
*Note that employees may be required to be on-call 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 No

Houston Methodist West Hospital is committed to leading medicine in West Houston Katy and surrounding communities by delivering the Houston Methodist standard of exceptional safety quality personalized service and innovation. The growing campus offers more than 200 beds 19 operating rooms and over 1500 employees with access to the most innovative medical and surgical care available including robotic and minimally invasive surgery full-spectrum heart care state-of-the-art imaging cancer care labor and delivery with a level II neonatal ICU neurology and neurosurgery orthopedics and sports medicine outpatient rehabilitation and 24/7 emergency services.