Where Youll Work
St. Lukes HealthThe Vintage Hospital provides high-quality compassionate care for residents of the Willowbrook Champions and Tomball areas of Northwest Houston. With the resources of the St. Lukes Health system we are able to deliver the most advanced care available to our Northwest Houston community. The Vintage Hospital offers the latest in diagnostic and surgical expertise including heart care womens health and orthopedics.
Job Summary and Responsibilities
The Quality/Patient Safety Program Manager supports coordinates and facilitates quality management (QM) patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role serves as a key resource to employees leadership nursing directors senior management councils physicians and interdisciplinary teams on quality management initiatives. The position requires handling sensitive and confidential patient and hospital information with discretion.
Support the design planning implementation and coordination of Quality Management Patient Safety and Performance Improvement activities across assigned hospital and medical staff departments committees service lines and functions
Proactively coordinate and facilitate performance improvement teams to support key initiatives including but not limited to:
Clinical quality improvement
Patient safety and risk reduction
Patient experience
Operational efficiency
Failure Mode and Effects Analyses (FMEAs)
Root cause analyses
Medical staff performance improvement activities such as peer review OPPE and FPPE
Serve as a subject matter resource for quality management activities to staff leadership physicians and interdisciplinary teams
Ensure compliance with regulatory and quality reporting requirements including CMS HIQRP/HOQRP The Joint Commission (TJC) Leapfrog and other applicable programs
Play an integral role in the collection abstraction validation and reporting of process and outcome quality measures
Job Requirements
Required Education and Experience
Licensed Registered Nurse Licensed Clinical Pharmacist or other licensed clinical staff with three (3) years of clinical experience in an acute care setting
Ability to perform case reviews for medical staff peer review and medical and/or surgical registry abstraction
One (1) year of healthcare-related quality management or performance improvement experience (e.g. chart audits PI team member participation)
Required Licensure and Certifications
Current unrestricted state license in a clinical field in the state of practice
Certified Professional in Healthcare Quality (CPHQ) Healthcare Quality and Management Certification (HCQM) or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) required within two (2) years of employment.
Required Experience:
Manager
Where Youll WorkSt. Lukes HealthThe Vintage Hospital provides high-quality compassionate care for residents of the Willowbrook Champions and Tomball areas of Northwest Houston. With the resources of the St. Lukes Health system we are able to deliver the most advanced care available to our Northwest ...
Where Youll Work
St. Lukes HealthThe Vintage Hospital provides high-quality compassionate care for residents of the Willowbrook Champions and Tomball areas of Northwest Houston. With the resources of the St. Lukes Health system we are able to deliver the most advanced care available to our Northwest Houston community. The Vintage Hospital offers the latest in diagnostic and surgical expertise including heart care womens health and orthopedics.
Job Summary and Responsibilities
The Quality/Patient Safety Program Manager supports coordinates and facilitates quality management (QM) patient safety (PS) and regulatory performance improvement (PI) activities for the hospital and medical staff. This role serves as a key resource to employees leadership nursing directors senior management councils physicians and interdisciplinary teams on quality management initiatives. The position requires handling sensitive and confidential patient and hospital information with discretion.
Support the design planning implementation and coordination of Quality Management Patient Safety and Performance Improvement activities across assigned hospital and medical staff departments committees service lines and functions
Proactively coordinate and facilitate performance improvement teams to support key initiatives including but not limited to:
Clinical quality improvement
Patient safety and risk reduction
Patient experience
Operational efficiency
Failure Mode and Effects Analyses (FMEAs)
Root cause analyses
Medical staff performance improvement activities such as peer review OPPE and FPPE
Serve as a subject matter resource for quality management activities to staff leadership physicians and interdisciplinary teams
Ensure compliance with regulatory and quality reporting requirements including CMS HIQRP/HOQRP The Joint Commission (TJC) Leapfrog and other applicable programs
Play an integral role in the collection abstraction validation and reporting of process and outcome quality measures
Job Requirements
Required Education and Experience
Licensed Registered Nurse Licensed Clinical Pharmacist or other licensed clinical staff with three (3) years of clinical experience in an acute care setting
Ability to perform case reviews for medical staff peer review and medical and/or surgical registry abstraction
One (1) year of healthcare-related quality management or performance improvement experience (e.g. chart audits PI team member participation)
Required Licensure and Certifications
Current unrestricted state license in a clinical field in the state of practice
Certified Professional in Healthcare Quality (CPHQ) Healthcare Quality and Management Certification (HCQM) or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) required within two (2) years of employment.
Required Experience:
Manager
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