"Alerted.org

All the benefits and perks you need for you and your family:

- Benefits from Day One

- Paid Days Off from Day One

- Student Loan Repayment Program

- Career Development

- Whole Person Wellbeing Resources

- Mental Health Resources and Support

- Pet Insurance*

- Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

- Nursing Clinical Ladder Program*

Our promise to you:

Joining Texas Health Huguley - AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Texas Health Huguley - AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

Texas Health Huguley- operates as a joint venture between Texas Health Resources and AdventHealth.

Schedule:** **Full-Time

Shift:** **Days (** **Monday Friday 8:00am 5:00pm or 7:00am 4:00pm)

***flexible

The community youll be caring for:

+ Our care for patients extend to the spiritual level by praying with patients and families and providing on call, 24 hours, 7 days a week Chaplains for spiritual support.

+ Award winning facility and departments including Great Place to Work by Beckers Hospital Review and Gallup.

+ Work with the latest technology and top experts including Daisy Award recipients while on our journey to Magnet status and Pathways designated.

+ Designated Emergency Center of Excellence recognizing our facility as a high-performing emergency department

+ Located about 10 minutes from downtown Fort Worth and near TCU in the award-winning school district, Burleson ISD which also provides a low-cost of living.

The role youll contribute:

Leads a multidisciplinary entity specific quality program, including Clinical Quality, Patient Safety, Infection Control, Performance Improvement, Patient Experience and Regulatory Compliance in alignment with enterprise and operating group priorities and guidance.

The value youll bring to the team:

Functions as the entity specific Patient Safety Officer (PSO) and is available to serve as the entity expert on quality or patient safety related issues. Has knowledge of resources to access to assist when needed.

Oversees and coordinates all intradepartmental and interdepartmental services of Quality and Patient Safety.

Develops, facilitates, and manages the entity specific annual QAPI plan, and maintains a quality

reporting structure in accordance with the QAPI plan, regulatory requirements, and operating group processes.

Integrates and aligns entity quality work and processes with corporate and enterprise efforts.

Collaborates and supports the process of developing, approving, and aligning policies and procedures for the entity and enterprise.

Develops a mechanism for the internal communication of patient safety and quality information.

Provides direction, coaching and support for all supervised associates to maintain their assigned job responsibilities.

Uses various communication techniques on a regular basis, to exchange all information necessary and appropriate to efficiently and effectively fulfill duties.

Support a facility culture of safety through the development of a transparent and datadriven/proactive/preventive facility Quality and Patient Safety Program that is reviewed and refined annually via the QAPI plan.

Develops and maintains excellent working relationships with Centura Health Management, clinical directors, hospital executives, and medical staff leaders, and ensures that performance improvement efforts are prioritized and aligned with key quality priorities and strategic goals.

Oversees the provision of transparent and comprehensive reports to the Board through the quality

reporting structure that include patient and healthcare errors, near misses and/or dangerous conditions within the facility, and other regulatorily required information.

Oversees the coordination of all hospital activities to ensure that the hospital is always in a state of readiness to meet external agency requirements.

Provides on-site consultation to individual departments to assure that data is being used in quality improvement and risk management initiatives.

Oversees the design and implementation of educational presentations that facilitate the understanding and implementation of all regulatory standards in the organization.

Works collaboratively with the enterprise Manager of Quality Data to analyze and understand current state of quality data and speak to opportunities clearly.

Qualifications

The expertise and experience youll need to succeed** **:

EDUCATION AND EXPERIENCE REQUIRED:

+ Bachelor's Required

+ 5 experience in a clinical healthcare environment with a focus on quality and safety. Required

+ Experience in clinical operations, performance improvement regulatory compliance, patient safety (including HRO concepts), and data analysis Required

+ Organizational

+ Verbal

+ Interpersonal

+ Customer Relations

+ Grammar/Spelling

+ Read/Comprehend written instructions

+ Follow verbal instructions

+ Keyboarding (manual)

+ Computer (visual)

+ Excellent communication, problem-solving, statistical and analytical abilities

+ Strong PC skills and knowledge

+ Strong presentation and facilitation skills

+ Lean Six Sigma Certification-IASSC Preferred

EDUCATION AND EXPERIENCE PREFERRED:

+ Lean Six Sigma Certification-IASSC Preferred

+ Master's Preferred

+ Leadership experience working in a hospital setting

LeapFrog and CMS Star Rating knowledge

+ CPPS - Certified Professional in Patient Safety Comment- Certified Professional in Health Care Quality OR Certified Professional in Patient Safety - **required at time of hire OR within 6 months Required**

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Quality/Clinical Effectiveness

**Organization:** Texas Health Huguley Hospital

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25027878

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.