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JOB SUMMARY

The Manager Quality Improvement manages people and develops programs, and projects to achieve transformation and sustainable change that support the BSWH strategy to deliver high-quality, safe care and achieve excellence for patients and members in accordance with regulatory statutes, policies and procedures.

ESSENTIAL FUNCTIONS OF THE ROLE

Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH.

Ensures demonstrable progress toward the BSWH goal of achieving high reliability by providing facilitation, mentorship, training, and instructional materials to train, educate and support leadership, facility staff and departmental staff in the provision of patient safety and quality care, and compliance with regulatory requirements.

Develops, interprets, and reviews changes and assists in successful implementation of policies, processes, and procedures to support BSWH patient safety and quality objectives and compliance with federal and state regulatory requirements.

Ensures improvement initiatives are directly linked to the strategic and tactical objectives of the organization, emphasizes efficiency and effectiveness of processes, and enables breakthrough process changes and improvements.

Monitors key processes and outcomes, identifies performance gaps, recommends strategies for improved outcomes, and applies a wide range of analytical techniques, and process or quality improvement tools to drive improvements, and tracks and analyzes project performance against project plans to ensure return on investment.

Serves as change agent for various stakeholders charged with clinical operations at BSWH entities. Works in close collaboration with facility leadership and teams to utilize appropriate audit strategies, data extraction, expert observation, surveys and focus groups or other tools to obtain relevant information to improve care and quality of service.

Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.

Participates and/or leads BSWH specific quality improvement and monitoring efforts such as but limited to unit and/or facility huddles and ZERO Harm Rounds.

Ensures successful departmental leadership including provision and direction of adequate staffing resources, compliance with departmental budget, effective departmental communication, and team member development and performance evaluation.

KEY SUCCESS FACTORS

Expert knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiatives

Expert knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality care

Excellent management, strategic thinking, investigative, facilitation, and problem-solving skills

Excellent verbal, interpersonal, and written communication, and strong computer/technology skills including Microsoft Office/Teams).

Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues

Able to work collaboratively and effectively with a wide range of key stakeholders and across organizational lines and teams to identify strategic and operational challenges and impediments to success, and recommend and implement corrective action/or mitigation and prioritize tasks to achieve BSWH safety and quality objectives

Able to lead, monitor, support, and develop direct and indirect reports to ensure individual and departmental success

Hold or be willing to achieve Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or a leader approved role-appropriate certification within the first two years of hire

Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.

BENEFITS

Our competitive benefits package includes the following

- Immediate eligibility for health and welfare benefits

- 401(k) savings plan with dollar-for-dollar match up to 5%

- Tuition Reimbursement

- PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

QUALIFICATIONS

- EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification

- EXPERIENCE - 5 Years of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.