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Sr Quality Outcomes Specialist

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 organization’s vision, fulfills the mission and abides by the I CARE values

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED

+ 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.

PeoplePercent_7

+ Promotes organization-wide understanding of overall quality and patient safety program and culture. Serves as an expert resource to all levels of the organization regarding quality improvement activities.

+ Proactively and effectively develops and maintains collaborative relationships with physicians, hospital leaders and staff. Serves as operational liaison to physicians and staff to support Care Management Performance Improvement (CMPI)/Project goals.

+ Facilitates a multidisciplinary approach to improve clinical processes and outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes.

+ Serves as a lead resource and mentor for other Quality Outcome Specialists. May assist in creating and reviewing project designs.

SERVICE ESSENTIAL FUNCTIONS

+ 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 patient safety and process improvement changes. Makes recommendations for unit-based process change initiatives.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

+ Facilitates timely and effective resolutions of patient care process issues. Uses performance improvement methodologies in the development of performance improvement/patient safety initiatives and coordinates teams as needed to drive change towards desired outcomes. Monitors compliance with clinical protocols, pathways and evidence-based care along the continuum for various hospital patient populations.

+ Facilitates a multi-disciplinary approach to improve clinical process and outcomes. Monitors and evaluates clinical performance of CMPI and Project efforts using defined metrics and desired outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes.

+ 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. Monitors trends and provides feedback. Creates and presents executive summaries as needed to various audiences to drive change.

+ Supports improvement efforts for potential or actual quality of care issues including participation/facilitation of Root Cause Analysis (RCA), Failure Modes Effects Analysis (FMEA), Critical Incident Review (CIR) or event review as needed. Supports leadership and staff with the development and implementation of process changes. Conducts evaluation of effectiveness of initiatives and presents findings as needed. Facilitates systems’ design to hardwire patient safety processes.

FINANCE ESSENTIAL FUNCTIONS

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

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

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

+ Assists in the development of long-term tactics and strategies to improve operational processes.

+ Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations.

OTHER RESPONSIBILITIES

PS JOB EXPORT - DO NOT DELETE

+ Promotes organization-wide understanding of overall quality and patient safety program and culture. Serves as an expert resource to all levels of the organization regarding quality improvement activities. People

+ Proactively and effectively develops and maintains collaborative relationships with physicians, hospital leaders and staff. Serves as operational liaison to physicians and staff to support Care Management Performance Improvement (CMPI)/Project goals. People

+ Facilitates a multidisciplinary approach to improve clinical processes and outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes. People

+ Serves as a lead resource and mentor for other Quality Outcome Specialists. May assist in creating and reviewing project designs. People

+ 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. Service

+ Supports leadership with the development and implementation of patient safety and process improvement changes. Makes recommendations for unit-based process change initiatives. Service

+ Facilitates timely and effective resolutions of patient care process issues. Uses performance improvement methodologies in the development of performance improvement/patient safety initiatives and coordinates teams as needed to drive change towards desired outcomes. Monitors compliance with clinical protocols, pathways and evidence-based care along the continuum for various hospital patient populations. Quality/Safety

+ Facilitates a multi-disciplinary approach to improve clinical process and outcomes. Monitors and evaluates clinical performance of CMPI and Project efforts using defined metrics and desired outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes. Quality/Safety

+ 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. Monitors trends and provides feedback. Creates and presents executive summaries as needed to various audiences to drive change. Quality/Safety

+ Supports improvement efforts for potential or actual quality of care issues including participation/facilitation of Root Cause Analysis (RCA), Failure Modes Effects Analysis (FMEA), Critical Incident Review (CIR) or event review as needed. Supports leadership and staff with the development and implementation of process changes. Conducts evaluation of effectiveness of initiatives and presents findings as needed. Facilitates systems’ design to hardwire patient safety processes. Quality/Safety

+ Facilitates performance improvement projects/initiatives to improve outcomes, ultimately impacting hospital finances. Finance

+ Identifies and recommends opportunities for improvement in accordance with hospital leadership. Growth/Innovation

+ Assists in the development of long-term tactics and strategies to improve operational processes. Growth/Innovation

+ Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations. Growth/Innovation

WORK EXPERIENCE

+ Four years of experience in direct patient care activities in a hospital setting

+ Three years of experience in Hospital Quality Improvement

+ Two years of progressive leadership experience

EDUCATION

+ Bachelor’s degree in nursing

+ Master’s degree preferred

LICENSES AND CERTIFICATIONS - REQUIRED

+ RN - Registered Nurse - Texas State Licensure Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) N/A and

+ Certification: CPHQ, CPPS, or CPSO N/A

LICENSES AND CERTIFICATIONS - REQUIRED - ADDITIONAL DETAILS

+ CPHQ - Certified Professional in Healthcare Quality (NAHQ) 18 months or

+ CPPS - Certified Professional in Patient Safety (CBPPS) 18 months or

+ CPSO - Certified Patient Safety Officer (IBFCSM) 18 months

LICENSES AND CERTIFICATIONS - PREFERRED

KNOWLEDGE, SKILLS, AND ABILITIES

+ Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going 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

WORK ATTIRE

+ Uniform No

+ Scrubs No

+ Business professional Yes

+ Other (department approved) No

ON-CALL

+ On Call* No

TRAVEL

+ May require travel within the Houston Metropolitan area Yes

+ May require travel outside Houston Metropolitan area No

Company Profile:

Houston Methodist Willowbrook Hospital is a Magnet-recognized, not-for-profit, faith-based hospital that serves the growing Northwest Houston community. We are committed to providing quality, cost-effective health care in a compassionate environment for a full range of services, including emergency care, cardiology, orthopedics and sports medicine, comprehensive women’s services, neurology and neurosurgery, oncology, and primary and general medicine.