JOB SUMMARY

Partners with and helps key stakeholder’s teams to implement reporting and quality improvement projects in in help of BSWH’s strategy to deliver high-quality, safe care and achieve excellence by regulatory statues, policies and procedures.

ESSENTIAL FUNCTIONS OF THE ROLE

• Performs concurrent and retrospective medical record review to investigate quality and/or patient safety concerns and to identify performance improvement opportunities.
• Collects and examines relevant data in help of patient safety and quality improvement strategies and projects and regulatory and entity-specific requirements.
• Helps and/or facilitates quality and patient safety initiatives to improve safety and foster an environment of service excellence through successful interventions, data testing and development of action plans.
• Develops and disseminates ongoing and ad hoc reports to ensure clinicians, administrators, medical staff committees and corporate teams receive timely and accurate data to meet their needs in ensuring quality care and patient safety within their departments.
• Identifies and recommends measures to enhance reporting processes, tools, and methods.
• Partners in the development and presentation of educational materials designed to educate staff and management about quality and patient safety processes.
• Utilizes quality improvement tools and techniques, including proactive and retrospective risk assessments, to improve quality, patient safety, and patient perceptions of BSWH’s health care services.
• Identifies regional, system, and industry best practices, providing feedback to managers and team members.
• Participates on quality improvement teams as requested by leadership.
• Participates in unit and facility huddles.
• Helps the ZERO Harm rounding process as directed by leadership.
• Provides subject matter expertise and comprehensive measurement testing for quality improvement initiatives across the organization.
• Maintains awareness of the latest developments, advancements, and trends in the field of quality improvement reporting and testing by attending seminars/workshops, reading professional journals, and effective participation in professional organizations.

KEY SUCCESS FACTOR

• Advanced knowledge of quality and performance improvement standards, evidence-based patient safety, outcomes management and the regulatory environment
• Advanced knowledge of Texas, Joint Commission and CMS standards
• Exceptional verbal, social and written communication skills
• Skilled in the use of computers, and related software applications
• Able to establish and maintain effective combined working relationships
• Able to help and help patient safety and quality improvement initiatives
• Able to perform data collection, abstraction, and testing
• Able to examine processes, systems data and prepare reports
• Able to give education to health care providers on quality and patient safety issues based on data outcomes, industry standards and regulatory requirements
• Able to appropriately prioritize tasks to meet desired deadlines.
• 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 on position type and/or level

QUALIFICATIONS

• EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
• EXPERIENCE - 3 Years of Experience