Houston Methodist
FLSA STATUS
Exempt
QUALIFICATIONS
EDUCATION
Bachelor’s degree in nursing
Master’s degree preferred
EXPERIENCE
Four years of experience in direct patient care activities in a hospital setting
Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred
Two years of leadership experience preferred
LICENSES AND CERTIFICATIONS
Required
Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
Preferred
CPHQ – Certified Professional in Healthcare Quality (NAHQ)
CPSO – Certified Patient Safety Officer (IBFCSM)
CPPS – Certified Professional in Patient Safety (IHI)
SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing 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
ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS
Leads facility partners to bring expert assessment and problem solving skills to ensure reliable, safe systems of care for all patients.
Develops and maintains positive working relationships with leadership, physicians, colleagues and peers and works collaboratively to achieve desired outcomes.
Collaborates and effectively communicates and drives culture of safety and high reliability initiatives; partners with leadership and clinicians to implement improvements. Increases patient safety and evidence based practice awareness and practice among clinicians and staff through mentoring and education.
Manages project and process improvement expectations to stakeholders, sponsors and others advising them on project progress, potential issues, obstacles, conflicts or challenges.
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 quality improvement and patient safety process changes. Makes recommendations for unit-based process change activities. Evaluates the effectiveness of process change initiatives.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Facilitates and leads process and performance improvement teams and initiatives. Participates in and facilitates unit-based and departmental process change activities. Evaluates the effectiveness and sustainability of process change initiatives and makes changes as necessary to achieve goals.
Tracks, analyzes, and uses data for trending and develops appropriate action plans and strategies in collaboration with clinicians and leadership.
Abstracts pertinent information and enters into department databases using standardized methods and processes to maintain data integrity. Presents meaningful reports and analysis with measurement description, statistical information, and benchmarking information. Creates and presents executive summaries as needed to various audiences to drive change.
Focuses on implementing and reinforcing principles that support a high-reliability organization. Contributes to the continued improvement of patient safety practices, employs evidence based practice and researches high reliability practices through national Patient Safety Organizations (e.g., Agency for Healthcare Research and Quality (AHRQ), National Patient Safety Foundation (NPSF), Institute for Healthcare Improvement (IHI), National Quality Forum (NQF)). Facilitates systems’ design to hardwire patient safety processes.
FINANCE ESSENTIAL FUNCTIONS
Utilizes efficient and cost-effective work practices with department resource and supplies; provides recommendations to reduce expenses.
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.
Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations.
Communicates innovative and best practices to hospital leadership and clinicians. Identifies opportunities to align policy and procedure with regulatory/accreditation requirements.
SUPPLEMENTAL REQUIREMENTS 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
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QUALIFICATIONS
EDUCATION
Bachelor’s degree in nursing
Master’s degree preferred
EXPERIENCE
Four years of experience in direct patient care activities in a hospital setting
Two years of experience in Hospital Quality Improvement, Case Management or Utilization Management role preferred
Two years of leadership experience preferred
LICENSES AND CERTIFICATIONS
Required
Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
Preferred
CPHQ – Certified Professional in Healthcare Quality (NAHQ)
CPSO – Certified Patient Safety Officer (IBFCSM)
CPPS – Certified Professional in Patient Safety (IHI)
SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing 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
ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS
Leads facility partners to bring expert assessment and problem solving skills to ensure reliable, safe systems of care for all patients.
Develops and maintains positive working relationships with leadership, physicians, colleagues and peers and works collaboratively to achieve desired outcomes.
Collaborates and effectively communicates and drives culture of safety and high reliability initiatives; partners with leadership and clinicians to implement improvements. Increases patient safety and evidence based practice awareness and practice among clinicians and staff through mentoring and education.
Manages project and process improvement expectations to stakeholders, sponsors and others advising them on project progress, potential issues, obstacles, conflicts or challenges.
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 quality improvement and patient safety process changes. Makes recommendations for unit-based process change activities. Evaluates the effectiveness of process change initiatives.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Facilitates and leads process and performance improvement teams and initiatives. Participates in and facilitates unit-based and departmental process change activities. Evaluates the effectiveness and sustainability of process change initiatives and makes changes as necessary to achieve goals.
Tracks, analyzes, and uses data for trending and develops appropriate action plans and strategies in collaboration with clinicians and leadership.
Abstracts pertinent information and enters into department databases using standardized methods and processes to maintain data integrity. Presents meaningful reports and analysis with measurement description, statistical information, and benchmarking information. Creates and presents executive summaries as needed to various audiences to drive change.
Focuses on implementing and reinforcing principles that support a high-reliability organization. Contributes to the continued improvement of patient safety practices, employs evidence based practice and researches high reliability practices through national Patient Safety Organizations (e.g., Agency for Healthcare Research and Quality (AHRQ), National Patient Safety Foundation (NPSF), Institute for Healthcare Improvement (IHI), National Quality Forum (NQF)). Facilitates systems’ design to hardwire patient safety processes.
FINANCE ESSENTIAL FUNCTIONS
Utilizes efficient and cost-effective work practices with department resource and supplies; provides recommendations to reduce expenses.
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.
Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations.
Communicates innovative and best practices to hospital leadership and clinicians. Identifies opportunities to align policy and procedure with regulatory/accreditation requirements.
SUPPLEMENTAL REQUIREMENTS 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
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