Director Quality, Patient Safety, and Risk

#REF!•Rockwall, TX

1d•Onsite

About The Position

Are you looking for a rewarding career with top-notch benefits? We are looking for a qualified Manager like you to join our Texas Health family. Position Highlights Work location: Texas Health Rock Wall Core Work hours: Monday – Friday 8:00a-5:00p Texas Health Hospital Rockwall has served Rockwall, Kaufman, Hunt, and surrounding counties since 2007. Our 105-bed acute care hospital provides medical and surgical services to patients from Rockwall, Heath, Fate, Royse City, McLendon-Chisholm, eastern Dallas County, southern Collin County, and nearby communities. Our hospital provides comprehensive medical and surgical services, including a Level II Neonatal Intensive Care Unit, labor and delivery suites, cardiac catheterization lab, interventional radiology suite, expanded surgery suites, and emergency and intensive care areas. More than 60 physicians practice at Texas Health Rockwall. Our campus also houses a Women's Imaging and Breast Center, bariatric clinic, ambulatory surgery center, and physician practices. Texas Health Rockwall has earned a CMS Five-Star Rating for patient safety, satisfaction, and clinical outcomes. We also hold the ANCC Pathways to Excellence designation for nursing.

Requirements

Bachelor's Degree Clinical/Healthcare Administration Required
5 Years Clinical or operational in a hospital setting Required
5 Years Progressive operational/program management experience Required
If clinical, licensure as required by the State of Texas for clinical discipline Upon Hire Required
Knowledge of accreditation and industry standards: Life Safety Code (LSC), The Joint Commission (TJC), Center for Medicare and Medicaid Services (CMS), National Quality Foundation (NQF), Institute for Healthcare Improvement (IHI), Texas Department of State Health Services (TDSHS), Hospital Incident Command Systems (HICS), and Federal Emergency Management Agency (FEMA).
Communication skills that demonstrate the ability to develop consensus among the executive leadership team, physicians, and staff.
Must exhibit a comprehensive understanding of performance improvement methodologies, theory and practice.
Demonstrated skills in strategic planning, implementing action plans, and evaluating and enhancing programs.
Ability to lead transformational change resulting in improved patient safety, high reliability and quality of care.

Nice To Haves

Master's Degree Clinical/Healthcare Administration Preferred
CPHQ - Certified Professional in Healthcare Quality with in 2 Years of hire Required

Responsibilities

Plan, organize, and delegate activities as required for the safe, efficient and effective operation of the department including active participation with other hospital and leadership staff to accomplish this objective
Develop and oversee the implementation of policies, procedures, and standards that direct department operations
As required for service, verify that standards are consistent with hospital, community and nationally recognized evidence based practice standards
Actively incorporate measures to obtain compliance with regulatory and accreditation standards and requirements
Identify and utilize processes and resources that support optimal delivery of data and information to leadership team and staff
Establishes and promotes the HRO culture of patient safety and oversees the Clinical Risk Management (CRM) program.
Presents a comprehensive view of the organization's patient safety/clinical risk profile, clinical risk trends, and effectiveness of clinical risk mitigation strategies.
Ability to lead transformational change resulting in improved patient safety, high reliability and quality of care.
Must be able to develop and build organization-wide High Reliability Organization, patient safety and clinical risk management programs that are proactive, progressive and aligned with the entity strategic plan.
Ability to lead system performance improvement projects that result in improved clinical outcomes and reduced harm.
Oversee the effectiveness of the department recruitment and retention program, taking action as necessary to provide an adequate level of qualified staff
Promote professional growth, development and accountability in staff, students and colleagues
Track and evaluate staff performance and individual development, holding staff accountable for achieving service expectations
Coach and mentor subordinate staff in order to improve their performance and expand responsibilities
Develop and support shared decision-making through the Unit Based Council model in order to develop inter/intradepartmental teamwork and team goal accomplishments
Identify leadership talent and actively develops leadership skills
Establish priorities for department growth and enhancement based on customer need, research findings, and industry trends.
Effectively market the service to key stakeholders
Collaborate with nurses providing direct patient care and members of other disciplines at all levels in the development, implementation, and evaluation of program and services
Stewardship of the department resources by fostering a continuous improvement mindset. Drive high quality patient care in a cost efficient manner.
In collaboration with the department management and staff, determine the appropriate number and level of staff, balancing competency, patient needs, patient outcomes, patient safety outcomes and productivity guidelines
Monthly review of the Departmental Responsibility Reports (DRRs) to determine adherence to operational performance targets
Regularly communicate with staff and customer groups as appropriate regarding hospital/departmental goals, results and future direction
Advocate for appropriate fiscal and Human Resources to accomplish work/goals for the Department and the Organization
Collaborate with all customer groups (patients, department/hospital staff, physicians and other customer groups), to meet and exceed needs/expectations
Create and maintain a collaborative work environment (patients, physicians, and key stakeholders)
Actively engage in customer groups on a regular basis to promote effective customer relationships and communication with prompt resolution of issues and concerns
Evaluates customer satisfaction on a regular basis to determine gaps between actual results and expectations