Director Quality, Patient Safety, and Risk

Texas Health Resources•Rockwall, TX

2d•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. This position is located at Texas Health Rockwall, a 105-bed acute care hospital serving Rockwall, Kaufman, Hunt, and surrounding counties since 2007. The 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. Texas Health Rockwall has earned a CMS Five-Star Rating for patient safety, satisfaction, and clinical outcomes, and holds 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 Requried
5 Years Progressive operational/program management experience Required
If clinical, licensure as required by the State of Texas for clinical discipline Upon Hire Required
CPHQ - Certified Professional in Healthcare Quality with in 2 Years of 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

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.
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.
Lead transformational change resulting in improved patient safety, high reliability and quality of care. 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.
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.
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.