Director Quality, Patient Safety, and Risk

Texas Health Resources•Plano, 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. This position is located at Texas Health Plano and has core work hours of Monday – Friday 8:00a -5:00p. Since 1991, Texas Health Presbyterian Hospital Plano has served the communities of Plano, Frisco, Carrollton, Addison, Richardson, and McKinney. As a 386-bed, full-service hospital, we're proud to deliver exceptional care to North Texans through advanced technology and a dedicated team. We offer a range of specialties, including emergency medicine and trauma, cardiology, neurosurgery and spine care, orthopedics, women's services, adult and adolescent behavioral health, and critical care. Our hospital also provides comprehensive surgical services supported by leading technology and clinical expertise. As we look to the future, a new patient tower under construction and major campus renovations underway will deliver even greater access to advanced care in neuroscience, heart and vascular services, digestive health, and an expanded Emergency Department. Texas Health Plano is a Level II Trauma Facility and the only health care provider in Collin County with Level IV NICU and Level IV Maternal Facility designations. We are also a DNV-certified Comprehensive Stroke Center and Primary Heart Attack Center accredited by The Joint Commission in Hip and Knee Replacement. We're proud to be a four-time Magnet-designated hospital and home to the DFW area's only AACN Beacon Gold adult intensive care unit. Our team members enjoy outstanding benefits, including an on-site childcare center designed to support working parents.

Requirements

Bachelor's Degree BSN Required
7 Years clinical nursing Required
5 Years progressive management experience Required
RN - Registered Nurse Upon Hire Required
Excellent verbal and written communication, negotiation and collaboration skills; ability to collect, analyze and organize data; team facilitation skills; knowledge of regulatory and accreditation requirements; ability to educate and motivate; able to use Microsoft Office applications

Nice To Haves

Master's Degree Preferred
Managerial Experience Strongly Preferred
Quality Experience Preferred
CPHQ - Certified Professional in Healthcare Quality Upon Hire Preferred
CPHRM - Certified Professional in Healthcare Risk Management Upon Hire Preferred

Responsibilities

Oversight and facilitation of accreditation activities to include but not limited to: TJC, Chest Pain & Stroke certifications Bariatric certification, etc.
Direct and support processes and coordinate tactics that advance patient safety and performance improvement. Track, trend and monitor performance improvement outcomes and risk events. Work with other departments on hospital and system initiatives and support evidence-based best practices. Ensure annual completion of FMEA for the acute care and Seay Behavioral Health Center. Direct clinical outcomes program.
Oversee and facilitate Medical Staff Peer Review, including Ongoing Professional Practice Evaluation (OPPE) and Focused Professional Practice Evaluation (FPPE). Assist peer review physicians and division chiefs in preparing and presenting case reviews and completing follow-up activities based on peer review findings.
Develop and implement strategy to create and maintain a positive employee relations environment for departmental employees. Recruit, orient and retain excellent staff. Supervise departmental staff, developing standards of performance, evaluating performance and initiating or recommending personnel actions. Mentor job-related growth of staff.
Plan and execute in collaboration with Chief Medical Officer, Chief Nurse Executive and Texas Health leadership the implementation of a comprehensive quality and safety management process. Develop and maintain KPI quality dashboard. Direct the preparation and maintenance of department reports and tracking of data for quality and safety initiatives, including preparation of reports for committees and top management as required. Monitor and supervise hospital compliance with The Joint Commission (TJC) and governmental agencies, standards and requirements, acting as liaison during site reviews. Participate in and represent THP in system-wide quality/patient safety committees and initiatives. Take initiative and coordinate with other departments to develop action plans for performance improvement and patient safety initiatives and risk reduction.
Conduct initial investigation of events to begin information gathering process. Work with CQO/hospital staff/medical staff regarding management of event and communication with the patient/family. Communicate with the patient/family as necessary. Coordinate and facilitate RCA meetings and development of action plans. Monitor progress and effectiveness of RCA Action Plans. Work with Risk Manager to develop reports and results of action plans for Risk Management/Patient Safety Committee and Quality Integration Committee. Manage complaint/grievance process.
Assist in development of capital and operational budget and monitor compliance of same. Consider clinical, quality and operational outcomes and financial implications when making recommendation for changes in practices.