Manager Quality Improvement

Baylor Scott & White Health•Temple, TX

38d

About The Position

The Manager Quality Improvement manages people and develops programs, and projects to achieve transformation and sustainable change that support the BSWH strategy to deliver high-quality, safe care and achieve excellence for patients and members in accordance with regulatory statutes, policies and procedures. ESSENTIAL FUNCTIONS OF THE ROLE Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH. Ensures demonstrable progress toward the BSWH goal of achieving high reliability by providing facilitation, mentorship, training, and instructional materials to train, educate and support leadership, facility staff and departmental staff in the provision of patient safety and quality care, and compliance with regulatory requirements. Develops, interprets, and reviews changes and assists in successful implementation of policies, processes, and procedures to support BSWH patient safety and quality objectives and compliance with federal and state regulatory requirements. Ensures improvement initiatives are directly linked to the strategic and tactical objectives of the organization, emphasizes efficiency and effectiveness of processes, and enables breakthrough process changes and improvements. Monitors key processes and outcomes, identifies performance gaps, recommends strategies for improved outcomes, and applies a wide range of analytical techniques, and process or quality improvement tools to drive improvements, and tracks and analyzes project performance against project plans to ensure return on investment. Serves as change agent for various stakeholders charged with clinical operations at BSWH entities. Works in close collaboration with facility leadership and teams to utilize appropriate audit strategies, data extraction, expert observation, surveys and focus groups or other tools to obtain relevant information to improve care and quality of service. Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities. Participates and/or leads BSWH specific quality improvement and monitoring efforts such as but limited to unit and/or facility huddles and ZERO Harm Rounds. Ensures successful departmental leadership including provision and direction of adequate staffing resources, compliance with departmental budget, effective departmental communication, and team member development and performance evaluation.

Requirements

EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification
EXPERIENCE - 5 Years of Experience

Nice To Haves

Expert knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiatives
Expert knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality care
Excellent management, strategic thinking, investigative, facilitation, and problem-solving skills
Excellent verbal, interpersonal, and written communication, and strong computer/technology skills including Microsoft Office/Teams).
Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues
Able to work collaboratively and effectively with a wide range of key stakeholders and across organizational lines and teams to identify strategic and operational challenges and impediments to success, and recommend and implement corrective action/or mitigation and prioritize tasks to achieve BSWH safety and quality objectives
Able to lead, monitor, support, and develop direct and indirect reports to ensure individual and departmental success
Hold or be willing to achieve Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or a leader approved role-appropriate certification within the first two years of hire
Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.

Responsibilities

Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH.
Ensures demonstrable progress toward the BSWH goal of achieving high reliability by providing facilitation, mentorship, training, and instructional materials to train, educate and support leadership, facility staff and departmental staff in the provision of patient safety and quality care, and compliance with regulatory requirements.
Develops, interprets, and reviews changes and assists in successful implementation of policies, processes, and procedures to support BSWH patient safety and quality objectives and compliance with federal and state regulatory requirements.
Ensures improvement initiatives are directly linked to the strategic and tactical objectives of the organization, emphasizes efficiency and effectiveness of processes, and enables breakthrough process changes and improvements.
Monitors key processes and outcomes, identifies performance gaps, recommends strategies for improved outcomes, and applies a wide range of analytical techniques, and process or quality improvement tools to drive improvements, and tracks and analyzes project performance against project plans to ensure return on investment.
Serves as change agent for various stakeholders charged with clinical operations at BSWH entities. Works in close collaboration with facility leadership and teams to utilize appropriate audit strategies, data extraction, expert observation, surveys and focus groups or other tools to obtain relevant information to improve care and quality of service.
Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.
Participates and/or leads BSWH specific quality improvement and monitoring efforts such as but limited to unit and/or facility huddles and ZERO Harm Rounds.
Ensures successful departmental leadership including provision and direction of adequate staffing resources, compliance with departmental budget, effective departmental communication, and team member development and performance evaluation.