Quality Coordinator

USPI•The Woodlands, TX

About The Position

USPI Memorial Hermann Surgery Center Pinecroft is seeking a motivated Quality Coordinator. We have 6 OR rooms and 2 treatment rooms. We perform outpatient surgical procedures in General, GI, ENT, Neurosurgery, Orthopedic, Pain, Plastic, Podiatry, Spine, Urology. Position requires weekdays only -- no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day. Job Summary: Quality Coordinator to join the team in the Quality & Risk Management Department. The Quality Coordinator will provide assistance with all aspects of Quality, Risk Management, Patient Safety, Infection Prevention & Control, and Employee Health under the direction of the Director of Quality and Risk Management.

Responsibilities

Manages the Policy and Procedure flow through the organization.
Manages the hospital’s Core Measure data abstraction and reporting to PCC.
Performs OPPE data review and prepares summary report for physician leadership.
Analyzes data provided from a variety of metrics such as departmental metrics and QAPI auditing.
Assists with preparation of Joint Commission reports.
Assists in the preparation for Patient Care Committee and other QAPI meetings, as needed and maintain meeting minutes.
Creates and delivers educational presentations for identified learning needs related to QAPI.
Assists in assuring the department is compliant with the standards of regulatory agencies.
Assists Director of Quality & Risk Management, as needed.
Is supportive of departmental and hospital goals.
Performs special projects for the CFO/COO, CNO, and CEO.
Other duties as assigned.