Quality Management Specialist - Clinical Services Admin - Galveston

University of Texas Medical Branch•Galveston, TX

47d

About The Position

To work with staff and leaders throughout the organization to serve as a facilitator of quality assessment activities to one or more clinical departments. Identify opportunities and solve problems relating to quality/performance improvement and to meet regulatory and accreditation requirements. Coordinates reporting from hospital department's quality management and improvement programs, ensuring compliance with the Hospital Performance Improvement Plan, the individual Quality Improvement Plans for hospital departments and requirements from government and accrediting bodies.

Requirements

Bachelor's degree in related field or equivalent
Three (3) years of experience which includes one year experience in quality management and process improvement or comparable experience.

Nice To Haves

Master's degree in a clinical field, health management, or health-related field preferred.
Specialty certification in quality or process improvement preferred.

Responsibilities

Organizes quality management activities for one or more clinical and hospital departments
Utilizes systematic, data-driven method(s) to develop, monitor, evaluate, and improve initiatives, programs, services, and relationships to improve clinical and operational performance.
In collaboration with clinical staff and leadership, participates in the monitoring, reporting, and improvement activities related to clinical guidelines, healthcare quality/safety initiatives, accreditation and regulatory requirements.
Researches and identifies evidence-based process improvements and helps to set standards and define best practices for assigned departments and projects.
Collaborates with information owners and end users to systematically develop, define, and deploy Health System metrics to meet.
Organizes, attends and facilitates departmental quality management meetings and attends Mortality and Morbidity conferences.
Uses data to assist departments in making process changes through facilitation of proactive and reactive process improvement and patient safety activities in regard to planning, implementation, and evaluation of effectiveness of process changes.
Influences, educates and assists clinical departments in developing appropriate ongoing quality management/monitoring programs about project implementation and management.
Ensures compliance of areas of responsibility with CMS and Joint Commission requirements.
Facilitates continuous process improvement teams using the Plan Do Study Act (PDSA) or Focus Analyze Develop and Execute (FADE) methodology
In collaboration with Risk Management, facilitates proactive and reactive patient safety activities including Root Cause Analyses (RCA), Failure Mode Effects Analyses (FMEA) and Sentinel Event Alerts in regard to the facilitation process, planning, implementation and evaluation of effectiveness of process changes.
Assists with maintaining the transparency and dissemination of Health System metrics
Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of developmental needs that contribute to the enhancement of patient care.
Regularly communicates PI and quality/safety activities to leadership and QM staff.
Adheres to internal controls and reporting structure.