Director Hospital Quality, Enterprise Quality and Patient Safety

4 weeks ago

Sugar Land, United States Memorial Hermann Health System Full time

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

The Director will have primary oversight of the hospital quality and patient safety program. This leadership role will direct others within a hospital in clinical robust process improvement supporting evidence based practices, the reduction of medical/health care errors and other factors that contribute to unintended adverse outcomes. The Director will provide hospital leadership for robust process improvement ensuring high reliability methods, quality measures monitoring and ongoing regulatory compliance and readiness. The Director will educate leadership, physicians, and staff on high reliability methodologies including system-based causes for medical error within a hospital. The Director will coordinate robust process improvement initiatives and projects within a hospital. The Director is responsible and accountable for optimizing quality and patient safety outcomes. The Director will work closely with hospital leadership to optimize hospital strategic goals and objectives. The director oversees the collection, analysis and reporting of quality and patient safety data within a hospital in relation to cost containment, performance improvement and outcomes. The Director is accountable for facilitating, validating and reporting all hospital improvement activities addressed at different levels including Monthly Operating Reviews and Quality Committees. The Director promotes interdisciplinary collaboration; fosters team work and champions service excellence throughout a hospital. The Director serves as a resource and subject matter expert to proactively address quality and patient safety issues.Job Description

Minimum Qualifications

Education: Bachelors Degree in Nursing; Pharmacy, or related clinical area required; Masters preferred

Licenses/Certifications: CPHQ or ABQAURT required or within twelve months of employment and/or HACP Certification preferred

Experience / Knowledge / Skills:

  • Five (5) years experience in hospital based nursing or clinical area
  • Two (2) years leadership or supervisory experience preferred
  • Two (2) years experience in quality and/or patient safety activities including regulatory compliance (TJC, CMS, and TDSHS)
  • Two (2) years experience in robust process improvement methodologies or complete MHHS approved robust process improvement training within twelve months of employment
  • Experience in statistical analysis or quantitative analysis
  • Self motivated, proven communication skills, assertive
  • Background in business planning and targeted outcomes preferred
  • Effective working relationships with Executives, Physicians, Directors, and staff
  • Ability to serve as liaison to external regulatory and sanctioned reporting agencies
  • Excellent written and verbal and presentation skills
  • Knowledge of evidence based practice guidelines for clinical care and quality, and patient safety
  • Ability to work collaboratively with Healthcare professionals at all levels to achieve established goals and improve quality outcomes
Principal Accountabilities
  • Executes, integrates, and implements all components of the hospital quality and patient safety program.
  • Identifies quality and patient safety improvement opportunities based on evidence based clinical practices and statistical analysis of current practice patterns.
  • Oversees and manages clinical quality and patient safety data collection, aggregation, and dissemination within the hospital, specific to clinical quality and patient safety.
  • Collaborates with system, regional and hospital leadership to establish and monitor outcomes measures within the hospital.
  • Leads, manages and promotes a culture of patient safety and implementation of high reliability practices within a hospital.
  • Collaborates with system and regional leadership to design, develop and implement patient safety alerts, prompts and tools within a hospital.
  • Directs and manages local performance improvement and patient safety specialists in their daily quality and patient safety operations, and develops and implements systems for optimal knowledge transfer and efficiency within the hospital.
  • Refines and improves hospital processes to meet the anticipated needs and requirements of health care reform and One Memorial Hermann.
  • Precepts, plans and directs short term and long term quality and patient safety robust process improvement projects to continuously improve the quality and patient safety program within the hospital.
  • Directs and promotes communication and collaboration between all stakeholders in quality and patient safety strategies.
  • Provides oversight in the use of data to drive decisions, to plan, to develop, and implement quality improvement strategies.
  • Collaborates with system, regional and hospital leadership to establish the education program for physicians, managers, staff, patients and families pertaining to quality and patient safety principles.
  • Oversees accreditation and regulatory continuous compliance within the hospital with JCAHO, CMS, and TDH.
  • Directs and manages the day to day hospital quality and patient safety operational budget.
  • Assures that revenue, expenses, contribution margin and FTEs meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances; identifies and proposes capital/budget items appropriately.
  • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
  • Other duties as assigned.

  • Director Quality

    4 months ago

    Sugar Land, United States Houston Methodist Full time

    Director Quality & Outcomes REFER A FRIEND Current Employees Apply BACK Location: Houston Methodist Sugar Land Hospital 16655 Southwest Fwy Sugar Land, TX 77479 Job Ref: 59324 Talent Area: Leadership Management Job Shift: 1st - Day Job Type: Full-Time Posted Date: July 29, 2024 At Houston Methodist, the Director Quality & Outcomes position is...

  • Quality Medical Management Medical Director

    3 months ago

    Sugar Land, TX, United States HealthTrust Supply Chain Full time

    At HealthTrust Supply Chain, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. HealthTrust Supply Chain, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Comprehensive medical coverage that covers many...

  • Nurse Practitioner

    1 month ago

    Sugar Land, United States Quality Talent Group Full time

    About the JobWe are seeking a highly skilled and compassionate Registered Nurse (RN) PRN to join our team at Houston Methodist West Hospital. As a RN PRN, you will provide professional nursing care to a diverse patient population, conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records.Key...

  • Respiratory Care Practitioner

    2 months ago

    Sugar Land, United States Quality Talent Group Full time

    About the job Respiratory Care Practitioner - Nights - Full-Time At Houston Methodist, the Respiratory Care Practitioner (RCP) position is responsible for performing routine respiratory care procedures as assigned, varying in complexity which include, but are not limited to, preparation, administration and monitoring of medication and treatment modalities...

  • Hospital Medical Officers

    3 weeks ago

    Sugar Land, United States Enterprise Medical Recruiting Full time

    Enterprise Medical Recruiting is helping a hospital in Sugar Land, TX to find a Neurologist for their busy practice. They are seeking a generalist or someone interested in dementia, Alzheimer's, or MS.

  • Clinical Resource Director

    1 month ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHealthTrust...

  • Staff Registered Nurse

    2 months ago

    Sugar Land, United States Quality Talent Group Full time

    About the job Staff Registered Nurse - Urology (Sugar Land) At Houston Methodist, the Staff Registered Nurse (RN) position is responsible for functioning at the Competent to Proficient stage of Benner's model of clinical practice. The Staff RN position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists...

  • Clinical Resource Director

    3 weeks ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHealthTrust...

  • Director, Medical Director

    1 month ago

    Sugar Land, TX, United States HealthTrust Supply Chain Full time

    Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team. HealthTrust Supply Chain, offers a total rewards package that supports the health, life, career and...

  • Clinical Resource Director

    2 months ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. North Houston AreaIntroductionDo you want to join an organization that invests in you as a(an) Clinical Resource Director? At HealthTrust Supply Chain, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of...

  • Clinic Specialty Registered Nurse

    1 month ago

    Sugar Land, United States Quality Talent Group Full time

    At Houston Methodist the Clinic Specialty Registered Nurse (RN) position is responsible for functioning as an advanced clinician at the Proficient level according to Benners model of clinical practice. The Clinic Specialty RN position provides and coordinates defined specialty care and associated services to a defined population and is considered an expert...

  • Manager, Quality Assurance

    4 weeks ago

    Sugar Land, United States QuVa Pharma Full time

    Our Manager, Quality Assurance - Formulation plays a vital role within our organization. Once you complete our training, your responsibilities will include managing all Quality Assurance aspects of bulk formulation manufacturing of sterile pharmaceuticals within the facility. The primary function is to provide all quality oversight and management of the...

  • Nurse Practitioner

    1 month ago

    Sugar Land, United States Quality Talent Group Full time

    About the JobWe are seeking a highly skilled and dedicated Registered Nurse II to join our team at Houston Methodist. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and contributing to our mission of delivering world-class healthcare.ResponsibilitiesProvide high-quality patient care and support to...

  • Manager, Quality Assurance

    4 weeks ago

    Sugar Land, United States QuVa Pharma Full time

    Our Manager, Quality Assurance - Formulation plays a vital role within our organization. Once you complete our training, your responsibilities will include managing all Quality Assurance aspects of bulk formulation manufacturing of sterile pharmaceuticals within the facility. The primary function is to provide all quality oversight and management of the...

  • Manager, Quality Assurance

    4 weeks ago

    Sugar Land, United States QuVa Pharma Full time

    Our Manager, Quality Assurance - Formulation plays a vital role within our organization. Once you complete our training, your responsibilities will include managing all Quality Assurance aspects of bulk formulation manufacturing of sterile pharmaceuticals within the facility. The primary function is to provide all quality oversight and management of the...

  • Clinical Resource Director

    4 weeks ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHealthTrust...

  • Clinical Resource Director

    1 month ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHealthTrust...

  • Registered Nurse

    2 months ago

    Sugar Land, United States Quality Talent Group Full time

    About the job Registered Nurse (RN) II - Medical Surgical - Nights We hold ourselves and the careers we build to a higher standard. At Houston Methodist, nurses develop their skills through a wide range of educational programs, collaborate with physicians to provide the best care and build upon a world-class reputation for excellence in patient care,...

  • Clinical Resource Director

    1 month ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHealthTrust Supply Chain, offers a...

  • Clinical Resource Director

    3 weeks ago

    Sugar Land, United States HealthTrust Supply Chain Full time

    Description This position is incentive eligible. IntroductionAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our Clinical Resource Director opening with HealthTrust Supply Chain today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHealthTrust...