Performance Improvement Specialist - Patient/Safety Risk
Company: Houston Methodist Cypress Hospital
Location: Pinehurst
Posted on: October 20, 2024
Job Description:
At Houston Methodist, the Performance Improvement Specialist is
responsible for the development of performance improvement/patient
safety initiatives. Promotes organization wide understanding of the
overall quality and patient safety program and culture. Facilitates
timely and effective resolutions of patient care issues. Serves as
a resource to all levels of the organization relative to quality
improvement activities, conducting or providing education as
requested by staff or leadership. Coordinates teams as needed to
drive change towards desired outcomes using appropriate performance
improvement methodologies.
PEOPLE ESSENTIAL FUNCTIONS
- Collaborates with Education on instructing/informing staff on
new or revised quality programs or plans, regulatory and
accreditation standards, and/or performance improvement processes
as applicable.
- Collaborates in an interdisciplinary manner on hospital-wide
patient safety, performance improvement, and data
management/analysis functions to maximize outcomes.
SERVICE ESSENTIAL FUNCTIONS
- Leads accreditation readiness initiatives. Participates in
regulatory and accreditation surveys.
- Serves as a resource for basic data analysis. Develops summary
reports and assists with presentation of findings to various
audiences.
- Coordinates the agenda and meeting materials for the quality
and patient safety committees of the hospital for assigned
areas.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Maintains all programs to ensure compliance to accreditation
standards and regulatory agency requirements.
- Abstracts pertinent information and enters into department
databases using standardized methods and processes. Routinely
performs discrepancy management activities to maintain data
integrity. Presents meaningful reports and analysis with
measurement description, statistical information, and benchmarking
information. Reports data to external agencies as needed.
- Concurrently reviews and analyzes inpatient records to ensure
that compliance to quality indicators is met.
- Provides basic analyses of hospital performance against patient
safety, quality and outcomes measures.
- Utilizes results from performance improvement activities to
identify and prioritize areas of focus for improvement. Evaluates
and provides input on the effectiveness of performance improvement
programs.
- Supports improvement efforts for potential or actual quality of
care/risk issues including participation/facilitation of Root Cause
Analysis (RCA), Failure Modes Effects Analysis (FMEA), or event
review as needed. Supports leadership and staff with the
development and implementation of process changes. Summarizes
events and presents findings as needed. Facilitates systems' design
to hardwire patient safety processes.
- Conducts record review for performance improvement, peer
review, patient safety, risk management and other projects.
FINANCE ESSENTIAL FUNCTIONS
- Proactively identifies quality and safety improvement
opportunities through analysis of internal and external data, to
include federal incentive programs as applicable.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Designs, develops, and implements project plans related to
strategic quality and safety initiatives. Manages reporting of
these projects/measures to internal departments/committees and/or
outside agencies, as needed. Provides oversight for these projects
to ensure desirable outcomes are met.
This job description is not intended to be all-inclusive; the
employee will also perform other reasonably related business/job
duties as assigned. Houston Methodist reserves the right to revise
job duties and responsibilities as the need arises.
EDUCATION
- Bachelor of Science or higher degree in Nursing required
WORK EXPERIENCE
- Three years of experience in a hospital or outpatient clinical
role
- One year of experience in a quality management and/or patient
safety, risk management, decision support or similar information
analysis role
LICENSES AND CERTIFICATIONS - REQUIRED
- RN - Registered Nurse - Texas State Licensure and/or Compact
State Licensure within 60 days OR
- RN-Temp - Registered Nurse - Temporary State Licensure within
60 days
LICENSES AND CERTIFICATIONS - PREFERRED
- CPHQ - Certified Professional in Healthcare Quality (NAHQ)
OR
- CPPS - Certified Professional in Patient Safety (CBPPS) OR
- or other related professional certification preferred
KNOWLEDGE, SKILLS, AND ABILITIES
- Demonstrates the skills and competencies necessary to safely
perform the assigned job, determined through on-going skills,
competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the
English language necessary to perform the essential functions of
this job, especially with regard to activities impacting patient or
employee safety or security
- Ability to effectively communicate with patients, physicians,
family members and co-workers in a manner consistent with a
customer service focus and application of positive language
principles
- Knowledge of statistical analysis techniques and software
- Knowledge of performance improvement methodologies and
principles
- Knowledge of the principles of patient safety
- Knowledge of accreditation and regulatory agencies requirements
for performance improvement and patient safety
- Ability to learn and apply use of databases for aggregation of
data for analysis
- Strong leadership qualities (task completion, motivation)
- Ability to independently analyze and solve problemsSUPPLEMENTAL
REQUIREMENTS
WORK ATTIRE
- Uniform No
- Scrubs No
- Business professional Yes
- Other (department approved) NoON-CALL*
*Note that employees may be required to be on-call during
emergencies (ie. DIsaster, Severe Weather Events, etc) regardless
of selection below.
- On Call* NoTRAVEL**
**Travel specifications may vary by department**
- May require travel within the Houston Metropolitan area
Yes
- May require travel outside Houston Metropolitan area YesCompany
Profile:Houston Methodist Cypress Hospital, scheduled to open in
the first quarter of 2025, will be Houston Methodist's ninth
hospital and will incorporate the most advanced technology
available from the day the doors open. With 100 beds (at our
opening; licensed for 276) and a prime location in the heart of the
rapidly growing U.S. 290 corridor, the hospital will be equipped
with technologically advanced innovations implemented during COVID,
many of them designed to make patient communication with
physicians, staff and families the very best and most effective in
any health care facility. Even though the hospital won't be fully
operational until 2025, we have several services and specialties
opening in 2024.Houston Methodist is an equal opportunity employer
inclusive of women, minorities, disabled persons and veterans.Equal
Employment OpportunityHouston Methodist is an Equal Opportunity
Employer.Equal employment opportunity is a sound and just concept
to which Houston Methodist is firmly bound. Houston Methodist will
not engage in discrimination against or harassment of any person
employed or seeking employment with Houston Methodist on the basis
of race, color, religion, sex, sexual orientation, gender identity,
national origin, age, disability, status as a protected veteran or
other characteristics protected by law. VEVRAA Federal Contractor -
priority referral Protected Veterans requested.
Keywords: Houston Methodist Cypress Hospital, Galveston , Performance Improvement Specialist - Patient/Safety Risk, Other , Pinehurst, Texas
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