JOB SUMMARY

Director Quality Improvement is accountable for planning, directing, and coordinating quality and patient safety improvement programs for Baylor Scott and White Health (BSWH), which include systematic improvement activities that drive toward zero preventable harm and values of safe, timely, effective, efficient, equitable, and patient centered health care services. Develops and implements improvement plans, programs, procedures, and practices that improve the quality of patient care at BSWH hospitals, clinics, and ambulatory care facilities. Reviews current programs and seeks opportunities to improve and resolve clinical quality problems or operational issues for assigned area of responsibility. Develops key metrics of clinical quality and patient safety and directs the testing, trending, forecasting, and reporting of data to improve health care processes. Ensures clinical performance improvement programs are compliant with all regulatory, legal, and organizational requirements. Partners with clinical staff, operations, and other stakeholders to improve processes that impact patient safety and the quality of patient care at BSWH.

An entity Director translates and implements strategic plans and goals for area of responsibility. Makes final decisions on operational matters and ensures achievement of goals. Recommends policies and organizational changes for area. Plans and executes projects and initiatives that meet annual goals. Erroneous decisions at this level tend to have negative impact on the success of the area, business unit, and possibly the overall organization's operations. Plans and directs the operations of a department or area, with responsibility for staffing, processes, budgets, and costs of the unit. Leads and advises subordinate(s) to meet schedules, resolve technical problems, and monitor performance. Has a larger, more complex organization or functional area than a manager. Often has one or more managers or supervisors reporting to the role.

ESSENTIAL FUNCTIONS OF THE ROLE

• Directs the quality improvement function for assigned area of responsibility for BSWH.
• Leads cross-functional teams including patient safety, infection prevention, nursing, risk management, nursing, and medical staff, and other stakeholders to promote continuous improvement in quality and patient safety for assigned area.
• Directs, facilitates, and helps hospital quality improvement and patient safety committees and councils that give oversight to ensure high quality and safe patient care.
• Leads and guides process improvement teams and activities using quality and patient safety best practices, improvement tools, and standardization methods.
• Directs data monitoring, collection, and testing and tracking and trending of care processes to ensure safety, effectiveness, and efficiency.
• Partners with hospital and system teams to advance local, state, and national initiatives related to population health and care Leads quality improvement analytics, data validation, and data analysis activities, including data submission and testing for facility identified data registries and ensuring confidentiality of all data, presentations, and reporting.
• Leads the identification of real and potential safety concerns in all BSWH facilities and directs helping programs that include variance reporting, patient safety response, and compliance activities with all state and federal safety regulatory requirements.
• Partners with clinical and corporate compliance to lead regulatory accreditation/certification surveys, disease specific certifications/designations, onsite or desk review clinical surveys (federal, state, and local entities), and other federal, state, or local compliance requirements.
• Establishes hospital and system processes to monitor quality and patient safety targets and ensures that all reporting requirements are met, engaging with internal and external stakeholders as required.

KEY SUCCESS FACTORS

• Bachelor's degree in healthcare management, nursing, business, or related field preferred. Master's degree preferred.
• 3+ years of experience in healthcare quality improvement, patient safety, risk management, or related area.
• Experience in a leadership role preferred.
• Experience in leading interdisciplinary initiatives in process improvement.
• Knowledge of healthcare quality, patient safety management, benchmarking, and outcome measurement.
• Knowledge of statistics, data collection, testing, and data presentation.
• Critical thinking, process testing, and problem-solving skills.
• Excellent written, verbal, and presentation skills.

BENEFIT

Our competitive benefits package includes the following

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based on position type and/or level

QUALIFICATIONS

• EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
• EXPERIENCE - 3 Years of Experience