Director, Quality & Patient Safety- Fournace Place. Houston, TX
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
Skills / Requirements
The Director of Quality and Patient Safety provides administrative, strategic, operational oversight and direction of quality management in keeping with the overall mission of Harris Health System with a focus on providing services which promote quality of care, quality of service and patient satisfaction by all levels of hospital staff. This position is accountable for assisting in the development, management and coordination of the hospital-wide Quality Management System. Primary responsibilities include regulatory and accreditation preparation/support, data management, and performance improvement activities that support consistent service, customer needs and continual improvement. The DQPS oversees implementation, monitoring and evaluation of the quality improvement activities throughout the hospital.
The DQPS serves as part of the Administrator's and CNO's liaison team to Department of Health, CMS, DNV and other licensing and accrediting bodies. Reports to the Chief Nursing Officer with a dotted line report relationship to the Administrator. Works collaboratively with the Harris Health System Quality Management Department and Chief Medical Officer to align quality goals and strategies for performance improvement. The DNPSQC works closely with the system quality director, quality directors assigned to other pavilions as well as members of his/her pavilion leadership team to ensure clarity and conformity regarding expectations, responsibility, accountability, professional practice standards and differentiation of practice.
Requires extensive knowledge of DNV/ISO; ability to work independently using sound judgment, clinical skill and to handle sensitive medical matters in an appropriate and professional manner, counseling skills; must be able to work with all levels of personnel within the hospital.
This position is responsible for leading and mentoring departments in all performance improvement activities for the hospital. Included are hospital level reporting/monitoring, department specific quality monitoring, benchmarking studies, and publicly reported data (i.e. core measures). Serves as a change agent in fostering performance improvement initiatives.
In collaboration with clinical and administrative leadership, the DQPS assumes pavilion-wide responsibility for coordinating all aspects of patient safety and quality care development including oversight for required applications, documentation, policies and other programmatic activities that enhance the culture, relationships and the work environment.
Graduation from an accredited College/University with a Master's degree in Nursing (preferred), Health Care Administration, Business, or other acceptable related degree. Licensure/Certification:
Registered Nurse, Licensed to practice nursing in the state of Texas, or related clinical practice; Applicable professional certification in administration or health care quality (preferred) is to be completed within two (2) years, if not held at the time of appointment.
Basic Life Support from a hospital-based American Heart Association (AHA) approved program.
Work Experience: Ten (10) years of experience, including at least five (5) years progressive management/leadership experience; Experience congruent with DQPS role responsibilities; Excellent interpersonal and communication skills, to include verbal, written, and computer skills (MS Office Suite); Exceptional organizational skills and ability to meet deadlines; Prior management or project management experience with attention to detail required; Experience developing and conducting education programs, preferred; and Project management and/or project facilitation skills
Communication Skills: Above Average Verbal (Heavy Public Contact); Exceptional Verbal (e.g., Public Speaking); Writing /Composing: Correspondence/Reports)
Other Skills: Analytical; Design; Medical Terms; Mathematics; PC; Research; Statistical; Word Proc;
Work Schedule: Weekends; Holidays; Flexible; Travel; On Call