JOB SUMMARY

Partners with and supports key stakeholder's teams to implement reporting and quality improvement projects in in support of BSWH's strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statues, policies and procedures.

ESSENTIAL FUNCTIONS OF THE ROLE

Performs concurrent and retrospective medical record review to investigate quality and/or patient safety concerns and to identify performance improvement opportunities.

Collects and analyzes relevant data in support of patient safety and quality improvement strategies and projects and in accordance with regulatory and entity-specific requirements.

Supports and/or facilitates quality and patient safety initiatives to improve safety and foster an environment of service excellence through successful interventions, data analysis and development of action plans.

Develops and disseminates ongoing and ad hoc reports to ensure clinicians, administrators, medical staff committees and corporate teams receive timely and accurate data to meet their needs in ensuring quality care and patient safety within their departments.

Identifies and recommends measures to enhance reporting processes, tools, and methods.

Collaborates in the development and presentation of educational materials designed to educate staff and management about quality and patient safety processes.

Utilizes quality improvement tools and techniques, including proactive and retrospective risk assessments, to improve quality, patient safety, and patient perceptions of BSWH's health care services.

Identifies regional, system, and industry best practices, providing feedback to leaders and team members.

Participates on quality improvement teams as requested by leadership.

Participates in unit and facility huddles.

Supports the ZERO Harm rounding process as directed by leadership.

Provides subject matter expertise and comprehensive measurement analysis for quality improvement initiatives across the organization.

Maintains awareness of the latest developments, advancements, and trends in the field of quality improvement reporting and analysis by attending seminars/workshops, reading professional journals, and active participation in professional organizations.

KEY SUCCESS FACTORS

Advanced knowledge of quality and performance improvement standards, evidence-based patient safety, outcomes management and the regulatory environment

Advanced knowledge of Texas, Joint Commission and CMS standards

Strong verbal, interpersonal and written communication skills

Skilled in the use of computers, and related software applications

Able to establish and maintain effective collaborative working relationships

Able to facilitate and support patient safety and quality improvement initiatives

Able to perform data collection, abstraction, and analysis

Able to analyze processes, systems data and prepare reports

Able to provide education to health care providers on quality and patient safety issues based on data outcomes, industry standards and regulatory requirements

Able to appropriately prioritize tasks to meet desired deadlines.

BENEFITS

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 upon position type and/or level

QUALIFICATIONS

- EDUCATION - Bachelors or Equivalent Exp or 4 years of work experience above the minimum qualification

- EXPERIENCE - 3 Years of Experience