Manager, Quality Improvement

JOB SUMMARY The Manager Quality Improvement manages people and develops programs, and projects to achieve transformation and sustainable change that help the BSWH strategy to deliver high-quality, safe care and achieve excellence for patients and members by regulatory statutes, policies and procedures.
* Our Quality manager at Brenham does not have direct reports at this time.
ESSENTIAL FUNCTIONS OF THE ROLE Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH.
Ensures demonstrable progress toward the BSWH goal of achieving high reliability by providing facilitation, mentorship, training, and instructional materials to train, educate and help leadership, facility staff and departmental staff in the provision of patient safety and quality care, and compliance with regulatory requirements.
Develops, interprets, and reviews changes and helps in successful implementation of policies, processes, and procedures to help BSWH patient safety and quality priorities and compliance with federal and state regulatory requirements.
Ensures improvement initiatives are directly linked to the strategic and tactical priorities of the organization, emphasizes efficiency and effectiveness of processes, and enables breakthrough process changes and improvements.
Monitors key processes and outcomes, identifies performance gaps, recommends strategies for improved outcomes, and applies a wide range of data techniques, and process or quality improvement tools to drive improvements, and tracks and examines project performance against project plans to ensure return on investment.
Serves as change agent for various stakeholders charged with clinical operations at BSWH entities.
Works in close partnership with facility leadership and teams to use appropriate audit strategies, data extraction, professional observation, surveys and focus groups or other tools to obtain relevant information to improve care and quality of service.
Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.
Participates and/or leads BSWH specific quality improvement and monitoring efforts such as but limited to unit and/or facility huddles and ZERO Harm Rounds.
Ensures successful departmental leadership including provision and direction of adequate staffing resources, compliance with departmental budget, effective departmental communication, and team member development and performance evaluation.
KEY SUCCESS FACTORS Professional knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiatives Professional knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality care Excellent management, strategic thinking, investigative, facilitation, and problem-solving skills Excellent verbal, social, and written communication, and exceptional computer/technology skills Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues Able to work collaboratively and effectively with a wide range of key stakeholders and across organizational lines and teams to identify strategic and operational challenges and impediments to success, and recommend and implement corrective action/or mitigation and prioritize tasks to achieve BSWH safety and quality priorities Able to lead, monitor, help, and develop direct and indirect reports to ensure personal and departmental success Hold or be willing to achieve Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or a leader approved role-appropriate certification within the first two years of hire Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc.
preferred.
Brenham preference would be to have a nursing background.
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 Annual incentive bonus at 5% of salary opportunity Note: Benefits may vary based on position type and/or level QUALIFICATIONS EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification EXPERIENCE - 5 Years of Experience