Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.
HOUSTON METHODIST EXPERIENCE EXPECTATIONS
Provide personalized care and service by consistently demonstrating our I CARE values:INTEGRITY: We are honest and ethical in all we say and do.COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.ACCOUNTABILITY: We hold ourselves accountable for all our actions.RESPECT: We treat every individual as a person of worth, dignity, and value.EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.Practices the Caring and Serving ModelDelivers personalized service using HM Service StandardsProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience.Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given jobDisplays cultural humility, diversity, equity and inclusion principlesActively supports the organization's vision, fulfills the mission and abides by the I CARE values Responsibilities PEOPLE ESSENTIAL FUNCTIONS
Promotes organization-wide understanding of overall quality and patient safety program and culture. Serves as an expert resource to all levels of the organization regarding quality improvement activities.Proactively and effectively develops and maintains collaborative relationships with physicians, hospital leaders and staff. Serves as operational liaison to physicians and staff to support Care Management Performance Improvement (CMPI)/Project goals.Facilitates a multidisciplinary approach to improve clinical processes and outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes.Serves as a lead resource and mentor for other Quality Outcome Specialists. May assist in creating and reviewing project designs.
SERVICE ESSENTIAL FUNCTIONS
Serves as a key quality contact with leadership, managers and staff responsible for the execution of corrective actions initiatives/projects and compliance with customer requirements.Supports leadership with the development and implementation of patient safety and process improvement changes. Makes recommendations for unit-based process change initiatives.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Facilitates timely and effective resolutions of patient care process issues. Uses performance improvement methodologies in the development of performance improvement/patient safety initiatives and coordinates teams as needed to drive change towards desired outcomes. Monitors compliance with clinical protocols, pathways and evidence-based care along the continuum for various hospital patient populations.Facilitates a multi-disciplinary approach to improve clinical process and outcomes. Monitors and evaluates clinical performance of CMPI and Project efforts using defined metrics and desired outcomes. Makes recommendations to key leadership for team strategies to achieve desired outcomes.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. Monitors trends and provides feedback. Creates and presents executive summaries as needed to various audiences to drive change.Supports improvement efforts for potential or actual quality of care issues including participation/facilitation of Root Cause Analysis (RCA), Failure Modes Effects Analysis (FMEA), Critical Incident Review (CIR) or event review as needed. Supports leadership and staff with the development and implementation of process changes. Conducts evaluation of effectiveness of initiatives and presents findings as needed. Facilitates systems' design to hardwire patient safety processes.
FINANCE ESSENTIAL FUNCTIONS
Facilitates performance improvement projects/initiatives to improve outcomes, ultimately impacting hospital finances.
GROWTH/INNOVATION ESSENTIAL FUNCTIONSIdentifies and recommends opportunities for improvement in accordance with hospital leadership.Assists in the development of long-term tactics and strategies to improve operational processes.Analyzes and assesses present and future needs, trends, challenges, and opportunities related to hospital processes and operations.
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. Qualifications EDUCATION
Bachelor's degree in nursingMaster's degree preferred
WORK EXPERIENCE
Four years of experience in direct patient care activities in a hospital settingThree years of experience in Hospital Quality ImprovementTwo years of progressive leadership experience License/Certification LICENSES AND CERTIFICATIONS - REQUIRED
RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 90 days orRN-Temp - Registered Nurse - Temporary State Licensure within 90 days andCPHQ - Certified Professional in Healthcare Quality (NAHQ) within 18 months orCPPS - Certified Professional in Patient Safety (CBPPS) within 18 months orCPSO - Certified Patient Safety Officer (IBFCSM) within 18 months KSA/ Supplemental Data 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 evaluationsSufficient 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 securityAbility 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 principlesDemonstrates knowledge and application of process improvement tools and techniques (statistical process control tools and team tools)Demonstrates knowledge of regulatory and accrediting standards as they apply to performance improvementSkill in developing and maintaining interpersonal relationships with a wide variety of healthcare professionals and hospital leadershipAbility to define problems, collect data, establish facts and draw valid conclusions and evidence performance improvement via measurable resultsAbility to enter and abstract data using personal computer, as well as the ability to utilize data to facilitate the improvement and change in processesComputer skills to include Excel, Word, and PowerPointAbility to facilitate performance improvement teams, present data and promote a collaborative approach toward goal achievementAbility to work independently and interdependentlyPresentation skills and expertise in designing and implementing teams/educational offerings related to clinical quality
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
Uniform NoScrubs NoBusiness professional YesOther (department approved) No
ON-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* No
TRAVEL**
**Travel specifications may vary by department**
May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area No Company Profile
Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation's leading centers for medical education and research. In 2020, U.S. News & World Report named Houston Methodist Hospital to its top ranked Honor Roll for the fourth time and second consecutive year. 2020 also marked the ninth year in a row Houston Methodist Hospital has been named the No. 1 hospital in Texas. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 952 operating beds, 85 operating rooms and over 8,000 employees, Houston Methodist offers complete care for patients from around the world.
The same high-quality care for which Houston Methodist is known is available at several Emergency Care Centers in Houston and the surrounding areas. These Emergency Care Centers house exam rooms, full digital radiography suite, low radiation dose 16-slice CT scan, ultrasound and a full on-site stat chemistry lab.
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Houston 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. Application FAQs
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