Director of Quality Improvement

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values Are We serve faithfully by doing what's right with a joyful heart.
We never settle by constantly striving for better.
We are in it together by supporting one another and those we serve.
We make an impact by taking initiative and delivering exceptional experience.

Job Summary

Director Quality Improvement plans, directs, and coordinates quality and patient safety programs for Baylor Scott and White Health (BSWH). These programs include activities that aim for zero preventable harm and apply safe, timely, effective, efficient, equitable, and patient-centered care. The director develops and implements plans, programs, procedures, and practices to improve patient care quality at BSWH hospitals, clinics, and ambulatory facilities. They review current programs and seek opportunities to resolve clinical quality problems or operational issues. The director develops key metrics for clinical quality and patient safety and directs data testing, trending, forecasting, and reporting to improve health care processes. They ensure clinical performance improvement programs comply with all regulatory, legal, and organizational requirements. The director partners with clinical staff, operations, and other stakeholders to improve processes impacting patient safety and care quality at BSWH. An entity Director translates and implements strategic plans and goals for their entity. They make final judgments on operational matters and ensure goals are met. They recommend policies and organizational changes for the entity. They plan and execute projects and initiatives that meet annual goals. They plan and direct department operations, handling staffing, processes, budgets, and costs. They manage and advise subordinates to meet schedules, resolve technical problems, and monitor performance. The director oversees a larger, more complex organization or area than a manager. The director may have one or more managers or supervisors reporting to them.

Essential Functions of the Role

• Direct the quality improvement function for assigned area of responsibility for BSWH.
• Direct and collaborate with cross-functional teams, including patient safety, infection prevention, nursing, risk management, and medical staff.
• Works with other stakeholders to promote continuous improvement in quality and patient safety for the assigned area.
• Direct, facilitate, and support hospital quality improvement and patient safety committees. These councils provide oversight to ensure high-quality and safe patient care.
• Direct and guide process improvement teams and activities using quality and patient safety best practices, improvement tools, and standardization methods.
• Direct data monitoring, collection, testing, tracking and trending care processes to ensure safety, effectiveness, and efficiency.
• Partner with hospital and system teams to advance health initiatives.
• Direct quality improvement analytics, data validation, and data analysis activities. This includes data submission, testing for facility-identified data registries, and ensuring data confidentiality.
• Direct the identification of real and potential safety concerns in BSWH facilities.
• Direct programs like variance reporting, patient safety response, and compliance with state and federal safety regulations.
• Partner with clinical and corporate compliance to manage regulatory surveys, certifications, and compliance requirements.
• Establish hospital and system processes to monitor quality and patient safety.
• Ensure all reporting requirements are met.
• Engage 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 highly preferred.
• CPHQ certification highly preferred.
• 5+ years of experience in healthcare quality improvement, patient safety, risk management, or related areas.
• 3+ years of direct leadership experience in healthcare quality improvement, patient safety, risk management, or related areas highly 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.

Qualifications

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