Quality Manager - Hospital
Company: Memorial Hermann Health System
Posted on: September 15, 2021
At Memorial Hermann, we're about creating exceptional
experiences for both our patients and our employees. Our goal is to
provide opportunities for our diverse employee population that
develop and grow careers in a team-oriented environment focused on
Every employee, at every level, begins their journey at Memorial
Hermann learning about the history of the organization and its
established culture built on trust and integrity. Our employees
drive this culture, and we want you to be a part of it.
The Performance Improvement Specialist is responsible for driving
progress of robust process improvement projects at the local level.
The PI Specialist will facilitate and coordinate quality, process,
and performance improvement activities using robust process
improvement methodology and maximize identification of process
defects and replication of proven improvement strategies. The
components of robust process improvement program include, but are
not limited to appropriate prioritization of projects based on
strategic goals, level of urgency and availability of robust data.
The PI Specialist works collaboratively with local key stakeholders
including process owners, organization leaders and physicians. The
Performance Improvement Specialist is responsible for review and
analysis of Quality, Patient Safety, and Infection Prevention data
to identify opportunities for improvement; identifies subject
matter experts and core teams, facilitates implementation plans,
finalizes control or monitoring plans, shares best practices to
allow for local as well as system-wide learning, collaborates with
hospital Councils to share knowledge leading to optimal outcomes
and continuous education of robust process improvement within the
hospital. The PI Specialist also participates in the clinical
quality measures data collection and acts as a resource for
accomplishing inter-rater reliability in clinical quality data
collection and submission.
Bachelor's Degree in Nursing (BSN) preferred, must be obtained
within 2 years.
Robust Performance Improvement Certification required or within
twelve months of employment. (Project Management Professional or
Six Sigma Green Belt).
Minimum one year experience in robust process improvement.
Minimum three years acute hospital-based experience.
Knowledge of leading practice in clinical care and regulatory and
Knowledge of quality measures up to date specifications (e.g. Core
Measure Specifications for TJC/CMS ).
Self-motivated, proven communication skills, assertive.
Demonstrated effective working relationship with physicians and
Ability to work collaboratively with health care professionals at
all levels to achieve established goals and improve quality
Strong team facilitation skills including building trust and open
communication regarding project issues and results.
Statistical software proficiency preferred (i.e. Engine Room,
Demonstrates commitment to the Partners-in-Caring process by
integrating our culture in all internal and external customer
interactions; delivers on our brand promise of "we advance health"
through innovation, accountability, empowerment, collaboration,
compassion and results while ensuring one Memorial Hermann.
Participate in and coordinate comprehensive data collection for
compliance of national, state, regional and internal clinical
quality measures including concurrent core measures review and/or
Assists in identifying local clinical quality measures improvement
opportunities based on evidence based clinical practices and
statistical analysis of current practice patterns.
Contributes to local clinical quality measures data collection,
aggregation, and dissemination.
Contributes to short term and long term local clinical quality
measures robust process improvement projects to continuously
improve the clinical quality measuring, monitoring and compliance
Develops and implements a plan for essential data collection,
thorough analysis and effective data manipulation at the local
Works with robust process improvement sponsor for improvement
Educates local staff and physicians to provide evidenced based care
and improve clinical outcomes.
Educates and mentor hospital staff on robust process improvement
Participates in validating accurate clinical quality measures
abstraction through systematic inter rater reliability
Facilitates site or hospital robust process improvement project
Shares best practices to allow for hospital as well as system-wide
Collaborates with enterprise quality and patient safety program, in
particular the centralized abstraction function, to share knowledge
leading to better outcomes.
Ensures safe care to patients, staff and visitors; adheres to all
Memorial Hermann policies, procedures, and standards within
budgetary specifications including time management, supply
management, productivity and quality of service.
Promotes individual professional growth and development by meeting
requirements for mandatory/continuing education and skills
competency; supports department-based goals which contribute to the
success of the organization; serves as preceptor, mentor and
resource to less experienced staff.
Other duties as assigned.
Must be able to demonstrate knowledge and skills necessary to
provide care appropriate to the patient served. Must demonstrate
knowledge of the principles of growth and development as it relates
to the different life cycles. Specific age groups that are served
by this position are circled:
| Neonate | Infant | Pediatric | Adolescent | Adult |
Keywords: Memorial Hermann Health System, Houston , Quality Manager - Hospital, Other , Houston, Texas
Didn't find what you're looking for? Search again!