Performance Improvement Specialist (RN) - Houston Methodist Baytown Ho
Company: Houston Methodist
Location: Baytown
Posted on: February 24, 2021
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Job Description:
Work Shift: DAYWork Week: M - FJob Summary10/2018JOB SUMMARYAt
Houston Methodist, the NTW Performance Improvement Specialist is
responsible for the development of performance improvement/patient
safety initiatives. Promotes organization wide understanding of the
overall quality and patient safety program and culture. Facilitates
timely and effective resolutions of patient care issues. Serves as
a resource to all levels of the organization relative to quality
improvement activities, conducting or providing education as
requested by staff or leadership. Coordinates teams as needed to
drive change towards desired outcomes using appropriate performance
improvement methodologies.PATIENT AGE GROUP(S) AND POPULATION(S)
SERVEDRefer 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 EXPECTATIONSoProvide
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. oFocuses on patient/customer safetyoDelivers personalized
service using HM Service StandardsoProvides for exceptional
patient/customer experiences by following our Standards of Practice
of always using Positive Language (AIDET, Managing Up, Key
Words)oIntentionally rounds with patients/customers to ensure their
needs are being metoInvolves patients (customers) in shift/handoff
reports by enabling their participation in their plan of care as
applicable to the given jobPRIMARY JOB RESPONSIBILITIESJob
responsibilities labeled EF capture those duties that are essential
functions of the job.PEOPLE - 20%1.Collaborates with Education on
instructing/informing staff on new or revised quality programs or
plans, regulatory and accreditation standards, and/or performance
improvement processes as applicable. (EF)2.Collaborates in an
interdisciplinary manner on hospital-wide patient safety,
performance improvement, and data management/analysis functions to
maximize outcomes. (EF)SERVICE - 20%1.Leads accreditation readiness
initiatives. Participates in regulatory and accreditation surveys.
(EF)2.Serves as a resource for basic data analysis. Develops
summary reports and assists with presentation of findings to
various audiences. (EF)3.Coordinates the agenda and meeting
materials for the quality and patient safety committees of the
hospital for assigned areas. (EF)QUALITY/SAFETY - 40%1.Maintains
all programs to ensure compliance to accreditation standards and
regulatory agency requirements. (EF)2.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. Reports data to external agencies as
needed. (EF)3.Concurrently reviews and analyzes inpatient records
to ensure that compliance to quality indicators is met. (EF)
4.Provides basic analyses of hospital performance against patient
safety, quality and outcomes measures. (EF)5.Utilizes results from
performance improvement activities to identify and prioritize areas
of focus for improvement. Evaluates and provides input on the
effectiveness of performance improvement programs. (EF)6.Supports
improvement efforts for potential or actual quality of care/risk
issues including participation/facilitation of Root Cause Analysis
(RCA), Failure Modes Effects Analysis (FMEA), or event review as
needed. Supports leadership and staff with the development and
implementation of process changes. Summarizes events and presents
findings as needed. Facilitates systems design to hardwire patient
safety processes. (EF)7.Conducts record review for performance
improvement, peer review, patient safety, risk management and other
projects. (EF)FINANCE - 5%1.Proactively identifies quality and
safety improvement opportunities through analysis of internal and
external data, to include federal incentive programs as applicable.
(EF)GROWTH/INNOVATION - 15%1.Designs, develops, and implements
project plans related to strategic quality and safety initiatives.
Manages reporting of these projects/measures to internal
departments/committees and/or outside agencies, as needed. Provides
oversight for these projects to ensure desirable outcomes are met.
(EF)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. EDUCATION
REQUIREMENTSoBachelor of Science or higher degree in Nursing
requiredEXPERIENCE REQUIREMENTSoThree years of experience in a
hospital or outpatient clinical roleoOne year of experience in a
quality management and/or patient safety, risk management, decision
support or similar information analysis roleCERTIFICATES, LICENSES
AND REGISTRATIONS REQUIREDoTexas RN license or temporary TX RN
license, should obtain permanent license within 90 days. Compact
license acceptable according to current Board of Nursing
requirements.oCertified Professional in Healthcare Quality,
Certified Professional in Patient Safety, or other related
professional certification preferredKNOWLEDGE, SKILLS AND ABILITIES
REQUIREDoDemonstrates the skills and competencies necessary to
safely perform the assigned job, determined through on-going
skills, competency assessments, and performance
evaluationsoSufficient 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 securityoAbility 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 principlesoKnowledge of
statistical analysis techniques and softwareoKnowledge of
performance improvement methodologies and principlesoKnowledge of
the principles of patient safetyoKnowledge of accreditation and
regulatory agencies requirements for performance improvement and
patient safetyoAbility to learn and apply use of databases for
aggregation of data for analysisoStrong leadership qualities (task
completion, motivation)oAbility to independently analyze and solve
problemsSUPPLEMENTAL REQUIREMENTSWork AttireYes/NoUniform
NoScrubsNoBusiness professionalYesOther (dept approved) NoOn-Call*
No (for Non-Exempt or Exempt jobs)*Note that employees may be
required to be on-call during emergencies (ie. Disaster, Severe
Weather Event, etc) regardless of selection above. Travel** May
require travel within YesHouston Metropolitan areaMay require
travel outside Yes of Houston Metropolitan area **Travel
specifications may vary by department. Please note any other
special considerations to this job: __________________________Equal
Employment OpportunityHouston 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.Company
ProfileHouston Methodist Baytown Hospital, located 35 miles
southeast of Houston, is the area's only full-service hospital
offering specialized medical care for patients at every stage in
life. This 392 licensed bed hospital with 18 operating rooms, and
over 1,400 employees, brings Medical Center excellence and quality
care close to East Harris and surrounding counties. - provided by
Dice
Keywords: Houston Methodist, Baytown , Performance Improvement Specialist (RN) - Houston Methodist Baytown Ho, Healthcare , Baytown, Texas
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