Director, Quality & Patient Safety Full-Time/40 Hours per Week Salary Salary depends on education and relevant experience. Hiring Department Healthcare Quality Services Location This position is located at the UT Tyler Health Science Center campus. Required Application Materials A single PDF or Word document containing a resume, letter of interest, and a list of the names and contact information for three (3) professional references is required to apply.
Important Instructions:
When prompted to upload your "resume", upload your combined documents as one file. Please do not upload documents to "Cover Letter" or "References". If the required application materials were not uploaded at the "resume" prompt, please withdraw your application, and re-apply to upload your combined documents as one file. Job Summary The Director, Quality and Patient Safety at The Health Science Center at UT Tyler (HSC) is responsible for assisting the organization to improve quality, safety, and reduce operational risk exposure through performance improvement processes and meeting regulatory and accreditation requirements. They will assist in the implementation of the HSC's Quality/Clinical effectiveness function. This position supports a culture of high reliability and the measurement of care quality identifying opportunities and executing on strategies for performance improvement in the following areas of the organization: Outcomes
- highly reliable processes, delivering exceptional outcomes and/or optimal health Safety
- Deliver the safest care to patients driven through leadership and a culture of high reliability Accreditation-Ensures all regulatory requirements are managed and highly functional Experience of Care
- relationship-centered care grounded in empathy, dignity, respect and collaboration This position is a resource to the hospital and drives organizational performance that is built on relationships, a shared vision of excellence, and an environment of achievement and local accountability.
Major Responsibilities/Duties/Critical Tasks Support a proactive, comprehensive strategic Quality agenda that inspires caregiver engagement, inter-professional collaboration, the identification and use of evidence-based practice and management among all entities in the system while differentiating HSC as a high reliability organization nationally. Provides accurate and meaningful data to teams, committees and physician groups by understanding data dictionaries and using appropriately, using self-coded data sheets, assisting in determining appropriate data to collect by asking right questions and identifying correct populations, and using working knowledge of existing databases to obtain data already being collected. Appropriate knowledge and application of basic statistical tools, such as standard deviation, frequency distributions, histograms, and pareato charts. Actively participate in divisional meetings, processes, and activities to ensure Quality functions are disseminated consistently throughout the division. Chair and lead the local Performance Improvement Committee. Acts as a liaison between the Performance Improvement Committee and the Governing Board, to ensure all CMS CoPs are met. Apply quality improvement methodologies as a quality representative/facilitator for PI Teams and as a consultant to provide basic CQI or statistical tools. Evaluates and makes recommendations for system improvements using quality data, event and regulatory compliance reports. Provides project management to assigned teams by providing leadership to focus areas and by utilizing facilitation and assessment skills to develop evidence-based initiatives.
Regulatory Compliance:
Drives all regulatory functions on the local level. Applies a current working knowledge of regulatory compliance standards as appropriate to assignment or specialty. Participates in all divisional regulatory functions and standards. Leads the participation and management of the Internal Quality Survey process, including timely and appropriate response to action plans. Lead and drive the sustainability efforts for all IQS and TJC action plans to ensure compliance is maintained and practice changes are hardwired. Provides advanced consultation and support by collaborating with peers throughout the corporation to develop methods and plans to meet standards, participating in the writing or development of new policies, procedures and guidelines, researching literature and outside sources to identify new methods, technologies, or approaches for compliance, ensuring compliance to regulatory support and assessing compliance to standards to ensure a safe and consistent care environment to multiple areas and settings.
Patient Safety:
Leads Mission Zero:
Our Culture of Safety on the local level, based on division standards and expectations. Leads and/or functions as the Risk Manager on the local level, based on division standards and expectations. Applies a current working knowledge of national, local, and system patient safety standards and trends as appropriate to assignment or specialty. Leads PSEA and RCA efforts and reports to the Ardent PSO, per requirements. Participates in the division SENT process for reporting safety events. Participates in the division safety event classification process. Provides collaboration and consultative support to Risk Management, Compliance, Medical Staff, Nursing, and others by compiling reports with recommendations from appropriate sources, participating in maintenance of applicable Safety Plans, networking across departments and facilities to achieve objectives and goals, participate or facilitate patient safety improvement teams, and engages and interacts with staff at all levels to encourage ownership of initiatives.
Practice Standardization and Policies:
Advocate and support standardization by educating focus areas to centrally developed policies, procedures, processes, and forms and assisting/participating in corporate teams with the development of policies, procedures, processes, and forms. Participate in development, implementation, revision, and review of policy, procedures, protocol, guidelines, and forms, when appropriate for focus areas.
Education:
Provides education to focus areas regarding Quality Monitoring and Improvement, Regulatory Compliance, Patient Safety, Risk Management, Medical Staff Services and Practice Standardization and Policies.
Informatics, Data and Analytics:
Support quality measurements for internal use. Support and distribute standardized reports that are developed centrally to ensure consistency in data management and reporting across the division. Support the deployment and optimization of the electronic health record to maximize safety, quality outcomes, clinical effectiveness and efficiency. Advance, with others, the use of predictive analytics and deep learning computing to improve the health, experience and quality of care of those we serve. Required Education/Experience Bachelor's degree in nursing and RN License required. Three to Five years of experience with change management with the ability to provide leadership in the adaptation and implementation of new processes and /or technology that enhance Quality is required. Required Licenses/Certifications One of the following certifications is preferred-CPHQ, CPXP, CPSP, CPHRM preferred. Accompanying Knowledge, Skills, Abilities and Competencies Proven track record of leading successful quality improvement projects. Effective verbal, written and interpersonal communication skills. Demonstrated leadership ability. Trained in improvement science preferred (i.e., Six Sigma, Lean, UT System CSE or DMAIC) Experience working in a complex health system (hospitals, ambulatory clinics, post-acute care, etc.) Experience with external entities that drive and support Quality approaches and standards, including government agencies, academic institutions, universities and related organizations of higher education, and other public institutions is preferred About The University of Texas at Tyler and UT Tyler Health Science Center The University of Texas at Tyler is part of the prestigious University of Texas System that includes 14 institutions located throughout the state. Founded in 1971, UT Tyler today enrolls 10,000 students and consists of six colleges. Designated as an R2 research institution by the Carnegie Classification of Institutions of Higher Education, UT Tyler supports our surrounding region through innovation intended to uplift communities, spearhead sustainability initiatives, preserve ecosystems and support entrepreneurship. UT Tyler has the highest Carnegie classification in East Texas. Providing exceptional patient care, comprehensive education and innovative research, The University of Texas at Tyler Health Science Center and UT Health East Texas combine to serve as the university medical center for Northeast Texas and beyond. For more information, please visit https://www.uttyler.edu/about . Additional Information The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length. This position is security-sensitive and subject to Texas Education Code Section 51.215, which authorizes the employer to obtain criminal history record information. Applicants selected must be able to show proof of eligibility to work in the United States by time of hire. For more information regarding benefits offered by UT Tyler, please visit https://www.uttyler.edu/offices/human-resources/employees/benefits . Clinical Position Requirements Clinical positions may be required to complete a pre-employment health screening, following a contingent job offer, to determine whether they possess the physical capabilities needed to safely fulfill the specific demands of the position. Additionally, clinical positions require compliance with the University's Vaccine Preventable Disease Policy. EEO Statement The University of Texas at Tyler is an Equal Employment Opportunity Employer. To apply, visit https://zahr-prd-candidate-ada.utshare.utsystem.edu/psp/ZAHRPRDADA/EMPLOYEE/UTZ_CG/c/HRS_HRAM_FL.HRS_CG_SEARCH_FL.GBL?Page=HRS_APP_JBPST_FL&Action=U&FOCUS=Applicant&SiteId=23&JobOpeningId=15558&PostingSeq=1 jeid-9c4833b6a123be4987bd5428868a6e59
