Performance Improvement Specialist - Outcome Specialist
Company: Houston Methodist Cypress Hospital
Location: Cypress
Posted on: October 3, 2024
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Job Description:
At Houston Methodist, the 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. PEOPLE ESSENTIAL FUNCTIONS 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.
Collaborates in an interdisciplinary manner on hospital-wide
patient safety, performance improvement, and data
management/analysis functions to maximize outcomes. SERVICE
ESSENTIAL FUNCTIONS Leads accreditation readiness initiatives.
Participates in regulatory and accreditation surveys. Serves as a
resource for basic data analysis. Develops summary reports and
assists with presentation of findings to various audiences.
Coordinates the agenda and meeting materials for the quality and
patient safety committees of the hospital for assigned areas.
QUALITY/SAFETY ESSENTIAL FUNCTIONS Maintains all programs to ensure
compliance to accreditation standards and regulatory agency
requirements. 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.
Concurrently reviews and analyzes inpatient records to ensure that
compliance to quality indicators is met. Provides basic analyses of
hospital performance against patient safety, quality and outcomes
measures. 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. 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.
Conducts record review for performance improvement, peer review,
patient safety, risk management and other projects. FINANCE
ESSENTIAL FUNCTIONS Proactively identifies quality and safety
improvement opportunities through analysis of internal and external
data, to include federal incentive programs as applicable.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS 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. 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 Bachelor of Science or higher degree in Nursing required
WORK EXPERIENCE Three years of experience in a hospital or
outpatient clinical role One year of experience in a quality
management and/or patient safety, risk management, decision support
or similar information analysis role LICENSES AND CERTIFICATIONS -
REQUIRED RN - Registered Nurse - Texas State Licensure and/or
Compact State Licensure within 60 days OR RN-Temp - Registered
Nurse - Temporary State Licensure within 60 days LICENSES AND
CERTIFICATIONS - PREFERRED CPHQ - Certified Professional in
Healthcare Quality (NAHQ) OR CPPS - Certified Professional in
Patient Safety (CBPPS) OR or other related professional
certification preferred 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 evaluations Sufficient
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 security Ability 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 principles Knowledge of statistical analysis
techniques and software Knowledge of performance improvement
methodologies and principles Knowledge of the principles of patient
safety Knowledge of accreditation and regulatory agencies
requirements for performance improvement and patient safety Ability
to learn and apply use of databases for aggregation of data for
analysis Strong leadership qualities (task completion, motivation)
Ability to independently analyze and solve problems SUPPLEMENTAL
REQUIREMENTS WORK ATTIRE Uniform No Scrubs No Business professional
Yes Other (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 Yes May require travel
outside Houston Metropolitan area Yes Company Profile: Houston
Methodist Cypress Hospital, scheduled to open in the first quarter
of 2025, will be Houston Methodist's ninth hospital and will
incorporate the most advanced technology available from the day the
doors open. With 100 beds (at our opening; licensed for 276) and a
prime location in the heart of the rapidly growing U.S. 290
corridor, the hospital will be equipped with technologically
advanced innovations implemented during COVID, many of them
designed to make patient communication with physicians, staff and
families the very best and most effective in any health care
facility. Even though the hospital won't be fully operational until
2025, we have several services and specialties opening in 2024.
Houston Methodist is an equal opportunity employer inclusive of
women, minorities, disabled persons and veterans. Equal Employment
Opportunity 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.
Keywords: Houston Methodist Cypress Hospital, Baytown , Performance Improvement Specialist - Outcome Specialist, Other , Cypress, Texas
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