JOB SUMMARY

100% Onsite position - College Station, TX

Provides consultant expertise and leadership to teams to achieve improved outcomes and sustainable change to help BSWH strategy to deliver high-quality, safe care and achieve excellence by regulatory statutes, policies and procedures.

ESSENTIAL FUNCTIONS OF THE ROLE

• Serves as a Peer Review Specialist for Medical Staff and facilitates Peer Review committee.
• Performs patient record quality reviews. 
• Serves as an internal consultant for quality and patient safety initiatives and small to medium scale projects through BSWH.
• Facilitates, coordinates, and provides project management for quality improvement teams, strategic planning sessions, and other organizational meetings and committees as requested and needed.
• Coaches and mentors teams and managers in the provision of quality, patient safety and other regulatory issues.
• In partnership with teams and managers, develops multidisciplinary indicators and identifies opportunities for improvement, to monitor and evaluate the quality of care and services provided to patients based on evidence-based practices, regulatory and accrediting agency requirements, and data testing of high-risk problem prone, and high-volume processes.
• Identifies regional, system, and industry best practices, providing feedback to managers and team members.
• Provides subject matter expertise and comprehensive measurement testing for quality improvement initiatives across the organization.
• Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities.
• Works with applicable staff to use appropriate audit strategies, data extraction, skilled observation, surveys, focus groups or other tools to obtain relevant information to improve care and quality of service.
• Participates in design, development, and implementation of facility learning forums.
• Participates in unit and/or facility huddles.
• Helps the ZERO Harm rounding process as directed by leadership.
• Maintains awareness of the latest developments, advancements, and trends in the field of quality improvement reporting and testing by attending seminars/workshops, reading professional journals, and active participation in professional organizations.

KEY SUCCESS FACTORS

• Possess strong communication skills with Providers and Senior Medical leadership.
• Extensive knowledge of tools and techniques of quality performance measurement and data testing
• Extensive knowledge of Texas, Joint Commission and CMS standards
• Extensive knowledge of trends, developments, and research in providing high-quality safe care
• Skilled facilitator, coach, consultant, influencer, management and strategic thinking skills
• Skilled in the use of computers, and related software applications
• Exceptional verbal, social and written communication skills
• Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, regulatory issues
• Able to work collaboratively and effectively with a wide range of stakeholders, and across organizational lines and teams
• Able to identify and deploy required project management processes, tools, and templates needed to successfully drive initiatives
• Able to partner with key stakeholders to identify impediments to success and recommend and implement corrective actions and/or mitigation
• Able to work alone or with varying levels of direct or indirect supervision and guidance
• Able to appropriately prioritize tasks to meet desired deadline
• Provider Peer Review experience preferred.
• Familiar with OPPE and FPPE processes.
• Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS),or role-appropriate certification preferred
• Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.

BENEFITS

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: 

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based on position type and/or level

QUALIFICATIONS

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

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About Baylor Scott & White Health

Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

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