Posted: 04-Nov-25
Location: Grapevine, Texas
Internal Number: 25017115
JOB SUMMARY
Provides consultant expertise and leadership to teams to achieve improved outcomes and sustainable change to support BSWH strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statutes, policies and procedures. A primary focus will be supporting the chest pain program.
ESSENTIAL FUNCTIONS OF THE ROLE
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 leaders in the provision of quality, patient safety and other regulatory issues.
In collaboration with teams and leaders, 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 analysis of high-risk problem prone, and high-volume processes.
Identifies regional, system, and industry best practices, providing feedback to leaders and team members.
Provides subject matter expertise and comprehensive measurement analysis 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 utilize appropriate audit strategies, data extraction, expert 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.
Supports 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 analysis by attending seminars/workshops, reading professional journals, and active participation in professional organizations.
KEY SUCCESS FACTORS
Extensive knowledge of tools and techniques of quality performance measurement and data analysis
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
Strong verbal, interpersonal 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 collaborate with key stakeholders to identify impediments to success and recommend and implement corrective actions and/or mitigation
Able to work independently or with varying levels of direct or indirect supervision and guidance
Able to appropriately prioritize tasks to meet desired deadlines
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 competitive benefits package includes the following
- 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 upon position type and/or level
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 4 Years of Experience