This position is incentive eligible.
Job Summary and QualificationsUnder the direction of the Vice President of Quality Management:
- Assists with the development, implementation and review of organizational performance improvement plans, quality and infection control initiatives and hospital strategic goals.
- Assists with the policies and procedures to support successful quality outcomes and ongoing improvement in the delivery of healthcare to patients.
- Facilitates process improvement efforts among PI teams, Medical Staff, and hospital departments; responsible for hospital accreditation and regulatory programs.
- Provides education to key hospital staff related to Federal, State and regulatory agencies (such as Joint Commission, CMS, TDH, OSHA, etc.).
- Coordinates quality indicator development, data abstraction, retrieval and analysis, and the clinical review screening and referral of cases to Medical Staff Committees for departmental peer review and improvement processes.
- Assists Risk Management with the facilitation, investigation and follow up of RCA, Occurrences and Sentinel events.
- Responsible for data abstraction and concurrent review processes and/or inter-rater reliability testing in core measure processes and projects.
- Serves as a resource for the department in Quality and PI functions.
- Provides routine and standardized data analysis and compiling of reports.
- In collaboration with the VP, objectively reviews Quality Resources staff performance and PI opportunities for the quality management services delivered by the department.
- Assists VP of Quality and organization with project management, teaching, coaching, and facilitating related to performance improvement, regulatory compliance and survey readiness based on the hospital mission, vision and facility goals.
What qualifications you will need:- Texas State RN license or compact license.
- Certified in Risk Management, CPHQ or other quality certification preferred.
Medical City Alliance serves families from Fort Worth, Keller, Haslet, Saginaw and Tarrant County. Our 99+ bed hospital offers 30+ specialties. We offer 2 convenient ER locations, including our off-campus ER in Saginaw. Our maternity floor includes labor and delivery suites and c-section ORs. We have a well-baby nursery, postpartum rooms, and a Level III NICU. We offer compassionate care with state-of-the-art surgical equipment. Our hospital offers robotic surgery to perform procedures. Our facility provides comprehensive cardiology services. We prioritize early detection and treatment of heart disease. Our advanced technology provides quick results to our patients. Our patient satisfaction scores rank in the top decile of hospitals nationwide. Our physicians rank Medical City Alliance as excellent in quality of care. We are a part of the Medical City network of hospitals. Patients are ensured access to medical experts and advanced healthcare innovations across the network.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as a(an) Director of Quality.
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