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Houston Methodist · 1 week ago

Performance Improvement Specialist - Part-time - Neuroscience

Sugar Land, TX

Part-time

Hybrid

Mid Level

3+ years exp

Houston Methodist Sugar Land Hospital is seeking a Performance Improvement Specialist to lead quality improvement initiatives. The role involves collaborating with staff on quality programs, maintaining compliance with accreditation standards, and analyzing data to enhance patient safety and care quality.

Health CareMedical

Growth Opportunities

Responsibilities

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

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

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

Proactively identifies quality and safety improvement opportunities through analysis of internal and external data, to include federal incentive programs as applicable

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

Qualification

RN - Registered NurseQuality management experiencePatient safety knowledgeStatistical analysis techniquesPerformance improvement methodologiesDatabase proficiencyCustomer service focusEnglish proficiencyLeadership qualitiesEffective communicationProblem-solving ability

Required

Bachelor of Science or higher degree in Nursing required

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

RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

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