Mkt Director Quality

Overview:

The Woodlands Hospital a primary and secondary care hospital serving North Harris and Montgomery counties. Clinical services include cardiovascular services diagnostic imaging women’s services (digital mammography and bone density studies) neurosciences pediatric care (Newborn and Level II nurseries) and surgery pathology and pulmonary services and sleep disorders. Clinical affiliations include The University of Texas MD Anderson Cancer Center’s Radiation Treatment Center and Texas Children’s Hospital.

The Mkt Director of Quality will be responsible for the design, coordination, implementation and management of the Performance Improvement (PI) plan and identify opportunities for improved patient care, incorporate evidence-based practices, and improve patient outcomes. Provides leadership in defining, implementing and integrating quality, safety, service and efficiency strategies into the plans, policies, and organizational processes that affect the organization’s operations and strategic direction.

* Minimum of two (2) years of experience leading an acute care Quality Program as a Director is Required.

* This Director will have oversite over 4 hospital locations throughout the north Houston market.

Responsibilities:

Establishes performance improvement goals annually with relevant stakeholders, ensures that the PI plan and the hospital-focused projects for the year are implemented and effectiveness evaluated annually.

Provides leadership in developing quality improvement training programs and coaches organizational clinical/service lines and operational/support departments in quality improvement principles.

Develops and implements processes and formats that support data collection, aggregation, analysis, and action planning. Assures data is managed appropriately and disseminated to appropriate leadership staff.

Collaborates with the Medical Staff and Organizational Leadership to develop and enhance safe patient care while achieving optimal outcomes, including the organization’s peer review program and ongoing and focused practitioner evaluation.

Conflict Management:

Understanding of how to anticipate, recognize, and deal effectively with existing or potential conflicts at the individual, group, or situation level; ability to apply this understanding appropriately to diverse situations.

Empowerment & Delegation:

Sharing authority and responsibility with others to move decision making and accountability downward through the organization enabling individuals to stretch their capabilities and accomplish the business unit’s strategic priorities.

Managing People, projects and/or Tasks:

Manages collaboratively and coaches others to achieve optimal performance; delegates effectively; praises/rewards contributions; defines clear roles and responsibilities; sets goals and leads initiatives; adjusts plans as necessary.

Technical Competence:

Demonstrates breadth and/or depth of professional/technical skills and capabilities required for position; shares knowledge; sets or contributes to the Company’s direction within area of expertise.

Building Partnerships & Teamwork:

Identifying opportunities and taking action to build strategic relationships between one’s area and other areas, teams, department, units or organizations to help achieve business goals. Resolves issues and problems, and makes a significant contribution to team efforts.

Building Trust:

Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.

Leading through Mission, Vision & Values:

Keeping the organization’s mission, vision and values at the forefront of associate decision making and action.

Patient & Customer Focus:

Ensuring that the patient/customer perspective is a driving force behind our actions and business decisions; crafting and implementing service practices that meet patients'/customer's and own organization’s needs. (Focus also includes internal and external customers.)

Quality Management:

Knowledge of quality management methods, tools, and techniques and ability to create and support an environment that meets the quality goals of the organization.

Systems Thinking:

Knowledge of the critical interdependencies among system elements that help and hinder performance and ability to plan and design solutions that synchronize resources to achieve business results.

Healthcare Regulatory Environment:

Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.

Clinical Performance Improvement:

Knowledge of the factors contributing to quality patient care, and the ability to influence these factors in a positive way.

Quality Orientation:

derstanding of the importance of striving toward a zero defect production goal and ability to establish methods and metrics that deliver targeted standards for products and services.

The Joint Commission (TJC):

Knowledge of purpose and impact of The Joint Commission; to continuously improve the healthcare for the public, in collaboration with other stakeholders, by evaluating health care providers and inspiring them to excel in providing safe and effective care at the highest quality and value and the Center for Medicare and Medicaid Services (CMS). This also includes (PTAC) Professional Technical Advisory Committees.

Qualifications:

Minimum Experience required:

Minimum of five (5) years of progressive management responsibility in a health care setting, two (2) of which is related to managing an acute care organization’s Quality Improvement Program. Minimum of two (2) years of clinical, patient care experience or equivalent. Experience developing and implementing clinical, service and operational process improvement initiatives, both small and large scale. Knowledge and expertise in specific performance improvement/CQI methodologies (e.g. Six Sigma, LEAN). Current knowledge of accreditation and regulatory requirements for acute and ambulatory care services (e.g. state, federal, local regulations; Joint Commission, etc.).

Minimum Education required:

Bachelor's degree in a healthcare-related field or five (5) years of related job or industry experience in lieu of degree.

Licensure required:

Current State License in a clinical field (five (5) years experience in Quality Management can be used in lieu of state license). Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years (24 months) of employment is required.

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Permanent