Director, Ambulatory Quality

Director Quality And Patient Safety

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

The Director has primary oversight of the outpatient / ambulatory quality and patient safety program. This leadership role directs others within an outpatient setting in clinical robust process improvement supporting evidence based practices, the reduction of medical / health care errors and other factors that contribute to unintended adverse outcomes. The Director supports / leads robust process improvement ensuring high reliability methods, quality measures monitoring and ongoing regulatory compliance and readiness. The Director educates leadership, physicians, and staff on high reliability methodologies including system-based causes for medical error within the setting. The Director coordinates robust process improvement initiatives and projects within the area of oversight. The Director is responsible and accountable for optimizing quality and patient safety outcomes, while partnering with AVP Ambulatory Quality in defining the strategy for quality measurement and benchmarking for the area of responsibility. The Director works closely with operational leadership to optimize operational and strategic goals and objectives in line with quality priorities. The Director oversees the collection, analysis and reporting of quality, infection control and patient safety data within the area of responsibility in relation to cost containment, performance improvement and outcomes. The Director is accountable for facilitating, validating and reporting all improvement activities addressed at different levels including Monthly Operating Reviews and Quality Committees. The Director promotes interdisciplinary collaboration, fosters team work and champions service excellence. The Director serves as a resource and subject matter expert to proactively address quality and patient safety issues.

Job Description

Minimum Qualifications :

Education : Bachelors Degree in Nursing, Pharmacy, or related clinical area required; Masters preferred

• Licenses / Certifications :
• Certified Professional Healthcare Quality (CPHQ), or Healthcare Accreditation Certifications Programs (HACP) Certification preferred
• Lean Six Sigma or Project Management Professional certification preferred
• Experience / Knowledge / Skills :
• Five (5) years experience in hospital based nursing or clinical area required
• Two (2) years experience in post-acute, SNF, DME, or ambulatory required
• Two (2) years supervisory leadership experience required
• Two (2) years experience in quality and / or patient safety activities including regulatory compliance (TJC, CMS, and TDSHS) and quality measurement / improvement in the outpatient / post-acute or SNF required
• Two (2) years experience in robust process improvement methodologies or complete MHHS approved robust process improvement training within twelve months of employment
• Experience in statistical analysis or quantitative analysis
• Self motivated, proven communication skills, able to influence while being direct and succinct
• Background in business planning and targeted outcomes preferred
• Effective working relationships with Executives, Physicians, Directors, and staff
• Ability to serve as liaison to external regulatory and sanctioned reporting agencies
• Excellent written and verbal and presentation skills
• Knowledge of evidence based practice guidelines for clinical care and quality, and patient safety
• Ability to work collaboratively with Healthcare professionals at all levels to achieve established goals and improve quality outcomes

Principal Accountabilities :