Manager Hospital Quality, Enterprise Quality and Patient Safety

Hospital Quality Manager

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.

Job Description

The Hospital Quality Manager will manage the hospital quality and patient safety program. The manager will supervise others within the hospital 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 manager will provide supervision for robust process improvement projects ensuring high reliability methods, quality measures monitoring and ongoing regulatory compliance and readiness. The manager will assist in educating leadership, physicians, and staff on high reliability methodologies including system-based causes for medical error within a hospital. The Hospital Quality Manager will work closely with hospital leadership to optimize hospital strategic goals and objectives. The manager supervises the collection, analysis and reporting of quality and patient safety data within a hospital in relation to cost containment, performance improvement and outcomes. The manager is accountable for coordinating the reporting of hospital improvement activities addressed at different levels including Monthly Operating Reviews and Quality Committees. The manager promotes interdisciplinary collaboration; fosters team work and champions service excellence throughout a hospital. The manager serves as a resource and subject matter expert to proactively address quality and patient safety issues.

Minimum Qualifications

Education : Bachelors Degree in Nursing or related clinical area required

Licenses / Certifications : Healthcare Quality Certification (CPHQ) required or within twelve months of employment

Experience / Knowledge / Skills :

• Minimum three (3) years acute hospital-based experience
• One (1) year supervisory experience
• One (1) year experience preferred in clinical performance improvement or other quality management program
• Working knowledge of robust process improvement techniques
• Knowledge of leading practice in clinical care and regulatory and accreditation requirements
• Self-motivated, proven communication skills, assertive
• Demonstrated effective working relationship with physicians
• Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes
• Directs and manages the day to day regional quality and patient safety operational budget. Assures that revenue, expenses, contribution margin and FTEs meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances; identifies and proposes capital budget items appropriately.

Principal Accountabilities