Quality Improve Spec-Decentral

Position: Quality Improve Spec-Decentral

Job ID: 165878

Location: US-TX-Houston

Department: MSO-Operations

Talent Area: Registered Nurse

Full/Part Time: Full time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Texas Children’s Pediatrics is the nation’s largest primary pediatric care network with more than 200 physicians dedicated to the health care needs of infants to teenagers in over50 locations throughout the greater Houston area. As part of our goal to build a community of healthy children, Texas Children's Pediatrics Community Cares Program provides trusted, high-quality pediatric medical services for children who otherwise would seek care from emergency centers or possibly go without care or treatment due to low family incomes and/or lack of health insurance.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


We are searching for a Quality Improvement Specialist - someone who works well in a fast-paced setting. In this position, you will partner with departmental leadership to achieve high-quality, reliable, and cost-effective health care. To facilitate departmental and cross-departmental strategic projects using methodologies that include, but are not limited to: Root Cause Analysis, Intense Analysis, and Model for Improvement, Six Sigma principles, and NCQA accreditation. Experienced with TIPPS and Quality Data Analytical entries experience is highly preferred.

Skills & Requirements

Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption.

·    Bachelor's Degree in Nursing

·    Required RN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact And a BLS - Cert-Basic Life Support BLS – Cert-Basic Life Support issued by the American Heart Association

·    Required 2 years of Professional clinical experience in area of clinical expertise


Job Duties & Responsibilities

·       Partners with the departmental leaders to facilitate/conduct performance improvement and safety activities. Develops and produces reports for performance improvement/safety, guideline utilization, and outcomes for areas of responsibility. Uses statistical techniques and knowledge to develop measures, sampling methods, and the appropriate representation of data. (Statistical consultation may be necessary until this expertise is developed). Utilizes data from benchmark facilities and databases, financial databases, and other internal and external data repositories to identify improvement opportunities. Collaborating with the Medical Director until leadership designs and presents the finding of quality improvement projects to appropriate departmental audiences. Acts as a consultant for medical staff and departmental staff related to the development of measurements, statistical analysis, and appropriate data presentation to support initiatives intended to achieve a breakthrough or incremental process improvement in patient care, as measured by at least one improvement worthy of storyboard per year. Utilizes the Model for Improvement, Lean Methodologies, and other tools adopted by the organization as the basis for performance improvement projects and serves as a resource to all staff on the methodologies.

·       Assists with the education and implementation of standards for The Joint Commission, American College of Surgeons, AAMI, and CMS regulation requirements about quality and safety. Provides leadership and education regarding standards for The Joint Commission, American College of Surgeons, AAMI, and CMS Regulation related to performance improvement. Follow up for all non-compliant areas until full compliance is achieved. Conducts assessment for compliance with Standards and Regulations periodically. For non-compliant Standards and/or Regulations, actions are taken to achieve compliance.

·       Participates in and coordinates committees/task forces/project meetings. Prepares agendas, reports, and minutes of performance improvement task force meetings/projects without errors. Acts as a facilitator and/or team leader for projects as requested.

·       Collaborates with the Quality and Outcomes department and Medical Staff Leadership on developing measures for Ongoing Professional Practice Evaluation (OPPE). Participates in data collection for the OPPE and oversees the process to ensure the data collected are accurate and complete.

·       Meets ongoing requirements for education and development.

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