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Posted: 04-Sep-25
Location: Dallas, Texas
Categories:
Internal Number: 25014891
About Us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Eligibility on day 1 for all benefits
- Dollar-for-dollar 401(k) match, up to 5%
- Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
- Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
Job Summary
Partners with and helps key stakeholders' teams implement reporting and quality improvement projects. This supports BSWH's strategy to deliver high-quality, safe care and achieve excellence by regulatory statutes, policies, and procedures. This position will require public speaking and delivering presentations to leaders, senior executives and key stake holders.
Essential Functions of the Role
- Performs concurrent and retrospective medical record review to investigate quality and/or patient safety concerns and to identify performance improvement opportunities.
- Collects and examines relevant data to support patient safety. It also aids quality improvement strategies, projects, and regulatory requirements.
- Helps improve safety and service excellence through interventions, data testing, and action plans.
- Develops and shares ongoing and ad hoc reports. This ensures clinicians, administrators, medical staff committees, and corporate teams receive timely and accurate data. This helps meet their needs for quality care and patient safety.
- Identifies and recommends measures to enhance reporting processes, tools, and methods.
- Partners develop and present educational materials to educate staff and management about quality and patient safety processes.
- Uses quality improvement tools and techniques, including proactive and retrospective risk assessments, to improve quality, patient safety, and patient perceptions of BSWH's health care services.
- Identifies regional, system, and industry best practices, providing feedback to managers and team members.
- Participates on quality improvement teams as requested by leadership.
- Participates in unit and facility huddles.
- Helps the ZERO Harm rounding process as directed by leadership.
- Provides subject matter expertise and comprehensive measurement testing for quality improvement initiatives across the organization.
- Stay aware of the latest developments, advancements, and trends in quality improvement reporting and testing. Attend seminars and workshops, read professional journals, and participate in professional organizations.
Key Success Factors
- Advanced knowledge of quality and performance improvement standards, evidence-based patient safety, outcomes management, and the regulatory environment.
- Advanced knowledge of Texas, Joint Commission, and CMS standards.
- Exceptional verbal, social, and written communication skills.
- Skilled in the use of computers and related software applications.
- Able to establish and maintain effective combined working relationships.
- Able to support and help patient safety and quality improvement initiatives.
- Able to perform data collection, abstraction, and testing.
- Able to examine processes, systems data, and prepare reports.
- Able to educate health care providers on quality and patient safety issues using data outcomes, industry standards, and regulatory requirements.
- Able to appropriately prioritize tasks to meet desired deadlines.
- Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.
Belonging Statement
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
QUALIFICATIONS
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 3 Years of Experience