Director Quality/Patient Safety/Risk

Texas Health Resources

Full Time
Fort Worth, TX
Posted 1 week ago

Texas Health Southwest Fort Worth seeks to hire a Director Quality/Patient

Salary range is Min. $108,992/year to Max. $167,086/year โ€“ based on relevant

Location: Fort Worth, TX

Work Schedule

* Full time, day shift

Job Description

of data submission for TJC accreditation activities, liaise with TJC – Direct
Chest Pain/Stroke Certification programs and activities – Oversight of STS/ACC
implementation and data submission – Oversight of data submission for National
Cardiovascular Data Registry (NCDR) – Oversight of carotid artery stent
clinical trial

OPERATIONS: PI/PATIENT SAFETY – Direct and support processes and coordinate
tactics that advance patient safety and performance improvement – Track, trend
and monitor performance improvement outcomes and risk events – Work with other
departments on hospital and system initiatives and support evidence-based best
practices – Ensure annual completion of FMEA for the acute care and Springwood
hospitals – Direct clinical outcomes program

OPERATIONS: PEER REVIEW – Oversee and facilitate Medical Staff Peer Review,
including Ongoing Professional Practice Evaluation (OPPE) and Focused
Professional Practice Evaluation (FPPE) – Assist peer review physicians and
division chiefs in preparing and presenting case reviews and completing
follow-up activities based on peer review findings

HUMAN RESOURCES – Develop and implement strategy to create and maintain a
positive employee relations environment for departmental employees – Recruit,
orient and retain excellent staff – Supervise departmental staff, developing
standards of performance, evaluating performance and initiating or
recommending personnel actions – Mentor job-related growth of staff

LEADERSHIP – Plan and execute in collaboration with Risk Manager, Chief
Medical Officer, Chief Nurse Executive the implementation of a comprehensive
quality and safety management process – Develop and maintain KPI quality
dashboard – Direct the preparation and maintenance of department reports and
tracking of data for quality and safety initiatives, including preparation of
reports for committees and top management as required – Monitor and supervise
hospital compliance with The Joint Commission (TJC) and governmental agencies?
standards and requirements, acting as liaison during site reviews –
Participate in and represent THSW in system-wide quality/patient safety
committees and initiatives – Take initiative and coordinate with other
departments to develop action plans for performance improvement and patient
safety initiatives and risk reduction

Conduct initial investigation of events to begin information gathering process
– Work with CQO/hospital staff/medical staff regarding management of event and
communication with the patient/family – Communicate with the patient/family as
necessary – Coordinate and facilitate RCA meetings and development of action
plans – Monitor progress and effectiveness of RCA Action Plans – Work with
Risk Manager to develop reports and results of action plans for Risk
Management/Patient Safety Committee and Quality Integration Committee

FISCAL RESPONSIBILITY – Assist in development of capital and operational
budget and monitor compliance of same – Consider clinical, quality and
operational outcomes and financial implications when making recommendation for
changes in practices


The ideal candidate will possess the following qualifications

Bachelor’s Degree BSN required
Master’s Degree preferred

7 years clinical nursing and 5 years progressive management experience

* Prefer candidates with direct Quality/Patient Safety/Risk experience *

Licenses and Certifications
RN – Registered Nurse required upon hire
CPHQ – Certified Professional in Healthcare Quality or CPHRM – Certified
Professional in Healthcare Risk Management preferred upon hire

Excellent verbal and written communication, negotiation and collaboration
skills; ability to collect, analyze and organize data; team facilitation
skills; knowledge of regulatory and accreditation requirements; ability to
educate and motivate; able to use Microsoft Office applications

Texas Health Harris Methodist Hospital Southwest Fort Worth is a 222-bed full-
service facility that includes surgical and imaging services, a 24-hour
emergency department, orthopedics and sports therapy, adult critical care, and
a Level III neonatal intensive care unit. Texas Health Southwest Fort Worth,
which has been serving Tarrant County residents since 1987, has 1,100
employees, 120 volunteers, and more than 600 physicians on its medical staff.
The hospital is Magnet-designated, a designated UnitedHealth Premium Surgical
Spine specialty center and has earned Quality Respiratory Care Recognition
from the AARC. We invite you to join us in furthering your career and our
accomplishments and philosophy of excellence.

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