Summary:

In a High- Reliability Organization, the Director of Ambulatory Quality is responsible for the overall operations of the quality management program throughout the facilities. The quality management program consists of quality, risk management, infection prevention, and safety. Acts as a resource to members of the management team in reference to guidelines for quality and safe patient care. Identify and report patient safety risk trends. Collaborates with key stakeholders to analyze patient safety risks and events. Implements action plans to mitigate safety risks. Utilizes and integrates data from internal and external sources to drive performance improvement using validated change management tools. Collaborates with leadership and clinicians to improve patient care quality and safety using trended data and action plans. Operationalizes processes to support standards compliance for regulatory bodies. Facilitates and guides the organization through continuous survey readiness activities and drives action plans to meet compliance. Ensures that the facilities? policies and practices, as related to patient care, are within best practice guidelines and standards, as designated by all State and Federal agencies as well as certifying agencies.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Communicate effectively to different audiences.
• Proficient in computer skills using EXCEL, PowerPoint, MS Office, and Flowchart tools.
• Knowledgeable on High-Reliability Principles and PDSA methodology.
• Knowledgeable on payment models for quality metric performance.

Source: NAHQ Workforce Accelerator Competency Framework 2022: Eight Domains

• Quality Leadership and Integration-Advance the organization's commitment to health care quality through collaboration, learning opportunities and communication. Lead the integration of quality into the fabric of the organization through a coordinated infrastructure to achieve organizational objectives. Domain Level: Advanced.
• Performance and Process Improvement-Use performance and process improvement (PPI), project management and change management methods to support operational and clinical quality initiatives, improved performance and achieve organizational goals. Domain Level: Advanced.
• Population Health and Care Transitions-Evaluates and improve health care processes and care transitions to advance the efficient, effective, and safe care of defined populations. Domain Level: Proficient.
• Health Data and Analytics- Leverage the organization?s analytic environment to help guide data-driven decision-making and inform quality improvement initiatives. Domain Level: Advanced.
• Regulatory and Accreditation-Direct organization-wide processes for evaluating, monitoring, and improving compliance with internal and external requirements. Lead the organization's processes to prepare for, participate in, and follow up on regulatory, accreditation, and certification surveys and activities. Domain Level: Advanced.
• Patients Safety-Cultivate a safe healthcare environment by promoting safe practices, nurturing a just culture, and improving processes that detect, mitigate, or prevent harm. Domain Level: Advanced.
• Quality Review and Accountability-Direct activities that support compliance with organization-wide voluntary, mandatory, and contractual requirements for data acquisition, analysis, reporting, and improvement. Domain Level: Advanced.
• Professional Engagement-Engage in the healthcare quality profession with a commitment to practicing ethically, enhancing one's competence, and advancing the field. Domain Level: Proficient.

Job Requirements:

Education/Skills

• Bachelor?s degree of Science in Nursing or other related field required.
• Master?s degree preferred.

Experience

• Five years of healthcare experience.
• Two years of management experience.
• Three years of quality management.

Licenses, Registrations, or Certifications

• CPHQ (Certified Professional in Healthcare Quality) preferred upon hire or within 1 years.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

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About CHRISTUS Health

CHRISTUS Health is an international faith-based, not-for-profit health care system based in Irving, Texas, with more than 60 hospitals in Texas, Louisiana, New Mexico, Chile, Colombia and Mexico. CHRISTUS Health is made up of 50,000 Associates providing compassionate and individualized care at more than 600 centers, including community hospitals, clinics, long-term care facilities and health ministries. Sponsored by the Sisters of Charity of the Incarnate Word of Houston, Sisters of Charity of the Incarnate Word of San Antonio and the Sisters of the Holy Family of Nazareth, our mission is to extend the healing ministry of Jesus Christ to every individual we serve.

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