Manager of Quality

At Houston Methodist, the Manager Quality position is responsible for providing direct supervision of performance improvement staff and oversight of quality initiatives in collaboration with medical staff, hospital staff, and leadership. This position serves as mentor, coach, or direct management of interdisciplinary processes to facilitate improvement efforts relevant to clinical care. The Manager Quality position facilitates and directs implementation of evidence-based practice using data and performance improvement methodologies and oversees the review, analysis, and integration of data in workflow design to support organizational mission and goals.

This position facilitates data analysis and reporting to improve clinical outcomes.

The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment.

This position also implements training, monitoring and operations initiatives that assure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations.

• Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the Quality department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.

• Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.

• Facilitates the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed.

• Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level.

• Supports an environment for the team to create timely action plans. Proactively and effectively develops and maintains collaborative relationships with physicians, hospital leaders and their employees. Utilizes performance improvement tools appropriately to manage desired outcomes.

• Plans and organizes day-to-day Quality department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.

• Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the Quality department.

• Develops high quality presentation materials that clearly outline performance improvement initiatives and lay out a logical and compelling storyline that drives toward a recommendation or set of strategic consideration.

• Ensures a safe and effective working environment; monitors and/or revises the Quality department safety plan and/or any specific accreditation/regulatory required safety guidelines.

• Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.

• Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.

• Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, in services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).

• Identifies quality improvement opportunities through analysis of facility and external benchmark data. Appropriately delegates and manages outcome for project…