Houston, Texas

JOB SUMMARY
At Houston Methodist, the Manager Performance Improvement department 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. Serves as mentor, coach, or direct management of interdisciplinary processes to facilitate improvement efforts relevant to clinical care. Facilitates and directs implementation of evidence-based practice using data and performance improvement methodologies. Oversees the review, analysis, and integration of data in workflow design to support organizational mission and goals. 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.

Requirements:

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 30 %

  1. Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the Performance Improvement department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions. (EF)
  2. 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. (EF)
  3. Facilitates the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed. (EF)
  4. Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level. (EF)
  5. 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. (EF)
  6. 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.


SERVICE - 20%

  1. Plans and organizes day-to-day Performance Improvement 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. (EF)
  2. 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 Performance Improvement department. (EF)


QUALITY/SAFETY - 30%

  1. Ensures a safe and effective working environment; monitors and/or revises the Performance Improvement department safety plan and/or any specific accreditation/ regulatory required safety guidelines. (EF)
  2. Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions. (EF)
  3. 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. (EF)
  4. 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, inservices, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.). (EF)
  5. Identifies quality improvement opportunities through analysis of facility and external benchmark data. Appropriately delegates and manages outcome for project assignments to qualified staff. Supports facility external benchmarking initiatives. (EF)
  6. Reviews and assesses new data abstraction requirements, provides education regarding new guidelines and abstraction criteria to staff, department personnel and leadership of impacted clinical areas. Works with staff to identify sources of automated data to support new requirements and reduce abstraction workload. (EF)
  7. Provides program oversight for hospital quality measures. Ensures that quality data submissions for regulatory agency deadlines are completed in a timely and accurate manner. Works with HIM personnel to ensure all required medical record documentation is submitted for external validation within allowable timeframes. (EF)


FINANCE - 10%

  1. Assists in the development of department budget and ensures that the department operates in a cost effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the Performance Improvement department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department needs that reflect understanding of the importance of cost-effectiveness. (EF)
  2. Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications. (EF)


GROWTH/INNOVATION - 10%

  1. Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. (EF)
  2. Proactively evaluates processes; recommends and implements action plan(s) for change. Participates in the development and implementation of new procedures and the review and revision of existing procedures. (EF)
  3. Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals. (EF)
  4. Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an on-going basis. Conducts conversations with staff on their development and IDP. (EF)


This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications:

EDUCATION REQUIREMENTS

  • Bachelor of Science degree in Nursing


EXPERIENCE REQUIREMENTS

  • Three years of progressively responsible staff experience within hospital quality/ performance improvement

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

  • Texas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.
  • Certified Professional in Healthcare Quality (CPHQ) through the National Association for Healthcare Quality, Certified Professional in Patient Safety (CPPS) through the Institute for Healthcare Improvement, or other related professional certification preferred

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
  • Demonstrates the ability to interact with others in a way that gives them confidence in one's intentions and those of the organization
  • Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations and individuals involved
  • Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
  • Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
  • Ability to work effectively in a fast paced environment
  • Demonstrates flexibility and adaptability in the workplace
  • Demonstrates experience in understanding and executing performance improvement concepts and activities

SUPPLEMENTAL REQUIREMENTS


Work AttireYes/NoUniformNoScrubsNoBusiness professionalYesOther (dept approved)No

 

On-Call* No (for Non-Exempt or Exempt jobs)


*Note that employees may be required to be on-call during emergencies (i.e. Disaster, Severe Weather Event, etc.) regardless of selection above.

Travel**

May require travel withinYesHouston Metropolitan area 

 

May require travel outsideNoof Houston Metropolitan area 


**Travel specifications may vary by department.


Please note any other special considerations to this job: _________________________


Company Profile:

Located in Northwest Houston, Houston Methodist Willowbrook Hospital is the first Houston Methodist community hospital to earn Magnet® status – and is ranked one of the Best Hospitals in the Houston Metro Area by U.S. News & Report. At Houston Methodist Willowbrook Hospital, you’ll feel welcomed from day one by peers who share your commitment to delivering exceptional care. With leading-edge services like open heart surgery and advanced stroke care you’ll have the resources to thrive. Join us in Northwest Houston and discover how our I CARE values — Integrity, Compassion Accountability, Respect and a relentless commitment to Excellence come to life in careers that challenge, satisfy and reward like no other.

Houston, Texas

At Houston Methodist, Leading Medicine is more than a description of what we do; it's who we are. We take our responsibility as Houston's premier health care system seriously, and with a national reputation for excellence in patient care, innovation and research, we hold ourselves and the careers we build to a higher standard. Our culture is diverse, dynamic and challenging. We believe in our I Care Values and conduct ourselves with Integrity, Compassion, Accountability, Respect for others and a commitment to Excellence. Discover the difference for yourself and join Houston Methodist.

You can click on the video links below to learn more!

·  About Houston Methodisthttps://www.youtube.com/watch?v=ClN3mmKT0EI

·  Nursing at Houston Methodisthttps://www.youtube.com/watch?v=EUfmVeansTo

·  Houston - Best City to Live Inhttps://www.youtube.com/watch?v=MzLQzGBjHJw

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