St Luke's Health - The Vintage Hospital

Support and coordinate quality management, patient safety, and performance improvement activities in a hospital setting. | Licensed clinical staff with 3+ years in acute care, healthcare quality or PI experience, and relevant licensure and certifications. | Job Summary and Responsibilities The Quality/Patient Safety Program Manager supports, coordinates, and facilitates quality management (QM), patient safety (PS), and regulatory performance improvement (PI) activities for the hospital and medical staff. This role serves as a key resource to employees, leadership, nursing directors, senior management, councils, physicians, and interdisciplinary teams on quality management initiatives. The position requires handling sensitive and confidential patient and hospital information with discretion. • Support the design, planning, implementation, and coordination of Quality Management, Patient Safety, and Performance Improvement activities across assigned hospital and medical staff departments, committees, service lines, and functions • Proactively coordinate and facilitate performance improvement teams to support key initiatives, including but not limited to: • Clinical quality improvement • Patient safety and risk reduction • Patient experience • Operational efficiency • Failure Mode and Effects Analyses (FMEAs) • Root cause analyses • Medical staff performance improvement activities such as peer review, OPPE, and FPPE • Serve as a subject matter resource for quality management activities to staff, leadership, physicians, and interdisciplinary teams • Ensure compliance with regulatory and quality reporting requirements, including CMS HIQRP/HOQRP, The Joint Commission (TJC), Leapfrog, and other applicable programs • Play an integral role in the collection, abstraction, validation, and reporting of process and outcome quality measures Job Requirements Required Education and Experience • Licensed Registered Nurse, Licensed Clinical Pharmacist, or other licensed clinical staff with three (3) years of clinical experience in an acute care setting • Ability to perform case reviews for medical staff peer review and medical and/or surgical registry abstraction • One (1) year of healthcare-related quality management or performance improvement experience (e.g., chart audits, PI team member participation) Required Licensure and Certifications • Current, unrestricted state license in a clinical field in the state of practice • Certified Professional in Healthcare Quality (CPHQ), Healthcare Quality and Management Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) required within two (2) years of employment. Where You'll Work St. Luke's Health–The Vintage Hospital provides high-quality, compassionate care for residents of the Willowbrook, Champions, and Tomball areas of Northwest Houston. With the resources of the St. Luke’s Health system, we are able to deliver the most advanced care available to our Northwest Houston community. The Vintage Hospital offers the latest in diagnostic and surgical expertise, including heart care, women’s health, and orthopedics.

Oversee hospital operations, collaborate with leadership, develop strategic plans, manage budgets, and engage with the community. | Master's Degree, 7+ years in healthcare discipline, 5+ years leadership experience, active community involvement. | Job Summary and Responsibilities Working closely with nursing and senior leadership, the Director of Hospital Operations reports directly to the President and works in a matrix reporting environment requiring collaboration with executives and managers throughout CHI St. Luke’s as needed to support the integration and expansion of clinical programs/services to achieve the service area(s) objectives. Directly responsible for assigned areas in ancillary, support and strategic service lines to achieve specific goals/metrics as to the operational and strategic plan. Focusing on the pillars of People, Quality, Service, Stewardship and Growth assures that performance of assigned areas meet or exceed target and collaborates for the development of the organizational culture to assure the assigned facilities is an employer of choice that it excels in patient engagement, marketing, business development, growth and throughput. The incumbent will need to be actively engaged in the community, participating in Community events, Chambers of Commerce, and Civic Clubs. • Participates in decision-making processes by collaborating with leaders from the governing body, health system mgmt., hospital leadership council, medical staff and clinical areas in developing the market’s strategic plans, budgets, resource allocation, operation plans and policies. • Sets strategic direction for the assigned areas, including planning and managing processes and services for these disciplines to meet current and future needs. Develops and integrates these plans and processes to support the vision, mission and strategies. • Collaboratively creates effective and ongoing programs to monitor, evaluate, and improve the quality of care and services for assigned areas. • Advocates for staff in the assigned areas regarding the allocation of resources including FTE, systems, equipment and support. Provides for the development and management of operating and capital budgets for assigned areas; Responsible for overall performance according to budget. • Utilizing the Lean Management System directs creative strategies to reduce waste, lower costs while maintaining or enhancing quality. • Lead/manage assigned departments and functions. • Responsible for the maintenance and oversight of assigned contracts and leaders. • Responsible for the oversight and management of assigned capital projects. • Actively engaged in the community, participating in Community events, Chambers of Commerce, and Civic Clubs. • Focused on the growth and community outreach of these outpatient departments. Job Requirements • Master’s Degree and seven (7) year of experience in the discipline, five (5) of which is leadership experience. Where You'll Work St. Luke's Health–The Vintage Hospital provides high-quality, compassionate care for residents of the Willowbrook, Champions, and Tomball areas of Northwest Houston. With the resources of the St. Luke’s Health system, we are able to deliver the most advanced care available to our Northwest Houston community. The Vintage Hospital offers the latest in diagnostic and surgical expertise, including heart care, women’s health, and orthopedics.