Quality Office Director - Office of Chief Quality Officer
Department: OFC OF HEALTH SYSTEM AFFAIRS
Full/Part Time/PRN: Full-Time
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
Experience and Education
Bachelor's degree in related field and ten (10) years progressively responsible, related experience to include at least three (3) years in supervisory capacity.
- Directs and coordinates activities related to the development, execution, and implementation of the strategies and measurement of UT Southwestern's approach to quality, performance improvement, patient outcomes and safety.
- Works closely with the Chief Quality Officer (CQO) in developing and implementing a comprehensive strategic quality agenda for the enterprise that inspires engagement, inter-professional collaboration, the identification and use of the evidence-based practice and management among all facilities in the system while differentiating UT Southwestern as a ¿high reliability¿ organization nationally.
- Provides leadership for the directors reporting to the Quality Officers for the University Hospitals and the Ambulatory Clinics and High Reliability Teams. Within Southwestern Health Resources, facilitates the CQO's responsibilities related to the Quality Initiatives and the executive quality committee, which reports directly to the SWHR Board. He/she will engage in the operationalization of the strategies to achieve the goals and targets for both the physician and hospital network in terms of quality, safety, and outcomes. This individual will also be responsible for facilitating improvement planning and education in areas of deficiency.
- Aid in the rapid advancement of data governance and integrity towards systems that provide clinicians and administrative leadership with information that helps them to assess the validity, quality, applicability, and action ability of aggregated evidence gathered throughout the clinical enterprise.
- Works with clinical staff and quality improvement leadership, among all facilities, to develop an efficient, intellectually rigorous, and engaging structure to encourage the alignment of their practice with the quality and safety agenda of the system.
- Supports structured leadership to departmental professionals that fosters growth and development as well as optimal communication and innovation.
- In collaboration with clinical staff and service chiefs, participates in the development, monitoring, reporting, and improvement of activities related to their respective service lines.
- Fosters and maintains collaborative relationships with external agencies, purchasers, and stakeholders related to quality/performance initiatives.
- Works with Quality Officers and their Directors to ensure success of initiating, overseeing, and integrating a comprehensive medical safety program as a component of UT Southwestern's quality services to improve the safety of patients, visitors, and employees.
- Helps with reviewing and evaluating services of the UT Southwestern Health System that are affected by medical safety/regulatory issues; identifies problems, makes recommendations for improvement, and monitors services to ensure that safety/regulatory recommendations are implemented and the desired results are obtained.
- Proactively educations UT Southwestern Health System's leadership and medical staff regarding regulatory issues, new statues/guidelines, and medical safety/PI activities.
- Serves as a resource within the UT Southwestern Health System for medical safety, regulatory, and PI issues and participates in activities related to accreditation. Works with leaders for the development of policies and procedures related to quality improvement/medical safety and participate as a stakeholder in the crafting of policies.
- Participates in developing long range goals, annual objectives, and strategies for area(s) of responsibility. Measures and reviews system performance. Provides input into major capital expenses related to quality (i.e. information systems).
- Monitors activities for and ensures compliance with laws, government regulations, JCAHO requirements, and UTSW policies.
- Responsible for review, development, recommendation, and implementation related to assigned activity, program, or function.
- Recommends changes, reviews progress, and approves proposals.
- Manages utilization of various resources to maintain maximum efficiency and meet performance objectives.
- Responsible for design, execution, and effectiveness of a system of internal controls, which provides reasonable assurance that operations are effective and efficient, assets are safeguarded, and financial information is reliable.
- Ensures compliance with applicable laws, regulations, policies, and procedures.
- Maintains confidentiality as appropriate.
- Oversees budget expenditures and scheduling. Oversees supervisors and/or subordinate managers to include establishing priorities.
**Other Duties: Performs other duties as assigned.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.