Director Quality Patient Safety and Risk-Forney

Texas Health Resources; Forney (TX); On-site; USD 140,000 - 190,000; Full time

Job summary

Texas Health Resources, Inc. is seeking a Director of Quality, Patient Safety and Risk Management at its Forney facility.

The role leads regulatory readiness, risk reduction, performance improvement and data‑driven quality initiatives to ensure safe, high‑value care. You will collaborate with hospital leadership to develop policies, oversee accreditation processes, and promote a culture of high reliability and continuous improvement across clinical services.

Job description

Director Quality Patient Safety and Risk-Texas Health Forney

Position Highlights

The Director of Quality, Patient Safety and Risk Management will serve as a resource for Texas Health Forney by offering value-added knowledge and expertise in improving outcomes and providing safe, timely, cost-effective, person-centered care. This position is responsible for sustaining a culture of high reliability, ongoing process improvement and continuous regulatory readiness to ensure the safety of our stakeholders.

• Work location: Texas Health Forney, Forney, TX
• Core work hours: Full Time, Monday – Friday, 08:00 AM – 5:00 PM

Key Responsibilities

Regulatory Accreditation, Certification, and Compliance

1. Responsible for regulatory compliance, accreditation, and continuous survey readiness. Oversees an effective continuous readiness program, including but not limited to, mock surveys, regulatory/accreditation tracers and inter-rater reliability processes.
2. Works in collaboration with hospital leadership to ensure that all required regulatory/certification submissions and follow-up, including the annual mock survey, Evidence of Standards Compliance (ESC), response to TJC, CMS or other regulatory agencies; complaint investigations, Measures of Success (MOS) and action plans are appropriate and completed in a timely and thorough manner.
3. Conducts evaluations using authoritative interpretive resources in order to provide an expert analysis and synthesis of the intent, applicability and value of regulations (federal, state, local) and accreditation standards.
4. Responsible for coordinating, developing, reviewing, and evaluating policy and guideline documents (policies, forms, protocols, order sets, consents, etc.) for regulatory compliance with consideration and research of evidence-based practice and current best practices.

Performance & Process Improvement

1. Uses Process and Performance Improvement methodology to assess performance, sets achievable goals, uses data to initiate changes, and develops measures that will ensure sustainability of improvements.
2. Promotes the use of Process and Performance Improvement methods and science throughout the hospital.
3. Provides education and guidance on the purpose, use and value of quality improvement tools.

Human Resources - Develop and implement strategy to create and maintain a positive employee relations environment for departmental employees - Recruit, orient and retain excellent staff - Supervise departmental staff, developing standards of performance, evaluating performance and initiating or recommending personnel actions - Mentor job-related growth of staff.

Population Health & Care Transitions

1. Participate in the development of population health improvement models and strategy.
2. Advise leadership on the impact of evolving payment models and their associated quality metrics for strategic planning and development priorities.
3. Integrate population health improvement initiatives and metrics into the hospital quality program.
4. Lead prioritization activities to identify target populations for improvement of care delivery.

Health Data & Analytics

1. Leverages electronic systems to input, analyze, extract, and manage data to support and drive data integrity, streamline process, innovate practices, and achieve positive outcomes.
2. Develops hospital reports and scorecards incorporating clinical and business metrics tailored to strategic or operational goals.

Patient Safety

1. Promote a safety culture and infrastructure that aligns with Texas Health’s strategic objectives and meets regulatory/accreditation standards.
2. Identifies opportunities for improvement and continuously looks for ways to improve processes and reduce harm using the principles of High Reliability.
3. Conducts and develops comprehensive risk assessments, prioritizes potential risks, and recommends evidence-based strategies for risk reduction.
4. Prioritize hi