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South Texas Health System is seeking an experienced quality professional to support our Performance Improvement program across facilities in Texas. You will assist in coordinating PI activities, participate in six sigma projects, and perform data reviews of CMS core measures.
Responsibilities include generating monthly core measure reports, communicating findings to stakeholders, and coaching departments to implement improvements.
POSITION SUMMARY: Assist in facilitating the coordination of a systematic organization-wide Performance Improvement program, Participate in six sigma quality projects and quality control functions for the STHS. Perform concurrent reviews for data collection of the CMS required core measure indicators at all STHS facilities. Analyze and create action plans in coordination with stakeholders of the core measure data . Generate core measure reports monthly to identify successes and areas for improvement. Perform one-to-one contact with nursing staff and/or physicians associated with the areas for improvement. Assist with meeting preparations such as power point presentations, packet copying/assembly. Perform mortality reviews, quality data check reviews, “never event” reviews and other focus reviews as assigned. Be knowledgeable about the results and able to explain the results to committee members. Compose business letters to physicians and other correspondence as it pertains to core measure indicators. Promote the Quality Improvement activities throughout the system by facilitating and coaching continuous improvement activities. Foster the PI process of focus/assess the need, plan/do, measure the success, and evaluate the outcome. Understand the UHS Scorecard and it’s linkages to quality studies and measurement.
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