Performance Improvement Analyst *ONSITE* South Texas Health System - FT - ROC

Universal Health Services, Inc.; McAllen (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Universal Health Services, Inc. seeks a Quality Improvement professional to facilitate a system-wide Performance Improvement program and participate in six sigma quality projects across STHS facilities.

The role includes data collection for CMS core measures, action plans with stakeholders, and monthly reporting to identify improvements. The position involves one-to-one collaboration with nursing staff and physicians, meeting preparations, and conducting mortality and focus reviews, with travel

Qualifications

• Bachelor or Associate degree in Nursing, Computer Science, business, health-related field, or a minimum of 5 years experience in Quality.
• If bachelor's or Associate in nursing, currently licensed in Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent one.
• RN will have BLS upon hire (and maintain through employment).

Responsibilities

• Coordinate organization-wide Performance Improvement program and six sigma projects.
• Perform concurrent reviews for CMS core measure data collection.
• Analyze data and create action plans with stakeholders.
• Generate core measure reports monthly to identify successes and areas for improvement.
• One-to-one contact with nursing staff and physicians in areas for improvement.
• Assist with meeting preparations and presentations.
• Perform mortality reviews, quality data checks, and focus reviews as assigned.
• Explain results to committee members and promote Quality Improvement activities across the system.

Skills

Computer skills

Communication

Compliance

Travel

Education

Nursing degree

Computer Science degree

Business degree

Health-related field degree

Quality experience 5+ years

Master preferred

Job description

Responsibilities

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.

Qualifications

QUALIFICATIONS:

• Must have current computer knowledge in word, excel, access, power point; other software specialty knowledge a plus.
• Strong proficiency in oral and written communication skills (grammar and spelling) necessary for communication with employees, physicians, and guests of the hospital.
• Must demonstrate commitment and adherence to STHS's Compliance Program and Code of Conduct through compliance with all policies and procedures, the Code of Conduct, attendance at required training and immediately reporting suspected compliance issue(s) to the Compliance Officer.
• Able to travel to other STHS facilities.

EDUCATION / LICENSURE

• 1. Bachelor or Associate degree in Nursing, Bachelor in Computer Science, business, health-related field, or a minimum of 5 years experience in Quality. Master preferred.
• 2. If bachelor's or Associate in nursing, currently licensed in the State of Texas, or part of a compact state license, or has a valid temporary RN license for the State of Texas while waiting to receive the permanent one.
• 3. RN will have BLS upon hire (and maintain through employment).

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.