Performance Improvement Specialist

Shriners Children's; Galveston (TX); On-site; USD 74,000 - 110,000; Full time

Job summary

Shriners Children’s in Texas seeks a Performance Improvement Specialist to support the PI/Risk Management program by identifying and facilitating process improvement and safety opportunities. This role performs data extraction and analysis, leads PI initiatives, and mentors staff in performance improvement and safety activities.

Key duties include policy development, staff training, and fostering a culture of safety to ensure care is safe, timely, effective, efficient, equitable, and

Qualifications

• Bachelor degree in business or related field.
• Knowledge of CMS and Joint Commission requirements.
• BSN/MSN or master's in business or related field preferred.
• 3 years of quality management and performance improvement experience.
• CPHQ certification preferred.

Responsibilities

• Collaborate with teams to develop, review and revise Performance Improvement/Risk Management/Safety processes, protocols, policies and procedures.
• Serve as an expert and mentor for teams on Performance Improvement tools and decision making, evidence-based practice searches and recommendations.
• Facilitate improvement of outcomes related to environment, patient safety, and clinical quality.
• Manage hospital-wide policy program (C360) and ensure policies are revised timely.
• Promote understanding of the overall quality and safety program and culture through education and training.
• Develop a culture of safety by leading FMEAs, RCAs, and related safety processes.
• Trains and educates new hires on safety requirements and performance improvement during orientation.
• Assists in review and development of narratives related to patient safety events.

Skills

PDCA/Lean proficiency

CMS and Joint Commission knowledge

Education

Bachelor degree in business or related field

BSN/MSN or Masters in business or related field

Job description

Company Overview

Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status. Please click here to learn more about our locations.

Job Description

The Performance Improvement Specialist supports the PI/Risk Management Department, hospital staff, leadership, and medical staff by identifying and facilitating process improvement and safety opportunities. Facilitates implementation of evidence-based practices by performing data extraction and analysis and PI methodologies. Actively leads and participates in the planning, implementation, and evaluation of quality and safety programs. Facilitates improvement of outcomes relevant to environment and patient safety, patient satisfaction, and clinical quality. Serves as resource and expert in performance improvement methodologies as needed. Develops education content as well as support training and mentoring of staff in performance improvement and safety activities. The PI specialist assesses and facilitates systems and/or processes to ensure that care delivered is safe, timely, effective, efficient, equitable, and patient centered. Promotes and supports hospital safety culture.

Key Responsibilities:

• Collaborate with teams to develop, review and revise Performance Improvement/Risk Management/Safety processes, protocols, policies and procedures.
• Serves as an expert and mentor for teams, leaders and staff on Performance Improvement tools and techniques (e.g. PDCA, brainstorming, flow charts, graphs, etc), evidence-based practice searches and decision making, recommendations on improvement strategies, and methods to sustain outcomes.
• Facilitate improvement of outcomes relevant to environment and patient safety, patient satisfaction, and clinical quality.
• Manages Hospital wide policy program (C360). Oversees and ensures policies, guidelines and plans are revised accurately and timely.
• Promotes organization wide understanding of the overall quality and safety program and culture by serving as an expert resource and conducting or providing education on performance improvement and safety structures, processes, and activities.
• Develop culture of safety by instituting safety models, coordinating and leading failure modes effects analysis (FMEAs), root cause analyses (RCAs), and executing structures and process to support culture of safety
• Trains and educates new hires and workforce on safety requirements, performance improvement, and patient satisfaction through orientation and appropriate departmental training, in-services, and fairs.
• Assists in review for and development of narratives related to patient safety events.

Required Qualifications:

• Bachelor degree in business or related field

Knowledge of process improvement tools such as PDCA or Lean.

Knowledge of CMS and Joint Commission Requirements.

Preferred Qualifications:

• BSN, MSN or Masters in business or related field
• 3 years of quality management and performance improvement experience
• CPHQ certification

The pay range for this position is $73,559.20 - $110,350.24. Compensation is determined based on years of relevant experience and departmental equity.