Director of Quality Improvement

About Us

Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott & White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well.

Core Values

• We serve faithfully by doing what's right with a joyful heart.
• We never settle by constantly striving for better.
• We are in it together by supporting one another and those we serve.
• We make an impact by taking initiative and delivering an exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar‑for‑dollar match up to 5%
• Tuition reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

Director Quality Improvement plans, directs, and coordinates quality and patient safety programs for Baylor Scott & White Health (BSWH). These programs include activities that aim for zero preventable harm and apply safe, timely, effective, efficient, equitable, and patient‑centered care. The director develops and implements plans, programs, procedures, and practices to improve patient care quality at BSWH hospitals, clinics, and ambulatory facilities. They review current programs and seek opportunities to resolve clinical quality problems or operational issues. The director develops key metrics for clinical quality and patient safety and directs data testing, trending, forecasting, and reporting to improve health‑care processes. They ensure clinical performance improvement programs comply with all regulatory, legal, and organizational requirements. The director partners with clinical staff, operations, and other stakeholders to improve processes impacting patient safety and care quality at BSWH. An entity Director translates and implements strategic plans and goals for their entity. They make final judgments on operational matters and ensure goals are met, recommending policies and organizational changes. They plan and execute projects and initiatives that meet annual goals, direct department operations, handle staffing, processes, budgets, and costs, and manage and advise subordinates to meet schedules, resolve technical problems, and monitor performance.

Essential Functions of the Role

• Direct the quality improvement function for assigned area of responsibility for BSWH.
• Direct and collaborate with cross‑functional teams, including patient safety, infection prevention, nursing, risk management, and medical staff, working with other stakeholders to promote continuous improvement.
• Direct, facilitate, and support hospital quality improvement and patient safety committees.
• Direct and guide process improvement teams and activities using quality and patient safety best practices, improvement tools, and standardization methods.
• Direct data monitoring, collection, testing, tracking and trending care processes to ensure safety, effectiveness, and efficiency.
• Partner with hospital and system teams to advance health initiatives.
• Direct quality improvement analytics, data validation, and data analysis activities, including data submission and testing for facility‑identified data registries and ensuring data confidentiality.
• Direct the identification of real and potential safety concerns in BSWH facilities, including programs like variance reporting and patient safety response, and compliance with state and federal safety regulations.
• Partner with clinical and corporate compliance to manage regulatory surveys, certifications, and compliance requirements.
• Establish hospital and system processes to monitor quality and patient safety, ensuring all reporting requirements are met and engaging with internal and external stakeholders as required.

Key Success Factors

• Bachelor’s degree in healthcare management, nursing, business, or related field preferred; Master’s degree highly preferred.
• CPHQ certification highly preferred.
• 5 + years of experience in healthcare quality improvement, patient safety, risk management, or related areas.
• 3 + years of direct leadership experience in healthcare quality improvement, patient safety, or risk management highly preferred.
• Experience in leading interdisciplinary initiatives in process improvement.
• Knowledge of healthcare quality, patient safety management, benchmarking, and outcome measurement.
• Knowledge of statistics, data collection, testing, and data presentation.
• Critical thinking, process testing, and problem‑solving skills.
• Excellent written, verbal, and presentation skills.

Belonging Statement

We believe that all people should feel welcomed, valued, and supported.

Qualifications

• Education: Bachelor’s degree or 4 years of work experience above the minimum qualification.
• Experience: 3 years of experience in relevant fields.