Director of Performance Improvement and Risk Management

Houston Behavioral Healthcare Hospital is currently recruiting for a Director of Performance Improvement and Risk Management. This position is tasked with the development, planning, coordination, and administration of a structured program aimed at minimizing risk and injury. Additionally, responsible for the creation, implementation, and oversight of a quality review program. Ensures adherence to regulatory standards.

Responsibilities include:

• Program Oversight: Oversees the Performance Improvement (PI) and Risk Management Plans, as well as the collection and presentation of data necessary for tracking quality indicators.
• Identifies and assesses quality management problems and refers to staff for action.
• Incident Analysis: Reviews incident reports, patient grievances, and safety information to identify patterns and address underlying issues. Oversees the identification, analysis, and evaluation of potential losses across the facility.
• Recognizes legal risks associated with professional and general liability to prevent and manage losses stemming from these legal concerns.
• Acts as a resource for medical personnel and facility committees on matters related to quality.
• Regulatory Readiness: Prepare the facility for surveys and audits by groups like CMS and The Joint Commission.
• Ensures the provision of in-service education to parties involved in quality assurance, familiarizing them with TJC standards, its interpretation, methods of data collection display and statistical analysis.
• Oversee adherence to TJC and other regulatory requirements..
• Staff Training: Educate employees and medical personnel on quality standards, privacy regulations, and risk mitigation strategies. Oversees the identification, analysis, and evaluation of potential losses across the facility.
• Examines, assesses, and conveys patterns and trends related to professional and comprehensive general liability claims to both administrative and medical teams.
• Provides recommendations regarding facility operations to minimize liability exposure and reduce insurance claims. May act on behalf of the organization in legal proceedings and collaborates with legal counsel.
• Conducts personnel management tasks related to direct staff oversight, including recruitment and selection, orientation training and development, performance evaluation, and employee relations activities.
• Leadership Collaboration: Collaborate with healthcare professionals to collect data and inform strategic choices
• Upholds the Organization's ethics and customer service standards.

Requirements

• Minimum Education Bachelors degree in a related field required. Master Degree preferred.
• Minimum Work Experience Two years experience in psychiatric service delivery system and treatment methods, with specific knowledge and skills in areas of risk management.
• Strong oral and written communication skills, current knowledge of continuous Quality Improvement methodology; organizational and time management skills; skills in data collection, analysis, evaluation and interpretation; knowledge of applicable standards and regulations; problem solving skills; teaching or training skills.
• Required Licenses Certified Professional Healthcare Quality (CPHQ( and Certified Professional Healthcare Risk Management (CPHRM).
• Skills: Strong data analysis, Leadership, and Knowledge of Health Regulations.