Quality Improvement Consultant 1

About Us

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

Our Core Values are:

• 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 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

This is a combined Quality Improvement Consultant and Infection Preventionist position.

Provides consultant expertise and leadership to teams to achieve improved outcomes and sustainable change to support BSWH strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statutes, policies and procedures.

The Infection Preventionist works under the direct supervision of the Infection Prevention Manager to implement and review the facility's infection prevention program, to ensure existing standards and guidelines of applicable professional organizations and regulatory and governmental agencies are incorporated into the program, and serves as a resource person regarding infection prevention issues for all facility personnel.

ESSENTIAL FUNCTIONS OF THE ROLE

• Implements infection prevention strategies to prevent and control the transmission of infectious agents, applying epidemiologic principles and evidence-based guidelines.

• Conducts on-going surveillance using Centers for Disease Control (CDC) infection criteria

• Reports patients with communicable disease to the appropriate health authority

• Monitors compliance with national standards and regulating bodies such as JC, CDC, OSHA, and FDA through observations, audit tools and other methods

• Provides education to increase employee awareness of existence of healthcare-associated infections

• Participates in quality performance improvement activities by assessing monitoring, and measuring healthcare-associated infections and evaluating outcomes on a continuous basis

• Collaborates with teams and individuals to create, educate, and sustain evidence-based infection prevention strategies, as well as provide feedback

• Participates in continuing education activities, professional meetings and peers networking, and reviews published literature to maintain current knowledge commensurate with the latest research and scholarly knowledge pertaining to healthcare and infection control

• Performs other position appropriate duties in a competent, professional, and courteous manner

• Serves as an internal consultant for quality and patient safety initiatives and small to medium scale projects through BSWH

• Facilitates, coordinates, and provides project management for quality improvement teams, strategic planning sessions, and other organizational meetings and committees as requested and needed.

• Coaches and mentors teams and leaders in the provision of quality, patient safety and other regulatory issues

• In collaborations with teams and leaders, develops multidisciplinary indicators and identifies opportunities for improvement, to monitor and evaluate the quality of care and services provided to patients based on evidence-based practices, regulatory and accrediting agency requirements, and data analysis of high-risk problem prone, and high-volume processes.

• Identifies regional, system, and industry best practices, providing feedback to leaders and team members

• Provides subject matter expertise and comprehensive measurement analysis for quality improvement initiatives across the organization

• Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities

• Works with applicable staff to utilize appropriate audit strategies, data extraction, expert observation, surveys, focus groups or other tools to obtain relevant information to improve care and quality of service

• Participates in design, development, and implementation of facility learning forums

• Participates in unit and or facility huddles

• Supports the ZERO Harm rounding process as directed by leadership

• Maintains awareness of the latest developments, advancements, and trends in the field of quality improvement reporting and analysis by attending seminars/workshops, reading professional journals, and active participation in professional organizations

KEY SUCCESS FACTORS

• Knowledge of theories and practices of microbiology, epidemiology, nursing, statistics, or public health

• Computer skills and related software applications

• Collaboration and conflict resolution

• Strong verbal, interpersonal and written communication skills

• Ability to assist in implementation of evidence-based guidelines

• Ability to assist in conducting data collection and analysis, report writing, and data presentation

• Extensive knowledge of tools and techniques of quality performance measurement and data analysis

• Extensive knowledge of Texas, Joint Commission and CMS standards

• Extensive knowledge of trends, developments, and research in providing high-quality safe care

• Skilled facilitator, coach, consultant, influencer, management and strategic thinking skills

• Able to mentor, train, and develop instructional materials to educate leadership and staff in infection prevention, quality, patient safety, and regulatory issues

• Able to work collaboratively and effectively with a wide range of stakeholders, and across organizational lines and teams, to identify impediments to success and recommend and implement corrective actions and/or mitigation

• Able to identify and deploy required project management processes, tools, and templates needed to successful drive initiatives

• Able to work independently or with varying levels of direct or indirect supervision or guidance

• Able to appropriately prioritize tasks to meet desired deadlines

• Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), Certified in Infection Control (CIC),or role-appropriate certification preferred

• Licensed clinician such as nurse, physical therapist, occupational therapist, dietician, respiratory therapist, etc preferred.

Belonging Statement

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

The information contained in this job description is intended to describe the essential job functions required of those assigned to this job. It is not intended to be an exhaustive list of all responsibilities, duties, knowledge, skills, and abilities needed to perform the job. Please note that management retains the right to assign or reassign duties and responsibilities to this job at any time. The ability to competently perform all essential duties of the position, with or without reasonable accommodation, demonstrated commitment to effective customer service delivery, integrity, and the ability to work productively as a member of a team or work group are basic requirements of all positions at Baylor Scott & White Health.

QUALIFICATIONS

• EDUCATION - Bachelor''s or 4 years of work experience above the minimum qualification
• EXPERIENCE - 4 Years of relevant experience