Director of Performance Improvement (RN) - Quality Assurance

Knapp Medical Center is a 227-bed not-for-profit, acute care hospital, and a member of the Prime Healthcare Foundation. Located in Weslaco, TX, we provide exceptional healthcare services to residents of the Mid- Valley. Knapp works hard to provide state-of-the-art technology, progressive diagnostic and treatment options, and patient-focused care.

Throughout recent years, Knapp has been recognized as one of the best healthcare facilities in the United States in the various areas we serve:

Centers For Medicare & Medicaid Services (CMS) Five-Star Quality Rated
• LeapFrog Hospital Safety Grade Straight A's 2019-2023
• America's 100 Best Hospitals for Orthopedic Surgery Award
• Patient Safety Excellence Award
• Labor & Delivery Excellence Award
• Gynecologic Surgery Excellence Award
• Obstetrics & Gynecology Excellence Award
• One of Healthgrades America's 100 Best Hospitals for Critical Care
• Recipient of Healthgrades General Surgery Excellence Award for 2 years in a row
• Certified by The Joint Commission as an Advanced Primary Stroke Center
• Five-Star Recipient for Hip Fracture Treatment for 6 years in a row
• Recipient of a Maternity Care Excellence Award and ranked among the Top 5% in the Nation for Maternity Care for 4 years in a row
• Five Star Rated for Maternity Care for 4 years in a row
• Recipient of Joint Replacement Excellence Award and Ranked among the Top 10% in the Nation for Joint Replacement
• Five Star Rated for Joint Replacement and Total Knee Replacement for 3 years in a row
• Five-Star Recipient for Pacemaker Procedures
• Five-Star Recipient for Gallbladder Removal Surgery for 4 years in a row
• Five-Star Recipient for Treatment of Pancreatitis
• Five-Star Recipient for Appendectomy
• Training Center for American Heart Association's Certification Programs: Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS).

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

• The Performance Improvement Director develops, manages and integrates a comprehensive Performance Improvement (PI) Program to achieve unprecedented results in quality, efficiency, safety, satisfaction and value with transparency.
• The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value and efficiency; to develop/ maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value; to complete Clinical Assessment, Diagnosis and Treatment for the Service Lines.
• Responsible for coordinating and managing hospital wide performance improvement activities including continued survey readiness.
• Responsible for oversight of on going publicly reported quality initiatives undertaken by the organization, like Core Measures, patient'satisfaction, etc.
• Work collaboratively with Administration and Leadership.
• Ensures execution and communication of Performance Improvement and patient'safety activities occurs from the department level to Board of Trustees.
• The scope of activities in managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating & sustaining a participatory environment; guiding the group to appropriate & useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care.
• Team facilitation and experience with hospital accreditation standards and survey process preferred.
• Knowledge of local regulatory standards & OSHA regulations a plus

Education and Work Experience

1. Bachelors Degree required, preferably in a healthcare related field.
2. Masters Degree preferred.
3. State RN licensure or a License in healthcare field preferred.
4. 4 5 years healthcare experience. 1-4 years quality improvement experience.
5. Good computer skills.
6. Experience in reviewing charts for quality care issues. Detail oriented organizational skills. Must be able to handle multiple cases, directions and follow-through.
7. Good communication skills both verbally and written. Experience with Medical Staff communication.
8. Coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards.
9. Certified professional in healthcare quality preferred.

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