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 quali