Director of Quality and Risk Management

• Dedicated military personnel
• Adults
• Seniors
• Adolescents (ages 12 through 17)

Our excellent staff is committed to the continuous improvement of behavioral healthcare by providing treatment opportunities that promote individual, family, and community wellness. As a team, we are dedicated to providing high quality, outstanding care and attending to the individual needs of each patient and their family in a caring and compassionate manner.

Serving Northern Texas and Southern Oklahoma

Our location in Wichita Falls allows for convenient access to residents of nearby Texas cities like Burkburnett as well as South Oklahoma cities like Lawton. Call the number below to begin the process of healing.

Mission, Vision & Values

Mission: To provide superior comprehensive behavioral healthcare and substance abuse services to the people, communities, and hospitals we serve.

Vision: To be the behavioral healthcare provider and employer of choice.

Values: Integrity, respect, excellence.

ESSENTIAL FUNCTIONS:

• Oversee operations, business planning and budget development for the Risk department.
• Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification. Implement, educate and encourage incident reporting system throughout the facility.
• Implement risk management program throughout the facility.
• Develop and implement infrastructures and systems that support patient safety.

• Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees.
• Work with internal auditors, security contractors, and other staff to establish an internal control system.
• Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement. Insure compliance with all administrative requirements.
• Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees.
• Maintain database of full disclosure activities and provide oversight for review programs and provides technical support as needed.
• Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.
• Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives.
• Collaborate with clinical staff and management for prevention of clinical risks throughout the facility. Develops effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care.
• Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure.
• Develop, implement, coordinate and facilitates the Quality Assurance/Process Improvement (QAPI) Program for facility.
• Assess QAPI needs and trends for the facility program by reviewing current practices and gathering, compiling and evaluating data related to employees, services, and patient feedback.
• Delegate and support the QAPI and risk management activities of Department Directors to ensure desired, department-related outcomes for patient care and safety.
• Develop processes for identification, collection and analysis of performance measurement data.
• Utilize collected data regarding the outcome of activities for delivering continuously improving services.
• Develop written plans to improve and/or correct quality, safety and appropriateness of patient care. Conducts routine evaluations of the effectiveness of services.
• Develop and implement systems, policies, and procedures for the identification, collection, and analysis of performance measurement data and related information.
• Determine if services meet pre-determined quality improvement expectations and outcomes.
• Ensure correction of any observed deficiencies identified through the quality improvement process.
• Identify key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices.
• Conduct timely and regular evaluation of serious incidents, complaints, grievances and related investigations to:
  • Identification of events, trends and patterns that may affect client health, safety and or treatment
  • efficacy
  • Committee evaluation findings and recommendations submitted to agency management for corrective action
  • Implemented actions, outcomes, trends analyzed over time
• Identification of problems or potential problems to. prevent risks to patients. Proposes corrective steps that may include, but are not limited to:
  • Changes in policies/procedures
  • Staffing and assignment changes
  • Additional education or training for staff
  • Addition or deletion of services
• Perform Other Functions as assigned

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor’s Degree in Human Services or Nursing required. Master’s degree in behavioral health/risk discipline preferred.
• Five or more years’ experience in a risk management position.
• Three or more years’ experience in a Quality or PI role required.
• Two or more years’ management experience required

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Current license in state of Texas for Degree held required.
• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.