What are the responsibilities and job description for the DIRECTOR - PERFORMANCE IMPROVEMENT position at West Oaks Hospital?
Responsibilities
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Performance Improvement Director Opportunity
West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and includes a 16-bed residential treatment center for adult chemical dependency.
We offer a broad range of behavioral health programs for children, adolescents, and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization, and intensive outpatient.
We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria.
Visit us online at : https : / / westoakshospital.com /
West Oaks Hospital is seeking a dynamic and talented Director, Performance Improvement to join our team of compassionate, dedicated professionals. The Director of Performance Improvement (DPI) has broad responsibility to ensure the hospital’s compliance at all times with all Joint Commission, CMS, TDSHS, and other regulatory agencies standards and requirements. The DPI is responsible for staff training and education on the hospital’s performance initiatives and measures including outcomes measurement and reporting.
Job Duties / Responsibilities :
- Lead regulatory compliance with Joint Commission, CMS, DHHS, and other applicable agencies.
- Monitor PI indicators and action plans.
- Coordinate, review, and update hospital Performance Improvement Plans annually.
- Lead Performance Improvement Council monthly meetings. Prepare agenda; compile and present aggregate data and statistical reports; and take minutes.
- Submit and present quarterly PI report to Board of Directors.
- Lead and coordinate PI initiatives and activities, to include survey readiness.
- Ensure the hospital meets Joint Commission, CMS, and state regulatory requirements.
- Develop and implement a Performance Improvement Plan, evaluate the results monthly and report the results to PI Committee, MEC, and BOG.
- Ensure that all deficiencies identified through the Performance Improvement analysis are addressed with appropriate problem-solving actions.
- Analyze statistical data of the hospital to determine and respond to trends.
- Consult with senior staff and directors in the development of department-specific programs and quality measures which are within the standards of Joint Commission, CMS, TDSHS, OSHA regulations and all other applicable federal, state, or local law / regulations governing health-care entities.
- Prepare and submit monthly PI data to UHS by the 10th of each month or when required.
- Maintain and monitor Joint Commission website, coordinate all regulatory site visits, and prepare and submit Corrective Action Plans in a timely manner.
Benefit Highlights :
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities, and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. States, Washington, D.C., Puerto Rico, and the United Kingdom. www.uhs.com
Qualifications
Requirements :
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card, or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
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Salary : $14
