In a joint venture partnership with UT Health System,Ardent operates UT Health East Texas in Tyler, Texas. UT Health East Texas is comprised of UT Health Tyler (the area’s only Level I trauma center), UT Health North Campus, UT Health Athens, UT Health Carthage, UT Health Henderson, UT Health Jacksonville, UT Health Pittsburg, UT Health Quitman, UT Health Air1/EMS, UT Health East Texas Rehabilitation Hospital, UT Health Long Term Acute Care, UT Health Hope Cancer Center and UT Health East Texas Physicians. With 974 licensed beds, UT Health East Texas is advancing healthcare, together.

POSITION SUMMARY 

The position of Quality and Patient Safety Director at UTHET is accountable for assisting the organization to improve quality, safety, and reduce operational risk exposure through performance improvement processes and meeting regulatory and accreditation requirements. They will assist in the implementation of UTHET’s Quality/Clinical effectiveness function. This position supports a culture of high reliability and the measurement of care quality identifying opportunities and executing on strategies for performance improvement in the following areas of the organization:  

• Outcomes - highly reliable processes, deli vering exceptional outcomes and/ or optimal health  
• Safety – Deliver the safest care to patients driven through leadership and a culture of high reliabilit y  
• Accreditation-Ensures all regulatory requirements are managed and highly functional  
• Experience of Care - relationship-centered care grounded in empathy, dignity, respect and collaboration  

• Support a proactive, comprehensive strategic Quality agenda that inspires caregiver engagement, inter-professional collaboration, the iden tification and use of evidence- based practice and management among all entities in the system while differentiating UTHET as a high reliability organization nationally.  
• Provides accurate and meaningful data to teams, committees and physician groups by understanding data dictionaries and using appropriately, using self-coded data sheets, assisting in determining appropriate data to collect by asking right questions and identifying correct populations, and using working knowledge of existing databases to obtain data already being collected.  
• Appropriate knowledge and application of basic statistical tools, such as, standard deviation, frequency distributions, histograms, and Pareto charts .  
• Actively participate in divisional meetings, processes, and activities to ensure Quality functions are disseminated consistently throughout the division.  
• Chair and lead the local Performance Improvement Committee .  
• Acts as a liaison between the Performance Improvement Committee and the Governing Board, to ensure all CMS CoPs are met.  
• Applies quality improvement methodologies as a quality representative/facilitator for PI Teams and as a consultant to provide basic CQI or statistical tools.  
• Evaluates and makes recommendations for system improvements using quality data, event