**JOB SUMMARY** **This is a Hybrid position in Dallas.** The Quality Improvement Coordinator II is a strong communicator who partners effectively with staff at all levels of the organization. This role supports key stakeholder teams in implementing reporting and quality improvement initiatives aligned with BSWH’s strategy to deliver high-quality, safe patient care and achieve excellence in compliance with all regulatory statutes, policies, and procedures. **ESSENTIAL FUNCTIONS OF THE ROLE** • Performs concurrent and retrospective medical record review to investigate quality and/or patient safety concerns and to identify performance improvement opportunities. • Collects and analyzes relevant data in support of patient safety and quality improvement strategies and projects and in accordance with regulatory and entity-specific requirements. • Supports and/or facilitates quality and patient safety initiatives to improve safety and foster an environment of service excellence through successful interventions, data analysis and development of action plans. • Develops and disseminates ongoing and ad hoc reports to ensure clinicians, administrators, medical staff committees and corporate teams receive timely and accurate data to meet their needs in ensuring quality care and patient safety within their departments. • Identifies and recommends measures to enhance reporting processes, tools, and methods. • Collaborates in the development and presentation of educational materials designed to educate staff and management about quality and patient safety processes. • Utilizes quality improvement tools and techniques, including proactive and retrospective risk assessments, to improve quality, patient safety, and patient perceptions of BSWH’s health care services. • Identifies regional, system, and industry best practices, providing feedback to leaders and team members. • Participate on quality improvement teams as requested by leadership. • Participate in unit and facility huddles. • Supports the ZERO Harm rounding process as directed by leadership. • Provides subject matter expertise and comprehensive measurement analysis for quality improvement initiatives across the organization. • Maintains awareness of the latest developments, advancements, and trends in the field of quality improvement reporting and analysis by attending seminars/workshops, reading professional journals, and active participation in professional organizations. **KEY SUCCESS FACTORS** • Advanced knowledge of quality and performance improvement standards, evidence-based patient safety, outcomes management and the regulatory environment. • Advanced knowledge of Texas, Joint Commission and CMS standards. • Familiarity with CMS IQR and OQR, as well as TJC ORYX reporting requirements. • Chart abstraction and/or process improvement experience with Sepsis, Stroke, Perinatal Care, Get With the Guidelines chart abstraction or eCQMs preferred. • Strong verbal, interpersonal and written communication skills. • Skilled in the use of computers, and related software applications. • Strong EPIC knowledge. • Highly self-motivated team member that is comfortable meeting ongoing deadlines and able to establish and maintain effective collaborative working relationships. • Perform data collection, abstraction, and analysis. Analyze processes, systems data and prepare reports. • Provide education to health care providers on quality and patient safety issues based on data outcomes, industry standards and regulatory requirements. • Prefer licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.