QM Clinical Safety Coordinator

    Texas Health & Human Services Commission
    3501 N 19Th St, Waco, TX 76701
    Full-time
    Similar jobs pay $13.39 - $22.77

    Job Description


    Are you ready to be professionally challenged? Are you looking to be part of a dynamic team of engaged and committed professionals? Then the Health and Specialty Care System (HSCS) may be just the place for you! The HSCS is comprised of nine psychiatric hospitals located throughout the state, and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. Whether in a direct-care or support role, your contribution will make a difference in the life of a Texan.

    The Clinical Safety Coordinator performs complex work in the development and implementation of the organizations clinical safety program in support of a therapeutic environment which is optimally safe for patients and thereby effective in reducing the hospitals clinical risk exposures. The position works closely with the facility's Safety and Environment of Care areas in reviewing, evaluating, inspecting &/or developing and improving the clinical safety program at WCY. The Clinical Safety Coordinator is responsible for overseeing the systematic collection & analysis of information related to patient safety and clinical risk management issues. This involves the ongoing assessment, planning and implementation of organizational processes related to compliance with accreditation standards related to safety of patients, including participation in Joint Commission survey planning and process. The Clinical Safety Coordinator facilitates mechanisms for communication of the hospital's clinical safety program, including preparation of comprehensive reports, plans and procedures related to clinical safety. He/she participates in the development and facilitation of staff education regarding patient safety and serves as a topic consultant to hospital committees and departments. This position is part of the Quality Management (QM) Management Team and Quality Improvement Team and as such works to improve departmental functioning, streamline processes and improve efficiencies where available. Finally, this position serves as the primary QM consultant for hospital safety processes such as Root Cause Analysis, Management Initiated Review's and Proactive Risk Assessments. Clinical Safety Coordinator will have an active role in multiple committees to ensure continuity in the organizations safety program. This position works under limited supervision with considerable latitude for the use of initiative and independent judgement; may train & supervise others. The position requires occasional flexible hours, some overtime, and occasional overnight travel.

    Essential Job Functions:
    Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

    1. Coordinates the activities of, and participates in, the implementation of the Waco Center for Youth Clinical Safety Program including: Proactive assessment of patient safety concerns & determination of standards compliance. Development and oversight of the collection, analysis, and reporting of data related to clinical safety. Design & maintenance of a facility wide clinical safety management plan.
    2. Coordination and oversight of the hospital's tracer process (patient/system) including assignment, monitoring and completion of patient and system tracers as well as collection of data, analysis of trends and distribution of findings to applicable standing committees/hospital leadership as indicated. Development of outline at beginning of each fiscal year outlining plan for tracer completion throughout the year.
    3. Monitors plans of correction for all Management Initiated Reviews and maintains tracking mechanism to track trends and to ensure all are completed in a timely manner. Provides updates on status of MIR's and trends in data to various committees routinely. Makes recommendations related to trends in data.
    4. Serves as primary QM consultant and active participant on Root Cause Analysis (RCA's), Management Initiated Review's (MIR's) and Proactive Risk Assessment (PRA). Actively participates in both as well as providing guidance and training to other staff members, as needed, who may be less familiar with the processes. Will monitor and report on corrective action plans to hospital leadership.
    5. Oversight of assigned indicators including monitoring, data collation, analysis, presentation and hospital wide reporting of same through the organization's committee/QIC structure and to the Executive Leadership Team (ELT) and Hospital Executive Committee (HEC) subsequent state hospital system committee structure.
    6. Serve as member, facilitator, consultant, and/or alternate on other assigned hospital standing committees, quality improvement teams (QITs), Management Initiated Reviews and workgroups for the purpose of assuring that information and input regarding clinical safety program issues will be considered during committee discussions and decision-making.
    7. Serves as the facility Quality Systems Oversight (QSO) Coordinator.
    8. Participation in efforts to ensure ongoing Joint Commission standards compliance including documentation, research, survey preparation, and active participation in the survey process for the purpose of assuring that the hospital maintains JC accreditation status.
    9. Facilitate special projects as assigned through the QM Director, Superintendent's office, Medical Directors' offices, and/or Quality Improvement Council (QIC). Other duties include but are not limited to coordination of interdepartmental initiatives and programs as assigned, Medication Usage Evaluations, completion of clinical chart reviews, tracers, accreditation/state required activities, audits, participation in QM team and providing coverage for Director of QM as needed.

    Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

    Knowledge Skills Abilities:
    1. Knowledge of nursing techniques and procedures, of applicable local, state and federal laws including Texas Administrative Code, of standards/conditions of participation from Joint Commission for Behavioral Health Accreditation, of psychiatric treatment.
    2. Requires knowledge of issues related to patient safety and skilled at completing Root Cause Analysis and Proactive Risk Assessments.
    3. Requires knowledge and skills in using quality improvement and quality monitoring processes including the ability to complete clinical audits, reports and the operation of computers and applicable software, including the Electronic Medical Record.
    4. Ability to devise solutions to problems; to prepare reports; to develop, evaluate, and interpret policies and procedures; to communicate effectively; and to train others.

    Registration or Licensure Requirements:
    1. Must be registered as a registered nurse (RN) by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
    2. Must possess valid Texas driver's license or obtain it no later than 90 days after hire date. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.

    Initial Selection Criteria:
    1. Must be registered as a registered nurse (RN) by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
    2. Will have experience in patient health care, specifically in areas related to: patient safety and quality improvement efforts and Joint Commission standards.
    3. Ideal candidate will have at least 2 years' experience in a psychiatric healthcare setting conducting/participating in RCA's and PRA's, monitoring/evaluating initiatives related to patient safety, and working with Joint Commission standards of accreditation.

    Additional Information:
    Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.

    All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

    According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

    Working for the State of Texas offers attractive benefits in addition to the salary. As a state employee you will receive Health and dental insurance, retirement plans and Employee Discounts at a variety of places. Employment may also qualify you for the student loan forgiveness program.

    Waco Center for Youth is a psychiatric residential treatment facility that serves teen-agers, ages 13 through 17, with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long-term success in treatment. The mission of Waco Center for Youth is "to give each youth a chance for change" by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas. The facility is operated by the State Hospital System and is accredited by the Joint Commission on Accreditation of Health Care Facilities.

    MOS Code:
    Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

    HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

    I-9 Form - Click here to download the I-9 form.

    In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

    Posting ID: 554944515Posted: 2020-05-21