At Memorial Hermann, we're about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.

Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.

Job Summary
The position will direct all planning, reviewing and controlling activities of the clinical quality informatics team under the Quality Patient Safety & Infection Control (QPSIC) leadership. This leadership role is directly accountable for timely and accurate submission of clinical quality measures to MHHS Internal physician committees, the Centers of Medicare and Medicaid, The Joint Commission and other key regulatory agencies; will drive the design, testing and building functions of the components within the electronic information systems that will achieve the accurate performance of quality measurement across the Memorial Hermann System; responsible for assisting Executives in developing the current and future roadmap for all QPSIC reporting including manual abstraction and electronic submission; able to be an expert resource for multiple departments and outside vendors to advance MHHS in the electronic capture and reporting of all quality data directly from the HER; able to identify clinical quality measures improvement opportunities based on evidence based clinical practices and statistical analysis of current practice patterns; accountable for review and analysis of clinical quality measures data to identify opportunities for improvement; Identifies subject matter experts and core teams, facilitates implementation plans, oversees control or monitoring plans, shares best practices to allow for local as well as system-wide learning; and collaborates with system-wide councils and/or committees to share knowledge leading to optimal outcomes for the collection, reporting and reliability of clinical quality data to local and federal agencies. In addition, this position will participate in external government and private agencies to represent the interests of MHHS related to manual and electronic regulatory reporting of quality metric; exemplifies change agent responsibilities using tools and techniques to effectively transition physicians, nurses and administrative staff from the current state of retrospective analysis of quality metrics to the future state of real-time data analysis to assist in performance improvement and improved patient care using the technologies related to health information systems; and demonstrate knowledge of system strategies and techniques involved in a large, complex multi-facility organization. Job Description

Minimum Qualifications

Education: Masters degree in nursing (MSN) or healthcare related field required, plan to achieve Masters degree, or one in progress, will be accepted

Licenses/Certifications:

• Advanced degree or certificate in Clinical Informatics required; Healthcare Quality Certification (CPHQ) required or obtained within twelve (12) months of employment
• American Credentialing Center Certification for Nursing Informatics required (waved for non-nursing candidates)

Experience / Knowledge / Skills:

• Minimum of seven (7) years of healthcare experience in a large, fast paced, complex environment with at least three (3) years supervisory experience in that setting
• Minimum of three (3) years assisting organizations and / or departments with workflow redesign and transformation initiatives
• Minimum of two (2) years in performance improvement or other quality management program required
• Experience in clinical informatics, project management, quality improvement methods and tools, and electronic health records
• Working knowledge of computer coding languages and their application to electronic quality measure specifications
• Knowledge of relational database concepts
• Working knowledge of robust process improvement techniques
• Expertise in clinical quality measures requirements compliance and leading practices
• Experience in analyzing, researching, documenting and implementing clinical workflows that lead to exceptional results and value to system users
• Demonstrated positive relationships when interacting with internal and external resources
• Demonstrated record of bringing projects and requests to successful, sustaining conclusions
• Exceptional communication and interpersonal skills
• Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of "we advance health" through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

Principal Accountabilities

• Directs activities for proactively identifying and/or validating opportunities for electronic capture of clinical quality data related to all areas within the Quality Patient Safety and Infection Control (QPSIC) department.
• Directs and manages the organization's approach to transition manual data abstraction to automated data abstraction for all quality measures to meet internal performance metrics and external regulatory requirements.
• Drives electronic data capture for MHHS quality measures and integration of tools into the Electronic Health Record (EHR) to optimize workflow and data capture.
• Directs and manages the data collection, aggregation and analysis of data, using appropriate analytical techniques.
• Ensures that quality measurement (manual and automated) activities are timely, accurate and data and/or reports are reliably submitted to meet regulatory requirements.
• Provides up to date clinical and technical expertise in clinical quality measures criteria and compliance requirements.
• Collaborates with key stakeholders and leadership throughout MHHS to assure accurate quality measurement to meet regulatory and performance metrics is consistent, standardized and reliable.
• Collaborates with MHHS Information Systems Department, Medical Informatics and Clinical Informatics Department's leadership to help achieve the goals and vision set forth by MHHS leadership in the collection, reporting and improvement of all clinical quality measurement.
• Participates in governmental regulatory committee meetings to represent the interest of MHHS and advocate for the MHHS clinical staff related to rules, regulations and policies.
• Participates in professional organizations related to quality and clinical informatics.
• Seeks out opportunities for MHHS to participate in local and national initiatives related to clinical quality measurement.
• Participates in local MHMD community physician committees as assigned to represent the interests of the QPSIC department.
• Keeps MHHS executive leadership up-to-date on local and national initiatives being proposed for future quality measurement especially as it pertains to direct reporting from the EHR.
• Effectively set priorities, plan and manage multiple projects and requests.
• Manages project and request budgets that support strategic and tactical plans.
• Assures that revenue, expenses, contribution margin and FTE's meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances; identifies and proposes capital budget items appropriately.
• Effectively identify and communicate key issues and concerns; exceptional judgment on determining when situations can be independently solved versus those that need escalation.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Other duties as assigned.