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EM - Sr Director of Quality - TX South

Benefits

System Locations:

Baptist Health System - Baptist Medical Center

111 Dallas Street 
San Antonio, TX 78205

Baptist Health System - Mission Trail Baptist Hospital

3333 Research Plaza
San Antonio, TX 78235

Baptist Health System - Northeast Baptist Hospital

8811 Village Drive
San Antonio, TX 78217

Baptist Health System - St. Luke's Baptist Hospital

7930 Floyd Curl Drive
San Antonio, TX 75028

Overview

The Senior Director of Quality functions as the liaison between the National Quality, Risk & Safety Directors and Committees and the QRSDs and Medical Directors at the individual sites.  The SDQs report to the National Director of Quality (NDQ).  The SDQs receive direct reports from the QRSDs or Medical Directors or Assistant Medical Directors (if there is no QRSD at that site). The primary responsibility of the SDQ is to ensure optimal quality performance in the Region/Division.

Job Responsibilities

National Level

  • Maintain a monthly meeting [by phone] schedule with the NDQ to discuss issues, priorities, etc.
  • Report quality metric performance regularly to the NDQ for respective Region/Division.
  • Participate in the monthly National Peer Review Meetings and, the Quarterly National Peer Review Quarterly Operations Meetings. For the NPR Monthly Meeting this includes preparation of a PP presentation covering cases, trends and priorities.
  • Participate in Quarterly Quality Presentations with Regional Presidents/VPs with NDQ and other SDQs.

Regional Divisional Level

  • Responsible for quality metric performance in respective Region/Division as established by the NDQ.
  • Develop and implement solutions to improve quality metric performance in respective Region/Division and share best practices with NDQ and other SDQs.
  • Work with Health Care System’s Senior Leadership in your Region/Division to improve and develop quality programs.
  • Ensure distribution, familiarity and use of educational tools developed at USACS throughout Region/Division

Individual Site Level

  • Disseminate national, quality, risk and safety priorities to the site leadership to include:
    • Regular meetings [at least quarterly] via WebEx with the QRSDs assigned to you
    • Distribution of the Monthly Quality Update to the QRSD
  • Support your Site QRSDs by:
    • Receiving and reviewing quality, risk & safety data from the site QRSD and synthesizing learning points for transmission to the NDQ
    • Support QRSD’s obligations to the hospital and support their efforts to develop resolutions for hospital concerns and requests
  • Monitor Incident Reporting at your sites, including frequency
    • Review of incidents reported for your sites to include scoring and comments
    • Monitor follow-up with site leadership and/or provider if required
    • Insert Level 3/4 Peer Review cases on IRP
  • Ensure that the following audit/review functions are being performed at each of your sites:
    • Peer Review Meetings where quality/safety cases are discussed
    • New provider audits
    • 72-Hour returns who are admitted
    • Focused reviews requested by hospital site administration
    • Company-wide reviews
  • Review risk management policy compliance/implementation at your sites
  • Review FailSafe compliance and review of fallouts at your sites
  • Monitor and review CEDR Metrics that are selected to measure quality, utilization or stewardship of sources. 

Hospital

Baptist Medical Center has been delivering the highest quality care in San Antonio since 1903. Emergent PCI and OB services are available onsite, as well as an adult psychiatric facility. Excellent specialty coverage (neurosurgery, ophthalmology, hand, etc.) is available across the five hospitals in San Antonio's Baptist Health System. ED physicians operate with an efficient "split-flow" ED process and enjoy a simple "one call" system for admissions and transfers. NPs and PAs practice independently in the ED, meaning physicians have no APP charts to sign.

Emergency Department

  • ED Volume: 39,000
  • ED Beds: 26 (with 2 QuickCare beds)
  • Patients/Hour: 2.6
  • Admission Rate: 26%
  • Trauma Designation: Level IV
  • Coverage: 9, 10, and 11 hour shifts 
  • Qualifications: BC/BP in emergency medicine preferred; BC/BP in a primary care specialty (FM/IM) accepted with emergency medicine experience
  • Documentation: Cerner FirstNet

Community

San Antonio is a city rich in history, culture, education and recreation. Residents enjoy all the advantages of life in a large city without sacrificing a sense of community and small-town vibe. Home of the Alamo, the San Antonio Spurs, and the famous River Walk promenade lined with cafes and shops, there is always something of interest to enjoy. Residential opportunities abound with historic, downtown area bungalows, to beautiful established estate homes, suburbs with outstanding public-school systems and rural areas for those preferring wide, open space. In addition to UT at San Antonio, there are numerous colleges and universities.
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