Director of Quality Improvement

About Baylor Scott & White Health

Baylor Scott & White Health is Texas's largest not-for-profit healthcare organization dedicated to enhancing the health and well-being of individuals, families, and communities. We are committed to core values such as faithful service, continuous improvement, collaboration, and delivering exceptional healthcare experiences.

Benefits

• Immediate access to health and welfare benefits
• 401(k) plan featuring a dollar-for-dollar match up to 5%
• Tuition reimbursement opportunities
• Paid time off accruing from the first day of employment

Note: Benefits eligibility may differ based on the type and level of position.

Role Overview

The Director of Quality Improvement spearheads the development, implementation, and management of patient safety and quality initiatives within Baylor Scott & White Health's hospitals, clinics, and ambulatory settings. This leadership position oversees efforts aimed at eliminating preventable harm by ensuring care that is safe, timely, effective, efficient, equitable, and patient-centered.

Key Responsibilities

• Lead and manage the quality improvement functions within the assigned scope of Baylor Scott & White Health.
• Collaborate with interdisciplinary teams including patient safety, infection prevention, nursing, risk management, and medical staff to advance continuous quality and safety improvements.
• Facilitate hospital quality improvement and patient safety committees tasked with ensuring high standards of care and safety.
• Guide process improvement teams using best practices, quality tools, and standardization methodologies.
• Oversee data-related activities including monitoring, collection, testing, trend analysis, and forecasting of care processes to maintain effectiveness and safety.
• Work alongside hospital and system groups to support broader health initiatives.
• Manage quality improvement analytics, data validation, compliance with data confidentiality standards, and reporting to facility-specific data registries.
• Identify current and potential safety risks within facilities, oversee variance reporting, patient safety responses, and ensure adherence to applicable safety regulations.
• Coordinate with clinical and corporate compliance teams to prepare for regulatory surveys, certifications, and maintain compliance obligations.
• Establish and manage hospital and system-wide protocols to monitor and report on quality and patient safety metrics, engaging stakeholders as necessary.

Qualifications and Experience

• Bachelor's degree in healthcare management, nursing, business, or a related discipline is preferred; a Master’s degree is strongly favored.
• Certification in Professional Healthcare Quality (CPHQ) highly desirable.
• Minimum of 5 years of professional experience in healthcare quality improvement, patient safety, risk management, or related fields.
• At least 3 years of leadership experience directly supervising healthcare quality and safety initiatives preferred.
• Proven experience leading multidisciplinary process improvement projects.
• Strong knowledge of healthcare quality standards, patient safety management, benchmarking, and outcome measurement techniques.
• Familiarity with statistical methods, data collection, testing protocols, and presentation of analytic findings.
• Excellent critical thinking, analytical problem-solving, and process-testing capabilities.
• Outstanding communication skills, including written, verbal, and presentation abilities.

Additional Information

Baylor Scott & White Health is committed to fostering an inclusive environment where all individuals feel valued, supported, and welcomed.