**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** Partners with and helps key stakeholders’ teams to implement reporting and quality improvement projects in help of BSWH’s strategy to deliver high-quality, safe care and achieve excellence in accordance with 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. + Helps and/or facilitates quality and patient safety initiatives to improve safety and foster an environment of service excellence through successful interventions, data testing, 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. + Partners in the development and presentation of educational materials designed to educate staff and management about patient safety processes. + Identifies regional, system, and industry best practices, providing feedback to managers and team members. + Participates on quality improvement teams as requested by leadership. + Participates in unit and/or facility huddles. + Helps the ZERO Harm rounding process as directed by leadership. + Helps and/or facilitates departmental processes that ensure facility compliance with regulatory body requirements. **Key Success Factors** + Basic knowledge of patient safety and quality improvement values and concepts + Basic knowledge of Texas, Joint Commission, and CMS standards + Verbal, social, and written communication skills + Competent in the use of computers and related software applications + Able to establish and maintain effective combined working relationships + Able to help and help patient safety and quality improvement initiatives + Able to examine data and prepare reports + Able to appropriately prioritize tasks to meet desired deadlines + Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - Associate's or 2 years of work experience above the minimum qualification + EXPERIENCE - 2 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.