Quality Improvement Specialist - CVICU

Position: Quality Improvement Specialist - CVICU

Job ID: 144378

Location: US-TX-Houston

Department: Pediatric ICU Services

Talent Area: Registered Nurse

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital opening in 2017. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.  


We are looking for and Quality Improvement Specialist to partner with the departmental leadership to achieve high quality, reliable, and cost-effective health care. To facilitate departmental and cross-departmental strategic projects using methodologies that include, but are not limited to: Root Cause Analysis, Intense Analysis, and Model for Improvement and Six Sigma principles.


Think you have what it takes? (required MQs)

  • BSN 
  • 2yrs CVICU experience – preferred but not required
  • Comparable QI experience and understanding


Responsibilities :

Specific Duties


  • Partners with the departmental leaders to facilitate/conduct performance improvement and safety activities.
  • Develops and produces reports for performance improvement/safety, guideline utilization, and outcomes for areas of responsibility. 
  • Uses statistical techniques and knowledge in the development of measures, sampling methods, and the appropriate representation of data. (Statistical consultation may be necessary until this expertise is developed.)
  • Utilizes data from benchmark facilities and databases, financial databases, and other internal and external data repositories to identify improvement opportunities. In collaboration with the Medical Director and until leadership designs and presents the finding of quality improvement projects to appropriate departmental audiences.
  • Acts as a consultant for medical staff and departmental staff related to the development of measurements, statistical analysis, and appropriate data presentation to support initiatives intended to achieve breakthrough or incremental process improvement in patient care, as measured by at least one improvement, worthy of storyboard per year.
  • Utilizes the Model for Improvement, Lean Methodologies and other tools adopted by the organization as the basis for performance improvement projects and serves as a resource to all staff on the methodologies.
  • Assists with the education and implementation of JCAHO Standards and CMS regulation requirements as they pertain to quality and safety
  • Provides leadership and education regarding JCAHO Standards and CMS Regulation related to performance improvement.
  • For non-compliant Standards and/or Regulations, actions are taken to achieve compliance. Follow up for all non-compliant areas until full compliance is achieved.
  • Participates in and coordinates committees/task forces/project meetings.
  • Prepares agendas, reports, minutes of performance improvement task force meetings/projects without errors.
  • Acts as chairperson/Facilitator, or co-chair for committees and task forces as requested and use facilitative leadership skills to assure appropriate agenda and outcomes are achieved.
  • Acts as facilitator and/or team leader for projects as requested. 
  • Collaborates with the Quality and Outcomes department and Medical Staff Leadership on the development of measures for ongoing Professional Practice Evaluation (OPPE). 
  • Collaborates with the Quality and Outcomes department to assure aligned methodologies and tools are used for quality improvement efforts and attends established monthly quality departmental meetings for education and a house wide view of quality.
  • Meets all requirements for a direct care provider and maintains competency in the staff nurse role by staffing a minimum of two shifts per pay period.




Expected Knowledge and Skills Needed

  • Working knowledge of performance improvement methodologies
  • Clinical knowledge specialty
  • Knowledge of organizational guiding principles and practices
  • Desire to work in a shared leadership/collaborative model
  • Project Management knowledge
  • The ability to listen and communicate both verbally and in writing in the area of quality improvement and health care services.
  • Incumbent must have the ability to take initiative in identifying problems that affect quality, independently problem solve, cooperatively interact with a variety of people and departments, and work in a team environment.



Apply Now
Current Texas Children’s employees – Please click here to login.
Create Profile or Log In Search Careers