Baylor Scott & White Health Quality Program Coordinator Job in Round Rock, Texas


The Quality Program Coordinator provides leadership, manages quality assurance activities and monitors processes and regulatory compliance to maintain best care practices at a facility level. Plans and executes strategies to remedy current and anticipated quality issues. Regularly reports to top management regarding compliance performance and remedial needs and is able to make independent decisions requiring judgment by using general guidelines provided by leadership.


Manages process to conduct regular and ad hoc audits to assess quality levels and procedures.

Reviews changes in processes or procedures to assess projected impact on care quality.

Coordinates with organizations to develop and execute plans to resolve quality issues.

Trains and educates organizations in quality improvement techniques and tools such as continuous quality improvement (CQI) activities, Failure Modes and Effects Analysis (FMEA) and Midas+.

Coordinates quality activities and monitors processes to ensure compliance with all regulations and standards related to performance improvement, patient safety, risk management.

Formulates and disseminates policies and manuals detailing quality maintenance techniques and procedures.

Maintains communication with regulatory and accreditation agencies to remain abreast of requirements, deadlines, anticipated changes.

Serves as liaison to external agencies such as FDA, FAHCT, JCAHO, Medicare and other department-specific agencies as applicable for audits, inspections and surveys.

Keeps top management abreast of current and anticipated quality issues and communicates with other quality committees as required.

Assumes management responsibilities and duties of absent or vacant appropriate-level Health Care Improvement positions.

Provides leadership and supervision not limited to quality assurance staff to assure fulfillment of department goals.

Serves as a consultant in the implementation or revision of best care practices and demonstrates the ability to coach, mentor, teach adults, lead and facilitate teams.

Uses project management and interpersonal skills to mobilize appropriate staff to comply with Quality Plan and other regulatory standards.

Prepares and manages statistical data through the extraction of relevant material as related to cores measures best care initiatives, reliability audits, investigations/inspections, patients and other information as required by the department. The collection or tracking of information may include, but is not limited to: HPC, CFR, FDA, FAHCT, JCAHO.


Ability to read and interpret complex statutes and regulations and apply knowledge to manage exposure to compliance risk.

Ability to review policy and procedure documents and assess impact on quality of care.

Ability to develop and execute plans to remedy current and anticipated quality issues.

Ability to manage inspections, surveys and audits and provide appropriate responses.

Knowledge of regulatory audit, inspection and survey processes.

Ability to consult and instruct on matters relating to quality initiatives and regulatory requirements.

Job Family: Quality