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UT Health Chief Quality Officer - HCPC in Texas Medical Center-Houston, Texas

Chief Quality Officer - HCPC

Texas Medical Center-Houston, Texas


UTHealth Harris County Psychiatric Center

Requisition #: 200000T6

Position Summary

UTHealth Harris County Psychiatric Center (UTHCPC) is currently looking for a dynamic Chief Quality Officer (CQO). This newly created position will collaborate on the implementation and execution of key quality initiatives with other C-suite leaders. Currently, the largest provider of inpatient psychiatric care in Houston and the second largest academic psychiatric hospital in the nation, the CQO will join at an exciting time as the facility is expanding its continuum of care and adding another 240+beds in early 2022. UTHealth’s new behavioral health facility will then be the largest facility of its kind within the nation. As the teaching hospital of the Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences at McGovern Medical School, the CQO will be responsible for the development and oversight of all quality, safety, regulatory readiness, reporting, performance improvement, infection control, education and risk management functions of Houston’s most advanced, evidence-based behavioral health treatment facility.

CQO Key Accountabilities

  1. Oversees the planning, design and implementation of an effective performance improvement plan for UTHCPC consistent with Joint Commission, state and federal standards. Closely collaborates with the hospital’s Chief Medical Officer and the hospital’s medical staff in the implementation and oversight of the overall quality and performance improvement program for UTHCPC.

  2. In close coordination with the UTHealth Risk Manager, plans, designs and implements an effective clinical risk management plan.

  3. In close coordination with the UTHealth Department of Environmental Health and Safety, designs and implements a program that will ensure a safe and healthy environment for all patients, staff and visitors of UTHCPC.

  4. Ensures the designs and implementation of an education program that supports both the educational needs of UTHCPC staff as well as external student. Ensures the provision of shared learning and lessons learned opportunities for UTHCPC to improve performance and reduce the likelihood of known reoccurrence of unfavorable quality, patient safety, and regulatory and accreditation outcomes.

  5. Designs and implements a committee structure to support and carry out the safety, risk management, performance improvement and quality functions of the hospital.

  6. Develops and implements a continual readiness program, including a system of audits, scorecards, feedback loops and accountability measures that ensures the hospital is, at all times, ready for any regulatory survey and is in constant compliance with all Joint Commission, CMS or other regulatory requirements.

  7. Ensures the development, implementation and evaluation of the following plans: Utilization Review, Patient Relations, Clinical Risk Management, Safety, Infection Control, Patient Safety, and Performance Improvement.

  8. In close coordination with the hospital’s COO and CFO helps to develop and provides support (including data collection, analysis and reporting) for the hospital’s business operations improvement efforts.

  9. Creates, maintains and updates the hospital’s quality, service and financial scorecard. Ensures appropriate distribution and utilization of the scorecard by the hospital’s entire leadership team.

  10. Oversees the patient care/clinical care contracting process. Monitors contract performance and ensures contracted services meet required quality and/or competency metrics.

  11. Manages Human Resources activities of department in regards to: budget recruiting and selection, hiring and termination, training, professional development, mentoring, counseling, performance evaluations, and salary planning.

  12. Performs other duties as assigned by COO.


Registered Nurse preferred.

Demonstrated leadership skills including experience with staff supervision and development and implementation of a hospital-wide quality and performance improvement program.

Experience with hospital risk management programs.

Thorough knowledge of Joint Commission Standards and CMS Conditions of Participation

Minimum Education

Master’s Degree

Minimum Experience

Seven (7) years of experience in a hospital inpatient setting with three (3) years in a psychiatric setting.

Physical Requirements

Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or a negligible amount constantly to move objects.

Security Sensitive

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215


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University of Texas Health Science Center at Houston (UTHealth)

Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.

UTHealth Benefits

UTHealth offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Office of Benefits Website.

Equal Employment Opportunity Statement

UTHealth is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.