Palo Pinto General Hospital - Mineral Wells, TX
Chief Quality Officer
Job Summary
Chief Quality Officer
We are looking for a Quality professional to step in as the Chief Quality Officer at Palo Pinto General Hospital in Mineral Wells, Texas. You will manage the Quality department and will directly supervise the Director of Infection Control, Quality Coordinator, and Medical Staff Coordinator at this 48 bed hospital, which has an average daily census of 24. You will also manage Quality at Rural Health Clinics, an OP Rehab, and a Heart Center and will report to the Chief Executive Officer at Palo Pinto.
You will be required to have your Texas RN license, and a CPHQ or similar is preferred. You must have your Master’s degree in Nursing and five years of quality management experience in a hospital setting. Candidates with no director level experience must have their CPHQ and have heavy JC survey experience. They have Rural Health Clinics, an OP Rehab, and Heart Center.
Palo Pinto General Hospital
Palo Pinto General Hospital is the primary countywide provider of healthcare for Palo Pinto, west of Fort Worth with more than 28,000 residents. Their physicians practice a range of specialties including family practice, obstetrics and gynecology, pediatrics, orthopedics, surgery, cardiology, gastroenterology, urology, ophthalmology, anesthesiology, pain management, radiology, infectious diseases, podiatry, critical care, pulmonology, emergency medicine, and hospitalists.
PPGH also operates a mobile healthcare clinic called Bridge to Health. They offer a pulmonary telehealth clinic that helps address disease that’s a major cause of mortality in Palo Pinto County. They operate school-based telehealth services; and for back-to-school, they partner with campuses to provide physical exams for students. Their network offers immediate and primary care with diagnostic assessments, women’s services, men’s health, lab draws, and more with several convenient locations.
About the town
Mineral Wells, TX
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Leapfrog Hospital Safety Scores
Palo Pinto General Hospital
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Dangerous object left in patient’s body What’s This? | 0.000 | 0.373 | 0.02 | 0.000 | CMS | 07/01/2018 – 12/31/2019 |
| Air or gas bubble in the blood What’s This? | 0.000 | 0.642 | .0016 | 0.000 | CMS | 07/01/2018 – 12/31/2019 |
| Patient falls and injuries What’s This? | 0.000 | 2.075 | 0.42 | 0.000 | CMS | 07/01/2018 – 12/31/2019 |
| Infection in the blood What’s This? | Not Available | 4.620 | 1.05 | 0.000 | CMS | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| Infection in the urinary tract What’s This? | Not Available | 3.337 | 0.85 | 0.000 | CMS | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| Surgical site infection after colon surgery What’s This? | Not Available | 2.765 | 0.79 | 0.000 | CMS | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| MRSA Infection What’s This? | Not Available | 4.033 | 1.03 | 0.000 | CMS | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| C. diff. Infection What’s This? | 0.708 | 1.783 | 0.52 | 0.000 | CMS | 10/01/2019 – 12/31/2019 and 07/01/2020 – 03/31/2021 |
| Death from treatable serious complications What’s This? | Not Available | 206.08 | 159.68 | 95.65 | CMS | 07/01/2018 – 12/31/2019 |
| Harmful Events What’s This? | 1.00 | 3.34 | 1.00 | 0.60 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous bed sores What’s This? * | 0.48 | 8.78 | 0.58 | 0.04 | CMS | 07/01/2018 – 12/31/2019 |
| Collapsed lung What’s This? * | 0.23 | 0.48 | 0.23 | 0.12 | CMS | 07/01/2018 – 12/31/2019 |
| Falls causing broken hips What’s This? * | 0.10 | 0.16 | 0.09 | 0.07 | CMS | 07/01/2018 – 12/31/2019 |
| Blood Leakage What’s This? * | 2.49 | 5.58 | 2.54 | 1.26 | CMS | 07/01/2018 – 12/31/2019 |
| Kidney injury after surgery What’s This? * | 1.41 | 3.45 | 1.42 | 0.58 | CMS | 07/01/2018 – 12/31/2019 |
| Serious breathing problem What’s This? * | 5.90 | 17.09 | 5.18 | 1.66 | CMS | 07/01/2018 – 12/31/2019 |
| Dangerous blood clot What’s This? * | 3.36 | 8.41 | 3.61 | 1.65 | CMS | 07/01/2018 – 12/31/2019 |
| Sepsis infection after surgery What’s This? * | 5.35 | 9.73 | 4.96 | 2.31 | CMS | 07/01/2018 – 12/31/2019 |
| Surgical wound splits open What’s This? * | 0.85 | 1.54 | 0.86 | 0.57 | CMS | 07/01/2018 – 12/31/2019 |
| Accidental cuts and tears What’s This? * | 1.17 | 3.97 | 1.21 | 0.37 | CMS | 07/01/2018 – 12/31/2019 |
| * This measure is a part of the Harmful Events Composite and is not used for scoring. | ||||||
Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.
| Measure | The Hospital’s Score | Worst Performing Hospital | Avg. Performing Hospital | Best Performing Hospital | Data Source | Time Period Covered |
|---|---|---|---|---|---|---|
| Doctors order medications through a computer What’s This? | 71 | 5 | 86.60 | 100 | Imputation Model Applied | Not Applicable |
| Safe medication administration What’s This? | 70 | 5 | 84.18 | 100 | Imputation Model Applied | Not Applicable |
| Specially trained doctors care for ICU patients What’s This? | 5 | 5 | 64.46 | 100 | Imputation Model Applied | Not Applicable |
| Effective leadership to prevent errors What’s This? | Declined to Report | 46.15 | 117.09 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Staff work together to prevent errors What’s This? | Declined to Report | 0.00 | 116.88 | 120.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Enough qualified nurses What’s This? | Declined to Report | 0.00 | 98.36 | 100.00 | 2021 Leapfrog Hospital Survey | 2021 |
| Handwashing What’s This? | Declined to Report | 15 | 76.22 | 100 | 2021 Leapfrog Hospital Survey | 2021 |
| Communication with nurses What’s This? | 91 | 75 | 90.25 | 96 | CMS | 07/01/2020 – 03/31/2021 |
| Communication with doctors What’s This? | 91 | 77 | 90.18 | 97 | CMS | 07/01/2020 – 03/31/2021 |
| Responsiveness of hospital staff What’s This? | 81 | 63 | 82.17 | 93 | CMS | 07/01/2020 – 03/31/2021 |
| Communication about medicines What’s This? | 76 | 57 | 75.24 | 89 | CMS | 07/01/2020 – 03/31/2021 |
| Communication about discharge What’s This? | 83 | 65 | 85.73 | 95 | CMS | 07/01/2020 – 03/31/2021 |
Official job description
Palo Pinto General Hospital - CQO
Job Summary: Responsible for managing PPGH’s quality programs including oversight of the following programs: Quality Management, Performance Improvement, Risk Management, Medical Staff Services, and Infection Control.
Acts as the facilitator and resource on standards set by regulatory and accrediting organizations such as Joint Commission, CMS, the credentialing process of the medical staff, quality management concerns, data collection and analysis, and process improvement methods.
Required skills (if applicable): Broad knowledge of regulatory agency standards (Joint Commission, CMS);experience in performing root-cause analysis and other problem solving activities to identify effective corrective actions and process improvements. Knowledge of medical terminology and procedures and statistical processes. Proficient in Microsoft Office products. Prior experience with the computer program Meditech preferred. Ability to interact with administration, the medical staff, all hospital personnel, regulatory agencies, and as necessary, patients and families.
Required license/certification: Current Texas Registered Nursing license. CPHQ or other nationally recognized quality management certification preferred.
Required minimum education: Graduate of an accredited school of Nursing. MSN required.
Required minimum experience: Minimum of five years experience in quality management in a hospital setting. Must have been in a Director role.
Job reports to (title of the position): Chief Executive Officer
Job titles reporting to this position: All QA/Risk Management/Medical Staff Services Staff and Infection Control.
About the Hospital:
Palo Pinto General Hospital is the primary countywide provider of healthcare for Palo Pinto, west of Fort Worth with more than 28,000 residents.
PPGH, based in Mineral Wells, has moved to position itself to our community as more than just an acute care hospital, and as a critically needed countywide resource to help foster wellness and combat higher incidences of disease common in rural communities.
Our physicians practice a range of specialties. They include family practice, obstetrics and gynecology, pediatrics, orthopedics, surgery, cardiology, gastroenterology, urology, ophthalmology, anesthesiology, pain management, radiology, infectious diseases, podiatry, critical care, pulmonology, emergency medicine, and hospitalists.
PPGH also operates a mobile healthcare clinic called Bridge to Health. We offer a pulmonary telehealth clinic that helps address disease that’s a major cause of mortality in Palo Pinto County. We operate school-based telehealth services, and for back-to-school, we partner with campuses to provide physical exams for students.
Our network offers immediate and primary care with diagnostic assessments, women’s services, men’s health, lab draws, and more with several convenient locations.
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Most frequent questions and answers
Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating.
Yes. We will prep you for every interview you take. We know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus.
Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible.
Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.
First, everything we offer to our candidates is completely FREE.
We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.
If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles.
We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.
Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.
In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.
In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.
Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way; we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.
Once you accept an offer, our work doesn’t stop. We’ll be there to talk you through your resignation and prepare you for how to handle a counter offer, along with all other complications that may arise.
We have a large in house sourcing team that collects information from various databases online including LinkedIn, certification boards, and professional associations.
