This position is responsible for administering and guiding physicians with the peer review process, and providing leadership and direction of assigned/ independently organized committees. Review medical records for standards of practice. Maintain strict confidentiality of all peer review records and outcomes. Identify trends in clinical outcomes and present data and recommendations to the Peer Review Committee. Participate in clinical practice management and performance improvement by monitoring the quality of care provided to patients. Document objective findings against approved indicators, provides support for peer review by the Medical Staff, identifies trends in clinical outcomes and presents data to the Peer Review Committee of the Medical Staff, Credentials Committee, and others within the peer review system. Coordinates the Focused Physician Practice Evaluation (FPPE) process as directed by the Peer Review Committee.
The individual works in collaboration with the Chair of the Quality Management Committee, the Medical Staff Office (including the Chief Medical Officer, Medical Director and Director), the Chief Nursing Officer and Patient Care Directors, Risk Management, Patient Safety and others in support of improvement of quality issues, including physician and clinical performance. Maintains and analyzes electronic databases in support of quality improvement. Participates in hospital Pl initiatives. Provides leadership and facilitation support to various improvement teams as appropriate. This individual is responsible for supervising Quality Analysts in the event they are needed to support this role.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.