Address
Form of workJOB SUMMARY
Responsible for the implementation of organization wide quality improvement initiatives. The initiatives consist of but are not limited to the following: resource utilization, outcomes measurement and aggregation, data management, and initiation of new quality processes based on data analysis. The Director of Quality Improvement (DQI) is responsible for oversight of the QI/QA program and team, Clinical Risk Management, QI Training and Development, the Navigation Team, Patient Grievances, M&M and Peer Review processes and Ongoing practitioner evaluation. Analyzing and reviewing trends in patient safety in coordination with the Safety Committee. The DQI will oversee the implementation of quality initiatives throughout the organization and assess the efficacy of those initiatives. Reports will be generated on a regular basis and presented to Senior Management and Clinician Leadership teams as well as to the Board of Directors.
JOB DUTIES AND RESPONSIBILITIES
KNOWLEDGE, SKILLS, AND ABILITIES
EDUCATION & EXPERIENCE
PREFERRED Qualifications
COVID-19 VACCINATION REQUIREMENT
Responsible for the implementation of organization wide quality improvement initiatives. The initiatives consist of but are not limited to the following: resource utilization, outcomes measurement and aggregation, data management, and initiation of new quality processes based on data analysis. The Director of Quality Improvement (DQI) is responsible for oversight of the QI/QA program and team, Clinical Risk Management, QI Training and Development, the Navigation Team, Patient Grievances, M&M and Peer Review processes and Ongoing practitioner evaluation. Analyzing and reviewing trends in patient safety in coordination with the Safety Committee. The DQI will oversee the implementation of quality initiatives throughout the organization and assess the efficacy of those initiatives. Reports will be generated on a regular basis and presented to Senior Management and Clinician Leadership teams as well as to the Board of Directors.
JOB DUTIES AND RESPONSIBILITIES
- Develops and maintains an organizational and overall systems approach for Quality Improvement/Assurance Initiatives.
- Optimizes the use and analysis of existing and evolving data utilizing HIT systems to achieve QI initiatives.
- Designs a data collection strategy to develop, collect, analyze, report, and measure the Quality Improvement/Assurance Initiatives.
- Manages multiple improvement projects simultaneously.
- Manage QI team, develop QI work plan for the team including patient navigation.
- Oversees and monitors the following including but not limited to: QI/QA program and team, Clinical Risk Management, QI Training and Development, the Navigation Team, patient grievances, M&M and Peer Review processes, Ongoing Practitioner Evaluation, Continuing Medical Education Program Other items as specified in the HRSA QI/QA program requirements. Conducting root cause analysis sessions to develop system-based process improvement plans.
- Analyzing and trending patient safety events in coordination with Director of clinical operations and developing system level improvements.
- Work closely with the Chief Development Officer for Federal grant and program development.
- Reviews monthly reports and continually assesses progress, needs, and recommends interventions to achieve SCHC's quality goals.
- Provides written monthly and quarterly project updates; provides verbal updates as needed.
- Develops curriculum content and presentations for learning sessions.
- Works with staff to create a culture of excellence fostering clinic-based teams in the process of organizational improvement.
- Implements quality improvement educational opportunities.
- Develops relationships and ensures regular communication with all departments including satellite sites and other key stakeholders.
- Performs related responsibilities as required.
- Provides guidance to annual (Plan, Do, Study, Act) PDSA projects performed by qualifying managerial staff.
- Develop QI management plan annually, assist in strategic planning for SCHC including quality every 3 years and conduct annual QI program evaluations.
- Oversee and develop workplan for ongoing data validations for QI data analytics platform.
- Manage peer review & other electronic platforms utilized by the QI team.
- Coordinate efforts for ongoing readiness for accreditations such as patient centered medical home (PCMH), HRSA OSV, FTCA etc.
KNOWLEDGE, SKILLS, AND ABILITIES
- Skill in making appropriate decisions to benefit patients and meet SCHC objectives.
- Ability to deal with change and seek out opportunities to effect change to promote patient care.
- Ability to present data to professional groups and institute changes based on the data presented.
- Demonstrated ability to organize and work with groups of people.
- Demonstrates problem solving and decision-making skills.
- High proficiency using a computer to accomplish work.
- Knowledge/experience using SQL/Relational database to analyze data.
- Ability to read, write, understand and spell English and medical terminology correctly.
- Strong math skills.
EDUCATION & EXPERIENCE
- Master's Degree in Healthcare Administration or Public Health or Registered Nurse license.
- Minimum of five years' experience in healthcare field.
- Minimum of three years management experience.
- Experience in improving organizational performance.
- Experience in facilitating and leading multidisciplinary teams.
- Proven experience using data analytics for process and quality improvement.
PREFERRED Qualifications
- Performance improvement or quality improvement certification.
COVID-19 VACCINATION REQUIREMENT
- Employees are required to be fully vaccinated against COVID-19 prior to commencing, and for the duration of their employment with Shasta Community Health Center. Reasonable accommodations will be considered on a case-by-case basis for exemptions to this requirement in accordance with applicable law.
