This is an upper management position in conjunction with Chief Medical Officer that coordinates and, as appropriate, implements the clinical quality performance improvement systems and activities.
Master’s Degree in Health Care Administration, Nursing, Public Health or related field.
Minimum two years’ experience in healthcare including working on health care performance improvement activities, such as generating or using health data from a practice management and/or electronic health record system. One-year experience in supervising staff. Experience in working with medically underserved populations and cultural competence.
- In conjunction with Chief Medical Officer (CMO), Chief Dental Officer (CDO) and Behavioral Health Director oversees and, as applicable, implements the clinical quality performance improvement programs, systems, and activities.
- Ensures corporate compliance and health records standards of care are met.
- Coordinates and, as necessary, revises relevant clinical quality performance and health records systems.
- Implements and coordinates the center’s continuous quality improvement and risk management (QI/RM) activities, including coordination of CQI and RM meetings, minutes and files.
- Orients, trains, supervises, monitors, evaluates, and as necessary, coaches Quality department staff, Electronic Health Record Specialist and Health Records Custodian, as well as understands and, as needed, implements the work.
- Coordinates and, as necessary, oversees patient registries and population-based performance data and reports out of Electronic Practice Management and Electronic Health Record (EHR) systems.
- Works collaboratively with CMO, CDO, Operations Officer, and others to ensure quality and risk management systems and activities function effectively.
- Coordinates and generates peer review with CMO and CDO, as well as Physician Assistant Quarterly Assessments.
- Trains staff; tests new processes and procedures, redesigns (using Plan, Do, Study, Act cycles); implements, monitors, evaluates, and reports on improvements.
- Promotes just culture environment. Uses root cause analysis to evaluate activities.
- Oversees, prepares, coordinates, reviews and submits related program reports, including Federal Torts Claims Act (FTCA) application, EHR contracts, etc.
- Oversees implementation of National Committee on Quality Assurance Patient Centered Medical Home (PCMH) accreditation, including serving as PCMH transformation manager, documentation of activities and submission of survey. Assists with training staff, compliance, auditing and evaluating systems to ensure the center is meeting recognition requirements.
- In conjunction with the Operations Officer evaluates and serves as Compliance Officer for clinical operations, including HIPAA, HITECH policies and procedures, orients and trains staff, volunteers, contractors and other appropriate third parties regarding policies and procedures; monitors and reports on adherence to policy and procedures; coordinates corporate compliance activities with other departments; and conducts periodic risk assessments.
- Participates in development and review of written collaborative plans, and memorandums of agreement and contracts for Center’s health information and technology including software and patient services.
- Assists in conjunction with the Leadership Team and others, develops policies and procedures to improve clinical systems of care.
- Integrates and works collaboratively with employees and departments.
- Participates in meetings, including continuous quality improvement, provider, and leadership teams.
- Complies with Center’s policies and procedures.
- Remains current with standards of primary health care practices.
- Other duties as assigned.
Knowledge, Skills and Abilities
Demonstrated ability to establish priorities and coordinate work activities.
Ability to work with racially and ethnically diverse populations.
Technically proficient computer skills and extensive knowledge of clinical systems, electronic health records and primary patient health care.
Thorough knowledge of common office equipment (copier, fax, printer, etc.).
Excellent oral and written communication skills.
Ability to organize and prioritize tasks.
Ability to work under pressure and meet deadlines.
Strong analytical, attention to detail, and problem-solving skills.
Ability to work independently and as a team member.
Knowledge of outpatient health operations.
Knowledge of policy development.