Quality Improvement Program Manager
Description
POSITION SUMMARY:
Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement program(s). Collaborates well with members of Equitas Health’s leadership team and the clinic-based interdisciplinary teams. Serves as a quality improvement champion and role model by promoting and supporting the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve processes and patient outcomes at Equitas Health. The position requires effective communications among the interdisciplinary team (IDT) and must produce effective quality assessment and performance improvement activities which positively influence the operational efficiencies and clinical quality outcomes. The scope of the clinical quality oversight of the position covers all service lines (primary care, dental, behavioral health) and is responsible for the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes.
Under the direction of the Director of Quality Assurance, the Quality Improvement Program Manager plays an essential role for managing the development, coordination, implementation and evaluation of quality improvement, analytics, patient safety and process improvement throughout Equitas Health. Additionally, this role assists with the management of provider panels and the monitoring of payer attribution and quality metrics reports. The QI Program Manager is responsible for supporting annual reporting and contributes to the organization’s annual reporting efforts for Patient Centered Medical Home (PCMH).
Grade 7: $58,700-$73,300
ESSENTIAL JOB FUNCTIONS:
Essential functions of the job include, but are not limited to, ; relationship building; traveling; staff training and development, utilizing a computer for typing; coordinating and implementing action plans; utilizing attending meetings; and presenting to small and large groups.
MAJOR AREAS OF RESPONSIBILITIES:
- Works with the Director of Quality Assurance and the Medical Director to develop new or update existing clinical outcome measures, protocols, policies and operating procedures, and clinical workflows in consultation with relevant staff.
- Educates staff on quality and systems improvement concepts and tools.
- Develops s a conceptual framework for quality measurement and improvement activities across the health centers.
- Ensures implementation of workflows in the electronic medical record (EMR) to facilitate staff’s ability to provide complete documentation and coding to produce accurate quality reporting. Provides additional training and technical support as necessary.
- Monitors quality improvement outcomes and ensures completion of quality improvement assessments. Completes analysis of CQI data including audits of staff compliance with workflows. Provides feedback in-person and via reports to departments on trends. Works with department leads to create action plans.
- Works with the Director of Quality Assurance, Medical Director, providers and other clinical quality champions to pilot changes in workflows and to implement action plans designed to support improvement efforts.
- Serves as project manager for implementing pilots, improvement projects, operating procedures and action plans.
- Develops, assists with, and monitors systems, and procedures for the identification, collection, and analysis of the performance of quality measurement data.
- Collaborates with the OACHC and the other FQHCs, as needed, on issues that further quality improvement efforts and/or that are mandated by grants, contracts or organizational partnerships.
- Assists with identifying and developing annual goals and activities for the QI program and participates in decisions on priorities and activities.
- Assists with management of payer attribution lists and provider panel lists and performance monitoring of those panels; including the management of panel assignment, development and tracking reports on key empanelment and payer attribution metrics.
- Participates in audit preparation and coordination.
- Participates in the completion of HRSA annual reports including UDS and RSR.
- Working in partnership with programs, clinical and operations staff, monitors and evaluates the full spectrum of care and services provided to patients for quality, continuous improvement and satisfaction.
- Ensure maintenance of clinical program data collection, management and reporting infrastructure.
- Provides reports on a regular basis, and as directed or requested, to keep management informed of the operation and progress of quality efforts.
- Other duties as assigned.
EDUCATION/LICENSURE:
- Bachelor’s degree with 3 or more years of experience in healthcare quality improvement.
- Master’s degree preferred in public health, organizational psychology, nursing or other allied health profession.
Knowledge, Skills, Abilities and other Qualifications:
- Two to three recent years of experience in healthcare quality improvement programs including outcome reporting.
- Knowledge of federal and state laws and regulations regarding quality programs including quality improvement and process improvement in a health care setting
- Able to build and motivate teams with demonstrated leadership and facilitation experience
- Successful experience in the formation of highly productive and collaborative relationships with multidisciplinary teams.
- Ability to work as a liaison with patients, government agencies, grantors, managed care and other health care organizations to coordinate quality measurement and performance activities
- Able to prioritize, organize and carry out work assignments independently and efficiently
- Excellent communication and presentation skills
- Prior experience with Epic preferred.
- Experience with statistical analysis, data display, trending using Excel or similar program preferred.
OTHER INFORMATION:
Background and reference checks will be conducted. In accordance with Equitas Health’s Drug-Free Workplace Policy, pre-employment drug testing will be administered. Hours may vary, including working some evenings and weekends based on workload. Individuals are not considered applicants until they have been asked to visit for an interview and at that time complete an application for employment. Completing the application does not guarantee employment. EOE/AA
ORGANIZATION INFORMATION:
Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation’s largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives.