Quality Program Manager (Service Line/PCORI)
Job Description:
Under the general direction of the Director- Quality Improvement, collaborates with ambulatory practices and System resources to ensure that quality and performance improvement activities, metrics and goals are identified, developed, coordinated, improved, measured, evaluated, and reported across the Service Line.
Offers strategic direction and leadership to achieve quality excellence.
Expert at national quality measures and related accreditation requirements.
Supports the purpose of the Quality Model.
Obtains and analyzes information from a variety of sources to construct and recommend approaches to the appropriate system and entity leadership for prioritization of quality measures and related initiative planning.
Ensures a standardized communication process for strategy and engagement.
Shares and spreads best practice processes, using Lean methodology inclusive of A3 problem solving, LDM improvement methodology, and standard work.
Duties and Responsibilities Coordinates and oversees quality improvement and performance improvement initiatives within the service line that enhance quality, efficiency, timeliness, and appropriateness.
Ensures that there are processes in place to monitor and measure all activities related to quality and performance improvement.
Collaborates with Population Health initiatives across the system.
Communicates system work regarding quality improvement and integrates system focus and report planning into quality improvement initiatives.
Manages, and is the subject matter expert for, service line quality measures and external recognition standards/ requirements, including the provision of clinical recommendations for performance improvement based on past, present, and projected results.
Tracks performance relative to national benchmarks providing feedback/data to leadership and guidance toward effective performance improvement interventions.
Obtains and analyzes information from a variety of sources to construct and recommend quality measures and initiatives.
Creates timelines and deliverables for workflow development, implementation, and monitoring for selected quality measures.
Plans, designs, implements, and maintains service line dashboards in support of operating performance, annual objectives, and accreditation standards.
Compiles data and analyzes data for significant trends or occurrences.
Provides project management and project control.
Reviews registry reports (where applicable) to identify areas of opportunity, complete drill down analysis as necessary, present results in appropriate forums as requested, and assist in facilitation of quality improvements as needed.
Prepares regularly scheduled or special reports for the service line leadership team.
Understands opportunities for improvement in value-based care models and works to implement best practices supporting these.
Examples include average patient illness severity factors, drivers of social determinants of health barriers, unwarranted clinical variation trends, and inefficient spending patterns.
Acts as a dedicated quality resource and subject matter expert for the Service Line in their scope.
QualificationsMinimum
Experience:
More than 5 years' experience in health care and health care system administration.
Experienced with the national guidelines that produce quality measures and accreditation standards and the related audit processes.
Min Field of Expertise:
Health care system administrative expertise Minimum Education:
Bachelor's Degree Preferred Education:
Master's Degree, RN License, and/or CPHQ or other quality board certification Skills:
Microsoft Office expertise #Hybrid Recommended Skills Administration Certified Professional In Healthcare Quality Clinical Works Dashboard Diseases And Disorders Drilling Operations Estimated Salary: $20 to $28 per hour based on qualifications.
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