The Quality Initiatives Coordinator organizes NHCLV's quality and process improvement efforts including developing, implementing, and evaluating continuous quality improvement activities for populations as determined by the annual NHCLV performance improvement plan and / or strategic plan.

This role, as part of the NHCLV Quality Program structure, also assists in defining opportunities for improvement and collaborates with Director of Clinical Care leadership to carry out all quality and performance improvement work.

The Quality Initiative Coordinator also assists with monitoring quality compliance with Federal 330 Program and Federal Tort Claims Act Requirements.

1. Works with senior leadership, health center staff, and / or external organizations to identify opportunities for agency-wide performance improvement and creates / supports / facilitates / consults with workgroups that will design interventions to achieve superior outcomes aligned with the Annual Workplan and / or strategic plan, Federal 330 Grant Program, Patient Centered Medical Home compliance and monitoring, and Federal Tort Claims Act (FTCA) requirements.

2. CPIC Workgroups : Assists health center process improvement teams with understanding, interpreting, and implementing interventions and outcomes to achieve agency objectives.

Coaches teams to complete project documentation as required by QM-100, including data collection and analysis, and reporting of outcomes and recommendations for system change to relevant CPIC committee or subcommittee.

Responsible for tracking team progress and periodic reporting on projects to Senior Leadership and CPIC committee and / or subcommittee.

3. Staff training and development : Develops and facilitates quality and process improvement education curriculum; ensuring all staff understand the quality program and regulatory requirements.

Participates in new employee onboarding by providing basic EMR training, assigning additional EMR training relevant for role and competency checklist to be completed by employee's supervisor, as well as performance improvement orientation and training in NHCLV quality improvement methods.

4. Responsible for establishing and / or revising policies and procedures based on CPIC Workgroup outcomes. Assists workgroups to recognize impact of PI projects on NHCLV policies and procedures.

5. Serves as an EMR superuser and supports creation and revision of workflows based on knowledge of EMR functionality; stays abreast of EMR upgrades and assists staff to understand potential new workflows and impact to existing workflows, if any;

identifies and cultivates new superusers throughout the agency.

6. Participates in Incident Review investigations and resolution of issues related to quality assurance and performance improvement.

7. Facilitates, communicates and administers quality measurement activities. Utilizes business intelligence tools (e.g. Excel, PowerBI) to track and trend issues / results.

Collaborates with leadership to socialize data products (reports / dashboards, etc.).

Note : This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, and qualifications required.

QUALIFICATIONS

• Registered Nurse with current license to practice in the State of Pennsylvania.
• Minimum of two years experience in acute medical / surgical nursing with evidence of excellent clinical, leadership, communication, critical thinking and problem solving skills.
• Progressive expansion of responsibilities, including recent management experience (preferably in an outpatient / community-based setting).
• Active PA driver's license; BLS certification maintained active.
• Excellent written communication skills.
• Ability to work effectively and professionally in a fast-paced environment.
• Knowledge of and ability to work and engage with the uninsured, under-served and under-represented populations.
• Must have computer skills- including MS Office products, data management skills, and electronic record use and reporting skills.
• Spanish and English bilingual preferred

Last updated : 2024-05-04