Director of Quality and Process Improvement

Overview of Role:

Responsible for oversight and administration of Quality Assurance (QA), Quality Control (QC), Quality Improvement (QI), validation, regulatory compliance, and project management across the physical health locations for Clinica Family Health and Wellness. Assures that organization-wide initiatives are focused and aligned on improving operational, clinical, and financial efficiencies and effectiveness in accordance with the goals of the strategic plan.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

General Leadership

• Supports the Leadership Team in decision-making and provides recommendations on quality needs and provision of high-quality clinical services that are cost-effective and evidence-based.
• Develops high functioning partnerships with senior leadership to set the overall strategies, tactics, and directions for QA, QC, QI, validation, and regulatory compliance processes to achieve organizational and departmental objectives.
• Demonstrates effective leadership through strategic focus, team activation and collaboration at all levels.
• Ensures organizational alignment and optimal use of resources in the course of conducting QA/QC/QI and Project Management activities.
• Provides ongoing leadership, training, and supervision to assigned Quality and Project Manager staff.
• Partner with Behavioral Health teams to work on integration of quality measures for whole person-centered health care.

Quality

• Supports the development and implementation of standardized, system-wide quality performance reporting processes.
• Creates and communicates Annual Quality, Safety, Satisfaction, and Risk Management Plan to senior leadership and Board of Directors.
• Creates and communicates meaningful quality and safety performance reports for senior leadership and internal/external stakeholders that demonstrate results and progress against the quality plan.
• Oversight of development and validity of internal and external clinical quality measure reports.
• Implements a standard improvement methodology and process improvement methodologies to accelerate performance and standardize improvements across the system.
• Ensures on-going outcomes measurement trending is maintained and assessed to identity priorities and opportunities for improvement; continuously generates ideas for improvement.
• Supports service line leaders to develop new processes and review new technologies that promote patient centered, effective and evidenced based practices to promote quality and patient safety.
• Leads the Quality Committee of the Quality Satisfaction Safety and Clinical Risk (QSSR) Council.
• Researches, designs, and coordinates performance management and quality improvement capacity building for all levels of management and employees.

Population Health

• Participates in and advises strategic policy, advocacy, and system development efforts related to quality measurement, payment models, value-based care, and similar regulatory structures.
• Provides population health data analytics to assist with prioritization and goal setting for outcome measures.
• Applies an innovative improvement approach to workflow intervention opportunities within alternative payment models that align with the patient-centered health home model of care.
• Develops and maintains rapport with Community Health Provider Alliance (CHPA), Colorado Community Health Center network (CCMCN), other health agencies, and community organizations across the continuum of care as directed by Chief Population Health Officer.

Accreditation and Recognition

• HRSA QI/QA subject matter expert, Medical Home Manager, AAAHC/NCQA/OSV organizational point of contact and on-site visit Project Manager.
• Oversees the development and implementation of policies and procedures to ensure compliance with regulatory and funding agency requirements related to quality, outcome monitoring, and evaluation of services and program.
• Ensures adherence to quality standards and industry regulations across all service lines.
• Ensures compliance with regulations, accreditation standards and internal policies and procedures.
• Subject matter expert on accreditation and recognition standards.
• Prepares and submits accreditation/recognition documentation in alignment with timing and standards outlined by individual agency.
• Communicates accreditation/recognition standards across the organization; provides evidenced-based rationale for standards to increase understanding and connection of standards to quality and safety.

Project and Program Management

• Monitors progress of the project management portfolio and reports on progress to Executive leadership.
• Allocates project management resources in alignment with strategic priorities.
• Oversight of the Patient Experience feedback data collection and analysis process.
• Acts as Project Manager for strategic projects; provides secondary coverage as PM for all projects in the portfolio.
• Provides project management/QI consultation across all levels of the organization.

POSITION REQUIREMENTS:

Education and Experience:

1. Master's degree in a clinical field, Health Administration or MBA.
2. 5 yrs experience in QI/QA, Performance Improvement Management, or Population Health (preferably in a Community Health Center or another ambulatory care setting).
3. 3 yrs of managerial experience.
4. Training in Improvement Science (Six Sigma, Lean, Project Management, Model for Improvement).
5. Competency across domains of health data analytics, population health, quality/performance improvement, quality review and accountability, regulatory and accreditation, and patient safety.

Highly Desired:

1. Certified Professional in Healthcare Quality (CPHQ).
2. Regulatory experience in ambulatory care setting.

What we offer:

• Comprehensive Benefits:
• Medical
• Dental
• Vision
• FSA/HSA
• Life and Disability
• Accident/Hospital Plans
• Retirement with Employer Contributions
• Vacation, sick, and extended illness time off options
• Dedication to Justice, Equity, Diversity, Inclusion, and integrated healthcare
• Open communication with leadership and mission-focused engagement
• Training and growth opportunities with a supportive team invested in your success