Clinical Quality Improvement Officer | 258715(109721)

Job Description

The East Hawaii Region of Hawaii Health Systems Corporation is seeking a Clinical Quality Improvement Officer responsible for leading and managing initiatives to improve the quality of clinical care within the East Hawaii Region by analyzing data, identifying areas for improvement, designing and implementing interventions, monitoring outcomes and educating staff on quality improvement methodologies ultimately aiming to achieve better patient outcomes and compliance with healthcare standards. Under the leadership of the Regional Chief Nursing Officer and Regional Chief Executive Officer and this position provides consultative services to hospital administrators, directors of nursing services, and other hospital department officials in the East Hawaii Region.

Location: This position allows for a hybrid (remote/in office) work environment, with a requirement for an incumbent living outside of Hilo to work on-site on the Big Island at regular intervals throughout the year (approximately four times per year for visits of approximately one week each; longer visits may be required for regulatory surveys or specific initiatives). Airfare and lodging will be paid for by the organization, in accordance with our policies.

Relocation assistance is available for an incumbent who moves to the Hilo area to accept this position.

Major Duties & Responsibilities:

• Oversees all aspects of the quality program, including quality measurement, external reporting, quality improvement and high reliability.
• Designs and implements evidence-based quality improvement projects, including defining goals, selecting appropriate metrics and developing interventions.
• Coordinates continuous regulatory, licensure, and accreditation compliance in accordance with all applicable regulations and standards. Develops leading practice regulatory program, structures and processes to drive optimal regulatory compliance and competence. Serves as primary expert and consultant for regulatory matters to stakeholders throughout the region.
• Meets with Regional Chief Nursing Officer, Regional Chief Executive Officer and other leaders, as appropriate, in an advisory role regarding Patient Safety, Patient Experience and Infection Control.
• Coaches and trains leadership on effective design and implementation strategies, to sustain quality improvement.
• Provides guidance in the development of systems or tools to improve organizational change and key quality or outcome metrics.
• Facilitates staff development through performance and/or QI project cycles, including team building, project planning, workflow redesign, and implementation.
• Provides leadership with Root Cause Analyses to foster actionable quality improvement after incidents.
• Drives the organization to improve value, prevent unnecessary readmissions, overuse of testing or procedures, and reduce costs.
• Provides exceptional customer service to internal and external stakeholders and assists the organization in identifying customer service enhancements and improvement programs.
• Collects, analyzes and interprets clinical data to identify trends, gaps in care and areas of improvement. Presents findings to relevant stakeholders.
• Manages the Quality Management data repository that informs strategic and operational decision-making throughout the region. Supports interventions impacting quality with ongoing and ad hoc reports.

Education: Graduation from an accredited four (4) year college or university with a bachelor’s Degree required. Master’s Degree in Healthcare Administration, Public Health, Healthcare Analytics or Nursing preferred.

Experience: Four (4) years of progressively responsible professional work experience which demonstrates knowledge of Quality Improvement and principles and practices in a hospital or a heavily regulated industry. Such work must have involved participation in the development of policies and procedures to meet State, Federal and other agencies.

Certification: Certified Professional in Healthcare Quality (CPHQ), or the ability to attain the certification within six (6) months of appointment.

Company Description

As the Big Island’s leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka′u Hospital, and the Yukio Okutsu State Veterans Home, delivers a full range of services and programs. Our three hospitals include 290 beds and over 1,700 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Honoka'a Hospital and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org, www.honokaahospital.org or www.kauhospital.org.

Benefits

• 13 paid holidays each year (104 hours); 14 (112 hours) during election years*
• 21 paid vacation days (168 hours) per year*
• 21 paid sick days (168 hours) per year*
• Medical, dental, vision, and prescription plans
• Employee Assistance Program
• Participation in the State of Hawaii’s retirement system
• Potential eligibility for various student loan repayment & scholarship programs
• Rates listed for paid holidays, vacation and sick days are for 1.0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE.

Benefits

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About Hilo & The Big Island

Hilo is located on the east side of the island of Hawaii, and has a quaint, old-Hawaii, small town atmosphere. Our island offers amazing rainforests, waterfalls and beaches. The hospital staff is community-oriented and strive to provide competent and compassionate care to every patient that enters our doors. The area is home to the Hawaii Community College, University of Hawaii, Hawaii Volcanoes National Park, excellent schools and convenient shopping.

Pre-Employment Assessments for External Candidates

As part of the recruiting process for this position, external applicants (job applicants NOT employed by HHSC’s East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request.

Pre-Employment Health Requirements

Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.

Equal Opportunity Employer

The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer.