Quality Improvement Director

QUALITY IMPROVEMENT DIRECTOR ASSIGNMENT SUMMARY

The Quality Improvement Director (QID) plays a pivotal role in shaping, leading, and assessing initiatives that further Kheir Clinic’s mission and vision. Patient facing roles require bilingual proficiency in Spanish/English or Korean/English. This position is integral to the development and implementation of the Quality Improvement/Quality Assurance Plan, ensuring that Kheir provides exceptional, patient-centered care. The QID is dedicated to upholding regulatory standards while actively enhancing health outcomes in the communities we serve.

The QID creates a culture of continuous quality improvement, innovation, and practice transformation that enhances patients’ clinical outcomes as well as patient and staff experience. The QID utilizes health information technology, reporting tools, and data systems to support the activities of the clinical care team at the point of care as well as in the planning of changes to how care is provided. The QID ensures high performance in regulatory compliance and care-based incentive programs and assists in communicating the progress of quality improvement initiatives Kheir Staff and Leadership. The QID strives to create and maintain working and learning environments that are inclusive, equitable and welcoming. This position reports to the Chief Clinical Officer (CCO) and will work in close collaboration with the clinic’s medical providers, behavioral providers and support staff.

BENEFITS

• 100% employer-sponsored medical, dental and vision benefits
• Paid time off/vacation
• Paid holidays
• Paid sick time
• 403(b) vested retirement plan
• 403(b) matching

QUALITY IMPROVEMENT DIRECTOR ESSENTIAL FUNCTIONS & RESPONSIBILITIES

• Oversees the Quality Improvement and Quality Assurance department in collaboration with the Chief Clinical Officer.
• Collaborates with and guides clinical Care Team members (including Primary Care Providers, Medical Assistants, Behavioral Health Providers and others) and Operational Care Team Members (including call center, front office, medical records, and others) to establish QI processes throughout the organization.
• Designs and employs QI tools for use at the point of care, including but not limited to Order Sets, Huddle Worksheets, Health Maintenance Flowsheets, and others as developed.
• Designs and disseminates tools (reports, dashboards, etc.) in collaboration with the CCO.
• Uses existing data systems to identify areas in need of quality improvement across the organization.
• Works with Risk Committees to identify appropriate metrics and new collection sources and methods.
• Oversees data validation processes and refines data management procedures for the collection and analysis of data in collaboration with Data Manager.
• Supports the organization in contributing to the goals of improving health outcomes, improving patient experience, supporting care team well-being and the financial sustainability of the organization.
• Provides oversight to improve patient access issues by developing strategies to ensure current and new patients have the appropriate access to care. Additionally, provides oversight in the areas of 3NA, ER follow up appointments, and specialty care services.
• Employs Plan-Do-Study-Act cycles (PDSAs) and other “tests of change” to design and disseminate optimal workflows, in collaboration with Care Teams, managers, QIC, etc.
• Provides support to care teams, incorporating QI methodologies and transformation strategies into their function and design.

ORGANIZATIONAL SUPPORT

• Champions the adoption of standardized best practices and lessons learned across disciplines and departments at the Care Team level and at organizational level using communication tools, published workflows, staff meetings, events and trainings.
• Assists in the development, writing, and implementation of Policies and Procedures pertaining to Quality Improvement, Practice Transformation and APCMH.
• Identifies opportunities to support QI efforts through evaluation, testing, and/or integration of EHR functionality and other HIT systems.
• Approaches changes to the EHR or other IT systems with consideration to data governance.
• Understands data collection and reporting structures as defined by regulation (eg UDS - Uniform Data Set, Meaningful Use, etc.), health plans and others as warranted.
• Serves as the main point of contact for assigned HRSA UDS Reviewer on an annual basis.
• Ensure timely and accurate UDS and OSHPD reporting in collaboration with the Finance department.
• Activities include interpreting reporting specifications, auditing reports, and reviewing dashboards.
• Oversees organizational data submission and sharing to external entities in collaboration with the Data Manager as needed. Includes routine data submission for health plan incentives, audits, grants etc.
• Researches outside organizations, and partakes in training opportunities, and works with partners, consultants, and experts to guide Kheir Clinic’s QI efforts.
• Assesses need for and facilitates education, training, and technical assistance for staff to ensure compliance with QI efforts.
• Leads or participates in work teams related to QI and functions as a coach, where appropriate, to support Care Teams in team building, fostering patient-centeredness, and practice transformation.
• Assists in preparation and coordination of regularly-scheduled QI/QA meetings with QA Director and performs all necessary follow-up duties, including clarifying and tracking action items and documentation of minutes, participants, and resulting activities.
• Understands and applies National Committee for Quality Assurance (NCQA) PCMH concepts, and designs and supports new methods of care delivery and care team organization to advance patient-centeredness and quality.
• Analyzes and reviews processes, policies, and systems on an ongoing basis to ensure they are aligned with current and updated NCQA PCMH standards.
• Ensures that all new hires are trained in PCMH processes, policies, and workflows. Including but not limited to care coordination, empanelment, team-based care, access, patient experience/satisfaction, etc.
• Acts as PCMH project manager and leads annual submission of NCQA’s annual report to maintain PCMH recognition for each recognized site.
• Perform other duties and responsibilities as requested

QUALITY IMPROVEMENT DIRECTOR MINIMUM QUALIFICATIONS

• Bachelor’s degree in nursing, health services administration, public health, or related field from an accredited college or university required, Master’s preferred.
• Clinical, health care, or public health professional with at least five years of supervisory experience working in a health center or clinical setting.
• Proven and recurring success in directing and managing projects within the expected timeline.
• Experience in program design, implementation, and evaluation.
• Ability to multi-task, prioritize and work under deadlines.
• Ability to strategize and plan as well as apply and track practical solutions.
• Extensive knowledge and experience with industry-leading quality improvement methods and tools.
• Proficient technology skills: MS Office applications (Excel, Visio, Word, PowerPoint), Outlook, Microsoft Teams, EHR systems.
• Demonstrated ability to work across and lead various groups and teams.
• Korean or Spanish/English bilingual required.

QUALITY IMPROVEMENT SKILLS & KNOWLEDGE

• Knowledge of standard clinical healthcare practice policies and procedures.
• Experience working on computers and Knowledge of Microsoft Office software products.
• Ability to work with practice management and EHR systems.
• Knowledge of health insurance plans.
• Familiarity with healthcare terminology, procedures, and practice.
• Knowledge of HIPAA regulations.
• Understanding of data warehousing, analytics, and visualization
• Excellent verbal and written communication skills.
• Knowledge of personnel management and labor law as it relates to this position.
• Ability to work independently and to use good judgment.
• Possess empathy towards the needs of others with excellent leadership and coaching skills.
• Actively works to maintain a good working relationship and team approach with peers and co-workers.

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Kheir Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Kheir Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Kheir Clinic will consider for employment all qualified Applicants, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Please note that this job description is subject to change to meet the needs of Kheir Clinic.

Job Type: Full-time

Pay: $125,000.00 - $135,000.00 per year

Benefits:

• 403(b)
• Dental insurance
• Health insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $125,000 - $135,000