What are the responsibilities and job description for the Director of Quality Initiatives position at Southwest Community Health Center?
Summary: The Director of Quality Initiatives leads the development, implementation, and monitoring of Southwest’s continuous quality Improvement and quality assurance initiatives to ensure alignment with organizational goals and compliance with regulatory standards (federal, state, TJC, PCMH).
SPECIFIC DUTIES AND RESPONSIBILITIES: All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA)
SPECIFIC DUTIES AND RESPONSIBILITIES: All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA)
- Responsible for the oversight and implementation of Southwest’s Quality Improvement Plan under the direction of the Chief Medical Informatics Officer, ensuring continuous performance monitoring and improvement in service quality and patient safety while adhering to the organization’s mission, strategic goals, and regulatory standards (federal, state, TJC, PCMH).
- Ensures the implementation of QI/QA operating procedures and related assessments; monitors QI/QA outcomes; and updates QI/QA operating policies and procedures as needed to ensure adherence to established standards and regulatory requirements.
- Chairs the Quality Improvement Committee and actively participates in sub-committees and other working groups to foster a culture of continuous improvement throughout the organization.
- Leads and manages agency-wide and departmental quality improvement initiatives in collaboration with clinical and administrative teams while engaging and supporting staff in QI/QA activities.
- Collects, analyzes, and prepares data on quality improvement and assurance activities, outcomes, and compliance for presentation to key stakeholders, including the governing board and regulatory agencies.
- Responsible for the accurate and timely submission of key clinical quality data reporting for internal and external requirements.
- Monitors clinical quality indicators to assess performance, identify areas for improvement, and track the effectiveness of quality improvement and assurance interventions.
- Monitors incident data for trends and implements corrective action plans.
- Coordinates efforts to meet clinical quality and administrative requirements for The Joint Commission, HRSA UDS, and HEDIS reporting to third-party payors, while implementing strategies to improve outcomes.
- Collaborates with Compliance staff on overlapping issues that need to be addressed regularly, particularly QI activities associated with corrective action plans from risk management activities and audits of clinical care.
- Develops and implements training and educational programs for staff on quality improvement processes, quality assurance standards, and patient safety.
- Other duties as assigned.
Qualifications:
- Strong interpersonal, communication (both verbal and written), and presentation skills with the ability to motivate and drive change.
- Highly organized and able to multitask multiple priorities and tasks.
- Excellent computer skills, including Microsoft Office (Word, Excel); EHR experience preferred.
- Experience generating, analyzing, and reporting data to drive improvement.
- Ability to work collaboratively with diverse teams and populations.
- Demonstrated ability to work across and lead various groups and teams.
- Knowledge and experience with performance improvement methodology and tools.
Education and/or Experience:
Required:
Preferred:
Required:
- Master’s Degree
- Minimum of 3 years of relevant professional experience leading clinical quality improvement and quality assurance activities in a healthcare setting.
Preferred:
- Master’s degree in healthcare field
- Managerial experience in a healthcare setting
Physical Requirements and Work Environment:
The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.
The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.
