Ambulatory Quality Management Services Director - CBO TCHP Ambulatory Quality - Full Time - Days

Job Description

This position provides Director-level leadership in the design, implementation and oversight of an integrated and comprehensive performance improvement program. The scope of the program encompasses efforts pertaining to quality/evidence-based practice, regulatory compliance inclusive of TCHHN Accountable Care Organization (ACO) and value-based care (VBC) contracts, system safety/reliability, clinical intelligence, care efficiency and patient/family centered experience. This position is responsible to advance and sustain a culture of safety, transparency, measurement, and accountability to achieve superior outcomes.

Responsibilities

DEPARTMENTAL LEADERSHIP

• Provides Director-level oversight and management for quality performance in ACO and VBC contracts, OSHA program, Patient Safety program, Clinical Onboarding and Annual Competency program, Peer Review program.
• Responsible for the achievement of departmental objectives and goals as determined by the Executive Director, Population Health and Value-Based Care
• Serves as a resource to ambulatory (primary care and specialty) office teams and providers and their leadership

QUALITY IMPROVEMENT

• Applies key concepts and theories (human factors engineering, organizational behavior, reliability science, LEAN) in the design and approach to performance improvement
• Defines, facilitates and evaluates standard work, evidence-based/industry practices and measurement methodologies
• Leads care innovation and care transformation improvement initiatives
• Initiates and facilitates systems and processes to achieve superior outcomes in quality, safety, service, efficiency and performance
• Drives achievement of strategic quality initiatives as determined by executive leadership
• Serves as a resource in system-wide efforts to advance a patient-centered culture and achievement of service excellence
• Fosters and maintains collaborative relationships with the medical staff, system/entity leadership, external agencies, partnership organizations and payers
• Educates and supports executive and entity leadership, medical staff and Board of Trustees regarding national trends/priorities, changes in regulations and other factors influencing the direction of quality, safety and accreditation

CHANGE MANAGEMENT

• Inspires stakeholders to embrace a culture of safety and aims of superior performance
• Builds motivated, high-performing teams utilizing concepts of high-reliability and formal change management
• Articulates a compelling vision for quality and achieves multi-stakeholder support
• Negotiates diverse relationships and forges alliances in conditions of ambiguity and complexity
• Serves as a passionate and credible champion of quality and patient safety

FINANCIAL STEWARDSHIP

• Facilitates teams/efforts in system and process redesign to drive operational excellence
• Leads efforts to advance the integration of services across the ambulatory care continuum to enhance coordination of care and services
• Develops and facilitates quality/safety strategies to ensure optimal reimbursement for payer/employer-based contracts and pay-for-performance program thresholds/performance expectations
• Develops and operates within departmental budget, expenses, allocations

Qualifications

KNOWLEDGE AND SKILLS:

• Leadership and management skills.
• Strong analytical and critical thinking abilities.
• Excellent communication and interpersonal skills.
• Knowledge of quality improvement methodologies and tools.
• Ability to work collaboratively with diverse teams.
• Proficiency in data analysis and reporting.

EDUCATION:

• RN or health-related baccalaureate degree
• Graduate-level degree in public health/policy, health systems administration, nursing or other health-related field preferred

YEARS OF EXPERIENCE:

• Minimum 5 years' experience in leading quality efforts for high

REQUIRED SKILLS AND KNOWLEDGE:

• Conceptual and applied expertise in advanced performance improvement techniques/methodologies, organizational/change management scholarship and qualitative/quantitative measurement strategies
• Engagement in national trends within the quality, patient safety, care coordination and accreditation realms
• Advanced certification(s) in quality from national association(s) preferred (e.g., ASQ, NAHQ, IHI)
• Ability to translate broad strategies into specific objectives and initiatives
• Ability to conceptualize in unstructured, dynamic and multifaceted environments that require foresight, intuition and mature judgment
• Ability to analyze complex systems and processes, synthesize relevant theories, principles and evidence and determine solutions challenging problems
• Ability to communicate effectively through various medium and diverse audiences
• Ability to facilitate teams and projects to accomplish objectives in a resourceful and timely manner
• Ability to manage multiple projects and priorities
• Ability to assimilate, assess and act upon new concepts/trends
• Ability to adjusts approach to work in response to changing situations to achieve goals

LICENSES REGISTRATIONS &/or CERTIFICATIONS:

• Registered Nurse (RN) preferred
• Other Credentials Preferred: Advanced certification(s) in quality from national association(s) preferred (e.g., ASQ, NAHQ, IHI, CPHQ)