Milton, Massachusetts
Manager of Quality & Performance Improvement Job Opening in Milton, Massachusetts - JOB SUMMARY
Under the direction of the Chief Quality Officer, the Manager of Quality and Performance Improvement is responsible for overseeing the Quality Plan and Performance activities that ensures Manet?s consistent performance of best practice, leading to a high level of patient satisfaction, effective, efficient safe and high quality care that maintains compliance with regulatory requirements and accreditation standards. In this hands-on-role, the quality manager will design, develop, implement and manage clinical quality measurement and improvement projects; assist in the development of performance strategies and their implementation, and develop techniques for evaluating the efficacy of interventions. He/she will identify problematic areas in the delivery of care and facilitate Performance Improvement groups to improve those areas and analyze data after improvements are implemented.
JOB RESPONSIBILITIES
Performance Improvement
Under the direction of and in partnership with the Chief Quality Officer, designs, develops, maintains and monitors the implementation of the Performance Improvement Program and all day-to-day quality improvement activities related to Manet?s programs and services. Identifies inadequacies in the delivery of care and works across all levels of the organization to implement corrective actions;
Participates in the design and implementation of the annual Performance Improvement Plan and working agenda. Provides project management and team facilitation support to operational, quality, safety and/or performance improvement teams;
Applies, teaches and skillfully uses techniques for system design, re-engineering, quality improvement, outcomes measurement and statistical analysis to advance the Performance Improvement Plan and Strategic Plan ;
Oversees the process of abstracting data and collating data from various administrative and clinical studies, and analyzes such data via current statistical reporting methods (e.g. health outcomes management). Assures that data and proposed resolutions are documented and reported within the organization and to the Performance Improvement Committee and the CMO. Recommends new or revised policies, procedures and practices; leadership, provider and/or employee performance expectations; and/or administrative and clinical guidelines, based upon results. Prepares quarterly, semi-annual and annual reports for leadership, governance and regulators;
Facilitates Performance Improvement Teams in collaboration with clinical and operational team leaders, senior clinicians and administrators regarding proper application and implementation of performance improvement measures, as identified during performance management activity.
Collect and monitor clinical quality measurements? and report specific results/outliers to the appropriate committee and/or care management teams
Develops annual plans to measure patient satisfaction, including the collection, analysis and reporting of related data as well as recommended baseline improvement activities and the tracking and trending of related satisfaction data over time.
Health Outcomes
Supervises the clinical care coordinator who provides daily care coordination, case management, coaching, consultation and intervention to patients with one or more chronic diseases. Responsible for identifying said population via provider/clinic referral, utilization management referral, disease registry reporting mechanisms and patient self-referral.
Maintains effective, collaborative working relationships with the Chief Quality Officer, CMO, Nursing Director and COO to ensure achievement of health outcome measures and coordination of efforts, including:
Collecting and analyzing data on all Health Care Plan, P4P and incentive measures;
Providing a monthly quality measurement report for leadership; and,
Disseminate a monthly dashboard for each provider on chronic disease care measures, preventive health and clinical operational measures, and individual provider performance scorecards.
Designs training modules regarding performance improvement for all levels of the organization. Collaborates with the CQO, CMO, Nursing Director and COO in such efforts, particularly in regard to quality, efficiency and patient safety.
Serves as resource and coordinates the peer review activity for the providers as well as performance management matters and continuing education related to same.
Other
Supports several committees and programs, as follows:
Strategic Planning ? Participates as an active member of this team.
PCAC ? Provides staff resource for the Patient Care Assessment Committee (meets quarterly). Reports on efforts at process re-design, performance management, analysis and suggested improvements. Serves as the senior resource to all departments, leadership and governance in continuously identifying process improvement opportunities.
PI Committees (Board & Staff) ? Co-chairs this committee with Chief Quality Officer Ensures that patient safety and safety management protocols and regulations are monitored continuously and that follow-up actions are taken, as necessary. Collaborates with leadership to identify and set priorities to annual quality goals; organizes trains and facilitates interdisciplinary teams and monitors their progress to ensure outcomes. Regularly reports process and outcome results to leadership and governance.
Operations ? Attends meetings as needed.
HRSA ? Participates in, and team leader for respective areas of responsibility related to the Section 330(e) Health Care Plan and Business Plan.
Utilization Data Review: Participate in committee to analyze data for outcomes to improve performance of Provider Teams
JOB SKILLS, EDUCATION & EXPERIENCE
Requires a Bachelor?s degree in health sciences, healthcare administration, health information management, management engineering, or nursing and/or equivalent degree required; Master?s degree in relevant field preferred, (e.g. MHA, MPH, MPA, and/or MBA)
Clinical Background preferred.
Requires a minimum of 3 to 5 years? experience successfully implementing performance improvement and quality programs in a complex health care environment, FQHC preferred;
Working knowledge of a variety of rigorous process improvement and quality outcomemeasurement methodologies, such as Lean, Change Management, Value Stream Mapping, Rapid Cycle Testing, PDSA, FMEA, 330 Health Care and Business Plans, Healthy People 2020, HEDIS, P4P;
Working knowledge of regional health disparities and social determinants of health;
Working knowledge of the Integrated Care Model and its use in performance improvement;
Oversee and develop policies and procedures necessary for maintenance of PCMH recognition status and HPC PRIME certification;
Effective computer software skills including QA/PI management-related applications and database management. Computer literacy and the ability to perform sophisticated statistical analysis.
Ability to write reports, business correspondence, and procedure manuals.
Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
Multi-tasking ability required. Comprehensive organization skills required.
Evidence of proven leadership, meeting facilitation, project management and time management skills;
OTHER JOB REQUIREMENTS
Understand clinical practice patterns. Ability to discuss clinical practices with physicians, quality improvement professionals, health plan medical directors, and federal and state government officials.
Superior communication skills (verbal and written) with the ability to communicate quality improvement data and methods to Manet staff with varying technical and clinical backgrounds.
Familiarity with quality improvement principles and techniques, including the research and intervention design.
Ability to work independently with minimal supervision and as part of a team.
Must have flexibility of work hours and ability to travel when needed.
REQUIRED CERTIFICATIONS & LICENSES
CPHQ certification or similar certification required.
REQUIRED AVAILABILITY
May be required to work at multiple locations
Job Type: Full-time
|
