Leads the development and implementation of a quality improvement program across the system including data collection, project management, quality improvement consultation, auditing activities, and monitoring of regulatory and accreditation activities.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Serves as an expert consultant in advancing a system wide quality culture:
Directs overall quality and process improvement initiatives across the system.
Work with leaders to plan, carry out and achieve clinic/program goals, improve operating processes, monitor and ensure patient safety and satisfaction, and align policies and procedures with strategic priorities.
Coordinate activities for key quality improvement committees.
Provide staff education on quality and safety; promote and facilitate staff-wide involvement and understanding of CQI concepts and tools.
Oversees risk management activities and implementation of risk management plan.
Contributes to the development, implementation, and ongoing evaluation of outcomes and staffing models to ensure balancing alignment of strategy and best practices.
Ensures quality improvement priorities are aligned with the organization’s strategic plan:
Ensure successful project completion utilizing appropriate improvement methodology is applied to each project, based on priorities outlined in the organization’s strategic plan.
Coordinate with executive leadership to identify improvement activities and projects needed to meet strategic goals. In particular, focus on strategies that support progression toward the Quadruple AIM: exceptional clinical quality, patient satisfaction, cost reduction focus, and low clinical staff burnout.
Develop and support implementation of the strategic plan and quality improvement work plan among the various clinic sites. Develop and mange committee-specific work plans.
Service as a representative of the organization on external committee and associated subcommittees.
Sustains compliance with regulatory requirements:
Oversees the activities required to maintain certification/accreditation by The Joint Commission and other outside organizations, including HRSA, MDH, FTCA, and others.
Coordinate and conduct ongoing medical chart reviews, peer reviews and facilitate the implementation of practice protocols.
Leads quality improvement efforts across the system informed by high data integrity:
Lead the development and management of the organization’s dashboards.
Compile, trend and develop reporting for small to medium data sets. Disseminate reports based on system needs. Oversee completion of dashboards.
Oversee the activities of patient satisfaction surveys, including data collection and quality measurement related to improving patient services.
Required Education and Experience
Bachelor’s degree in clinical field.
At least 5 years of experience in and demonstrated knowledge of community health centers and quality improvement.
Proficiency with Microsoft Word, Excel, Power Point and Visio or similar applications.
Ability to produce, interpret and monitor data for decision making.
Ability to consistently meet departmental work schedule as designated.
Preferred Education and Experience
Registered Nurse or other clinical expertise
CPHQ (Certified Professional in Healthcare Quality)
Advanced degree in clinical field or quality improvement
Experience managing regulatory activities including Joint Commission accreditation, HRSA On Site Visit protocols, and Federal Torte Claims Act
Additional Salary Information: N/A
Internal Number: 1
About West Side Community Health Services
As Minnesota's largest Federally Qualified Health Center, West Side Community Health Services ensures that the communities we serve have access to high quality and affordable health care. Approximately 86% of our patients in the 2016 calendar year were people of color from Asian, African American, American Indian or Latino communities, and 98% of our patients had incomes below 200% of federal poverty guidelines.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. West Side Community Health Services values building a culturally diverse staff that reflects the communities it serves, and strongly encourages women, minorities, and persons with disabilities to apply.