University of Illinois Hospital & Clinics (UI Health)
Location: Chicago, Illinois
Type: Full Time
Required Education: 4 Year Degree
Hospital, Public and Private
Internal Number: -
Director, Quality Performance & Improvement
The University of Illinois Hospital & Clinics (UI Health) is seeking a Director, Quality Performance & Improvement.
Under general supervision of the Assistant Vice Chancellor for Quality & Patient Safety / UIH Chief Quality Officer (CQO), this position provides expertise to all levels of leadership and staff of UI Hospital & Health System in the areas of performance improvement and change management to achieve its mission of providing high quality, cost?effective healthcare. Responsible for the direction of the Quality function and provides key leadership support in enterprise?wide strategic planning and the development of a high?performance Quality & Safety culture. Advises senior leadership and supervises Quality professionals, including Quality Specialists and Clinical Practice Data Analysts. Contributes leadership and assistance to enterprise?wide initiatives as a member of the Assistant Vice Chancellor for Quality & Patient Safety and CQO's leadership team.
Perform a key leadership role in the development of an organization?wide culture of safety and quality improvement, informing the evaluation and implementation of performance improvement (PI models), assessing PI education needs, linking PI activities and data with strategic goals.
Oversee database system management utilized to abstract, analyze and report national quality measure outcomes (aka "core measures") to regulatory agencies and quality improvement forums, including manually abstracted, electronic, structural, web, and hybrid measures, as well as assessing reputational and compensatory performance related to externally reported entities such as the CMS Stars program, the Leapfrog Survey, Vizient, and others. Share data internally, collaborate with clinical operational improvement teams to close performance gaps. Annually select metrics in accordance with current requirements, notifying regulatory agencies and the appropriate core measure vendor(s.)
Collaborate with Information Services, HIM Coding, and Clinical Documentation Improvement to optimize electronic health record data extraction processes related to national quality and patient safety measures in a manner which aligns with clinician workflows.
Oversee reporting utilizing advanced data analytics to inform performance assessment, with an emphasis on "realtime" data provided to the operational user at the point of care.
Lead Quality Improvement education, including training of senior leadership via workshops, just in time training, and other educational "showcase" forums such as the Annual Quality & Safety Fair, in support of a unified methodology and approach to performance improvement. Oversee maintenance of Quality Department educational website.
Identify need for performance improvement teams to support strategic priorities, initiate development of appropriate charge, assist recruitment of appropriate stakeholders, and facilitate leadership of complex initiatives to successful implementation.
Partner with Safety & Risk Management and Infection Control leadership to develop and implement a uniform approach to root cause analysis education and corrective action plan development. Promote cross?departmental collaboration to improve the integration of care across the clinical continuum, utilizing best practices, implementing systems emphasizing measurement and accountability, including unit, service line and/or provider?level feedback.
Plan, assign and review work of staff to ensure that group objectives are met. Hire, train, develop and manage staff to ensure that a qualified staff exists to meet group objectives.
Perform other related duties and participate in special projects as assigned.
Bachelor's degree in healthcare related field required; Master's degree preferred.
Current certification as a Certified Professional in Healthcare Quality (CPHQ) required.
Five (5) years of experience in a healthcare setting leading quality initiatives and reporting quality data; Prior leadership experience preferred.
Proven track record of implementing change effectively.
Leadership and change management skills to advance Quality and a culture of safety.
Capacity to assess enterprise?wide program needs and facilitate leadership priority?setting related to QI and Safety.
Ability to lead software/database system implementation.
Knowledge of "systems thinking" and ability to lead and train multidisciplinary teams. Knowledge of and experience abstracting, submitting and reporting CMS, Joint Commission, and Inpatient Psychiatric Facility Reporting Program national quality measures ("Core Measures".)
Complex analytic problem?solving skills.
Demonstrated project management skills.
Demonstrated use of Performance Improvement tools and techniques (e.g. CQI, Lean/Six Sigma, Model for Improvement).
Demonstrated knowledge of best practice concepts and tools.
Ability to act as a consultant to clinicians and non?clinicians.
Ability to identify, analyze and manage group dynamics. Advanced facilitation, collaboration, and team?building skills.
Capacity to mentor others.
Ability to develop viable action plans and ensure stakeholder accountability. Demonstrated ability to communicate effectively both verbally and in writing.
PC?based computer skills including Word, Excel, and PowerPoint and data analytics applications.
Working Conditions - Physical Requirements & Work Environment
General office environment. Regular travel not expected but may occur occasionally around previously scheduled events. Requires sitting for extended periods of time, standing, visual acumen, manual dexterity and fingering for working with computer key boards. Ability to stand and walk for prolonged periods, climb stairs, bend, stretch, lift and have adequate (baseline) sensory functions: sight, smell, hearing and manual dexterity. Work may be performed in varied locations inside/outside of the hospital, such as, but not limited to patient care unit, operating rooms, recovery rooms, clinical and research labs and offices. Duties may include travel by vehicle. Work may involve exposure to contagious diseases, radiation, anesthesia gases, chemicals, caustic materials, sophisticated electronic equipment and hazards associated with its use, physical injury from patients, visitors, mechanical devices and other hospital equipment.
Salary & Benefits:
UI Health offers competitive benefit packages, including: vacation days, paid holidays, Floating Holidays, State University Retirement System, tuition waiver, tuition discount for dependents, and excellent medical, dental, and vision packages.
For consideration, please submit a complete application and supplemental resume by October 28, 2021.
The University of Illinois at Chicago/ UI Health is an affirmative action, equal opportunity employer that has a strong institutional commitment to the principle of diversity and is particularly interested in receiving applications from a broad spectrum of people. We do not discriminate on the basis of sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
The University of Illinois may conduct background checks on all job candidates upon acceptance of a contingent offer. Background checks will be performed in compliance with the Fair Credit Reporting Act.
The University of Illinois System requires candidates selected for hire to disclose any documented finding of sexual misconduct or sexual harassment and to authorize inquiries to current and former employers regarding findings of sexual misconduct or sexual harassment. For more information, visit www.hr.uillinois.edu/cms/One.aspx?portalId=4292&pageId=1411899