Quality Performance Improvement Specialist Pathways HUB-Better Health Partnership

Location: METROHEALTH MEDICAL CENTER

Biweekly Hours: 80.00

Shift: 800am-430pm

The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.


Job Summary:

In conjunction with the Better Health Pathways HUB (HUB) Operations Team and Better Health Partnership leadership, the HUB delivers high-quality client services for at-risk pregnant women, infants, children, and adults with chronic disease and behavioral health conditions. Effectively utilizes PI/QI theory and proven performance improvement methodologies to develop, lead, and manage quality improvement efforts related to HUB projects, services, and grants and to achieve operational efficiencies, quality, and financial targets. Works collaboratively with the HUB stakeholders and others to develop, articulate, and implement solutions related to identified areas for improvement. Upholds the mission, vision, values, and customer services standards of The MetroHealth System.

Responsibilities:

Contributes to patient safety by supporting the System-wide programs and policies addressing a safe environment for patients and reporting safety concerns to the appropriate individuals.

1. Oversees, develops, promotes, and participates in the implementation of quality & performance improvement (QI/PI) strategies by:

a. Coordinating the implementation of PI activities related to all quality metrics.

b. Directing decision-making using proven PI/QI methodologies and tools.

c. Assessing existing processes and identifying performance improvement opportunities.

d. Monitoring quality data to identify gaps in CHW practice and collaborating with the clinical and leadership teams to improve barriers.

e. Working to integrate quality measures into overall HUB quality assessment and performance improvement initiatives.

f. Participating, developing, and implementing key performance indicators that measure the process and outcomes of care related to HUB services.

g. Compiling, initiating, and maintaining PDSAs (Plan, Do Study, Act cycle) or other QI improvement tools for all process improvement projects undertaken.

h. Assigning teams and departments to set quality performance measurements and tools related to data monitoring, analysis, reporting, and presentation.

i. Designing, developing, and maintaining HUB quality improvement dashboards.

2. Manages quality improvement projects of the HUB related to achieving annual quality goals and aligning with National PCHI Certification requirements.

3. Monitors grant, population health management projects, and managed care-related quality metrics against targets and develops and leads quality improvement action plans for identified areas of opportunity.

4. Acts as a change agent to increase the speed and adoption of new processes across HUB care coordination agencies and other community partners.

5. Identifies opportunities for improvement with HUB operations, administrative procedures, information systems, and other processes and helps develop, implement, and evaluate progress with improvement plans and activities.

6. Meets with Care Coordination Agencies CCA supervisors on a regular basis to review CHW caseloads, address issues, and maintain open communication regarding CCA performance relative to quality and productivity goals/targets and CCA/CHW needs.

7. Incorporates principles of teamwork and collaboration with all organizational levels in the resolution, completion, and follow-up of various responsibilities.

8. Completes regular quality assurance and review of completed pathways, checklists, and tools by CHWs working in the HUB. and communicates the validation of Pathway HUB services concluded with the HUB finance team to ensure timely billing to Managed Care Organizations.

9. Assists with grant applications and grant reports to support the Pathways HUB

10. Enhances professional growth and development, keeping current with trends related to performance improvement methodologies and best practices. Participates in continuing education courses, professional organizations, and seminars; Utilizes mentor(s) and maintains professional contacts within the community.

11. Displays sensitivity to and understanding various cultural, ethnic, racial, and socioeconomic backgrounds.

12. Performs other functionally related duties as assigned.

Qualifications:

Required:

Bachelor's Degree in a health-related field.

In lieu of a degree, any equivalent combination of education, training, and experience in addition to the experience stated below.

Four years combined progressively responsible project management and quality improvement experience in healthcare, including planning, analysis, risk management, and process improvement.

Excellent interpersonal skills, along with experience in working with multi-disciplinary groups.

Demonstrated proficiency with Microsoft Office Suite.

Excellent communication and interpersonal skills.

Ability to interact effectively with various cultural, ethnic, racial, and socioeconomic backgrounds.

Preferred:

Master's Degree in Public Health, Health Care Administration, and/or other related field.

Five years of quality improvement experience.

CPHQ or LEAN/Six Sigma Certification or other formal process improvement training.

Grant writing experience

Physical Requirements:

Ability to communicate face-to-face, phone, email, and other communications and meetings.

Ability to travel to various community settings for meetings and events

May sit, stand, stoop, bend, and ambulate intermittently during the day.

May need to sit or stand for extended periods.

See in the normal visual range with or without correction.

Hear in the normal audio range with or without correction.

Finger dexterity to operate office equipment is required.

May need to lift to twenty-five (25) pounds on occasion.

Ability to use a computer.