Accountable for gathering, analyzing data and creating/managing the reporting of data. Driving quality efforts for clinical operations to meet regulatory requirements and accomplish business objectives, including value/performance-based revenue goals.
Knowledge, skills and abilities:
Ability to work independently, prioritize tasks, problem-solve, and maintain focus on organizational goals. Must have excellent relationship development skills with the ability to work with teams to affect improvement in patient care. Knowledge of community resources. Practical knowledge and understanding of pertinent legislation.
Education, Training and Experience (includes licenses or certifications) required:
- Bachelors degree in Health Administration, nursing, informatics, statistics, or similar discipline
- A minimum of two (2) years’ experience in quality improvement
- Minimum of 1 year of experience with meaningful use reporting highly desirable
- Ability to work independently, prioritize tasks, problem-solve, and maintain focus on organizational goals.
- Advanced computer proficiency in MS Word and Excel, with ability to create and analyze data, and generate reports required Access and other quantitative software program experience highly desired.
- Must have excellent communication skills with the ability to handle and communicate sensitive information.
Principle Duties and Functions:
• Data collection and reporting requirements required for recognized Oregon Patient-Centered Primary Care Homes and obtaining supplemental payments from Medicaid programs
• Develop understanding and knowledge of commercial and governmental value/performance-based payment model regulations
• Monitor and maintain knowledge of quality and/or compliance requirements and generate necessary reports for the organization’s leadership
• Serve as the primary contact with commercial and government agencies responsible for the development of quality metrics
• Implement clinical operation workflows that supports all the documentation requirements necessary to support organizational quality measures and participate in commercial and government value-based programs. Develop workflows with assistance from clinical staff to get provider buy-in. Stay up-to-date about changing program requirements and proactively implement necessary changes to clinical operation workflows
• Participate in setting measurable performance thresholds for all quality indicators within clinical operations to evaluate workflow effectiveness and to determine the infrastructure required to support quality standard needs
• Collaborate with other healthcare clinics/delivery systems (OCHIN, ALERT IIS) to reduce quality program costs while achieving outcomes
• Oversee data gathering for ongoing quality assessment including but not limited to clinical indicators and outcomes, internal process measures, adverse events and complaints, employee/patient/family satisfaction in partnership with others as applicable. (For example, hospice pain assessment chart review, hospice clinical audits, medication reconciliation, goals of care/POLST documentation.)
• Develop and administer data collection and survey tools
• Other related duties as assigned