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Clinical Effectiveness Consultant

3 months ago

Oakland, United States Sutter Health Full time

**Organization**:
ABSMC-Ashby Campus

**Position Overview**:
This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, performance improvement, patient safety and regulatory compliance. Develops and coordinates components of the Sutter Health's Clinical Effectiveness and Performance Improvement (PI) Program. Facilitates clinical improvement activities utilizing PI methodologies, and serves as a resource to assist and train others on performance improvement methodologies and evidence-based patient safety and quality initiatives. Provides all levels of management, physicians, and clinical staff with accurate and timely information for effective decision making utilizing internal and external decision support systems.

Clinical Performance Improvement
- Facilitates clinical improvement activities or specific.
- Collaborates with operational and clinical leaders in the development of long-term strategies and methodologies for evaluation of quality and safety processes and outcomes across the continuum of care including measurement, analysis, and reporting of data used in achieving goals identified in an organization’s strategic plan.
- Maintain and disseminate information on successful interventions and programs that have been proven effective.
- Effectively provides clinical expertise to assess and plan programs, projects and initiatives.
- Provides leadership for population health programs. Promotes performance improvement principles throughout the organization.
- Maintains knowledge of all applicable standards from accreditation and regulatory bodies. May support Peer Review.

Standard
- Acts as a departmental representative in meetings involving internal policy issues surrounding clinical performance improvement, decision support, and utilization of the organization’s resources.
- Promotes collaboration, decision making, and problem solving through effective interactions or facilitation with members of the Acute and/or Ambulatory organization.
- Facilitates improvement/communication and analysis of performance reports.
- Prepares and presents educational programs on performance improvement, evidence-based practice, or ongoing quality initiatives to physicians and clinical staff.

Activity Regulatory Compliance
- Assists in the planning and implementation of a systematic program for outcomes management and quality improvement.
- Responsible for ensuring compliance with internal as well as external regulatory requirements.
- In addition, the position serves as primary support to clinical leadership in monitoring and evaluating processes for outcomes management, performance improvement and peer review.
- This position also serves as a team facilitator and consultative resource for clinical and departmental leaders responsible for Quality/Performance Improvement activities.
- In collaboration with leadership, develops an organization wide performance improvement plan (supplementary to the corporate performance improvement requirements) which integrates the medical staff structure and activities.
- Oversees and coordinates process improvement activities related to the organization wide outcome measures defined through established quality strategic goals which optimize clinical care and reduce waste and rework.
- Collects and retrieves data, designs and uses spreadsheets and databases for clinical and administrative decision making, and analyzes data for relationships to outcomes. Conducts basic and advanced analyses of the organization’s performance on clinical processes and outcomes.
- Reviews, evaluates, interprets and develops reports, and provides end-user assistance, involving analysis, identification of problem needs, designing solutions, and identifying required system adaptations with a high level of independence.
- Responsive to health plan, regulatory and other expectations for clinical quality outcomes.
- Communication of the organization’s Quality/PI efforts and outcomes are reported to the clinical and medical staff leadership as appropriate with documentation of such reports in meeting minutes.
- Outcome data is validated through an organized validation process and timeframe prior to presentation and meets accreditation standards for improving the organization’s performance. Prepares/presents educational programs on performance improvement, evidence-based practice, or ongoing quality initiatives

Activity
- Completes special projects and/or additional tasks as required, specifically participation in regional or corporate projects associated with clinical and patient safety performance improvement outcomes or responses to licensing and regulatory inquiries.

WHEN SUPPORTING A CENTER OF EXCELLENCE BARIATRIC PROGRAM
- Conducting chart abstraction 100% of bariatric procedures performed as mandated by the Metabolic and Bariatric Surgery Quality Improvement (MBSAQIP) standard by using patient-level health infor