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Director of Performance Improvement
4 weeks ago
Join the City and County of San Francisco's Department of Public Health as a Director of Performance Improvement, where you will play a critical role in advancing equity, inclusion, and diversity in healthcare.
Job Summary:The Director of Performance Improvement will serve as the primary knowledge expert for performance improvement strategy and regulatory data compliance for the organization. This role will oversee the development, coordination, implementation, and evaluation of all Performance Improvement activities coordinated by the Quality Management Department and the Quality Data Center.
Key Responsibilities:- Coordinate, manage, and monitor crucial external quality data reporting requirements, including submission of Joint Commission eCQM, and Centers for Medicare and Medicaid Services (CMS) quality measures, California Quality Improvement Program (QIP) and other regulatory and publicly reported data sets.
- Maintain experience and expertise in the use of Clinical databases and other quality data programs.
- Direct and supervise Performance Improvement and Quality Data Center staff in areas including, but not limited to data collection, analytics, dissemination (internal), submission of reports (external), and facilitating follow-up and development of action plans.
- Provide strategic planning and coaching for hospital leadership in performance improvement concepts and practical assistance with implementing performance improvement strategies PDSA: Plan, Do, Study, Act.
- Work with hospital departments and the medical staff to develop, manage, and monitor complex performance improvement programs, including conducting detailed studies and preparing reports with recommendations for new systems and procedures that impact multiple departments.
- Negotiate and resolve issues related to the implementation and evaluation of performance improvement projects.
- Analyze Joint Commission and other external regulations related to performance improvement for departments and committees.
- Monitor and analyze reports and present results to hospital executive committees and the governing body.
- Represent the Quality Management Department on hospital and medical staff committees; represent ZSFG and the Department of Public Health (DPH) at external meetings.
- Collaborate with San Francisco Health Network (SFHN) quality leaders to promote alignment with performance improvement strategic priorities.
- Bachelor's degree from an accredited college or university.
- Five (5) years of professional performance improvement and/or quality management experience, three (3) of which must include supervising professionals.
- Additional qualifying experience may substitute for the required education on a year-for-year basis up to a maximum of two (2) years.
- Possession of a master's degree from an accredited college or university.
- Knowledge of regulations and requirements related to: Title XXII, The Joint Commission, CMS Conditions of Participation, and other healthcare quality organizations.
- Verifiable work experience in hospital-based Performance Improvement.
- LEAN Certification or an in-depth knowledge of A3 Thinking.
- Advanced level skills with the Microsoft Office suite: Word, Excel, Access, and PowerPoint.
- Intermediate level skills with Power BI and Tableau data management programs.
- Understanding of hospital quality data and regulatory reporting and management of complex computer data systems.
Candidates who qualify will be invited to participate in a Supplemental Questionnaire (SQ) Examination that is designed to measure the knowledge, skills, and abilities in job-related areas which may include but not be limited to: Knowledge of theories, principles, and techniques related to performance improvement applicable to healthcare settings, ability to develop and present complex metrics to stakeholders, Experience in health systems quality improvement and program implementation, and ability to manage and direct staff.
Candidates must achieve a passing score on the Supplemental Questionnaire exam in order to continue in the selection process. Candidates will be placed on the confidential eligible list/score report in rank order according to their final score.
