Director of Quality Management
3 weeks ago
About NYC Health + Hospitals
NYC Health + Hospitals/Gotham Health is one of the largest Federally Qualified Health Center (FQHC) in the country, providing coordinated world-class primary and specialty care with dignity and respect for all New Yorkers, without exception. At Gotham Health, we practice a person-centered caring culture that values delivering compassionate, quality healthcare in partnership with our patients, community organizations, and staff. Gotham Health is focused on high-quality, affordable care to everyone regardless of ability to pay or immigration status. Gotham Health serves the community through a two-pronged approach: providing treatment to those who need it while at the same time emphasizing prevention. We strive to deliver services in a way that maximizes each patient's opportunity to achieve successful health outcomes, we believe in every person's right to participate in their care plans, we facilitate partnerships with other community resources to meet the needs of our patients beyond healthcare, and we celebrate and recognize the compassionate care of our committed staff.
Job Description
PURPOSE OF POSITION
The Senior Director of Quality Assurance and Performance Improvement will play a crucial role in the quality efforts of Gotham Health, the nation's largest Federally Qualified Health Center. This position will oversee the quality assurance functions, including presenting to the Gotham Board and Quality Assurance Committee the clinical performance of Gotham Health, including quality indicators, patient complaints/grievances and compliments, results of regulatory surveys, patient and staff satisfaction results, issues with environmental safety, risk management issues, employee and patient occurrences, and the credentialing process.
SUMMARY OF DUTIES AND RESPONSIBILITIES
- Oversee the quality assurance functions, including presenting to the Gotham Board and Quality Assurance Committee the clinical performance of Gotham Health.
- Provide advisory guidance to Gotham Health site administrators, medical directors, and clinical staff related to performance improvement activities, informed by quality metric reporting, with focus on improving patient care.
- Manage a staff of performance improvement advisors to design, develop, execute, and evaluate quarterly performance improvement activities chosen by Gotham Health and per the Quality Assurance/Performance Improvement (QAPI) Committee of the Board of the Directors for NYC Health + Hospitals.
- Prepare summaries of QAPI Committee board reports for Gotham Health's QA Committee, identifying trends, best practices, and areas for follow-up.
- Prepare and monitor Gotham Health's annual performance improvement plan as required by HRSA and NYC Health+ Hospitals.
- Monitor indicator data across Gotham Health using existing data platforms in order to assist in developing strategies for improving patient satisfaction efforts.
- Monitor patient satisfaction data and patient complaints/grievances across Gotham Health in order to assist in developing strategies for performance improvement around care experience.
- Monitor QARR results of Gotham Health in order to develop strategies to increase performance and maximize revenue capture.
- Monitor performance of population health indicators as reported by federal, state, and insurance companies in order to develop strategies for improvement.
- Be aware of and identify incentive payment opportunities from insurance companies that improve Gotham Health's financial sustainability and quality of care and oversee a staff focused on managed-care incentives.
- Work with Gotham facilities to further enhance their QA/PI internal committees to focus on performance improvement activities, involving front line clinicians and staff.
Minimum Qualifications
1. Master's degree from an accredited college or university in Quality Management, Hospital Administration, Health Care Administration, or in a related health care specialization; and five (5) years of experience in the development of organizational strategies and implementation of staffing plans, regulatory survey preparation and compliance, and in performance improvement and/or continuous quality improvement (CQI) initiatives in a hospital or health care setting, three (3) years of which must have been in a responsible administrative, managerial or supervisory capacity; or,
2. Bachelor's degree in the disciplines as described in "1" above; and seven (7) years of related experience, as listed in "1" above, five (5) years of which must have been in a responsible administrative, managerial or supervisory capacity; or,
3. Bachelor's degree in the disciplines as described in "1" above; and two (2) years of clinical, patient care or equivalent experience in a hospital or health care setting, plus three (3) years of related experience, as listed in "1" above, one (1) year of which must have been in a responsible administrative, managerial or supervisory capacity; or
4. A satisfactory equivalent of education, training, and/or experience. Certified Professional in Healthcare Quality (CPHQ) may be substituted for one (1) year of experience, however, all incumbents must have at least a bachelor's degree and one (1) year of responsible administrative, managerial or supervisory experience, as described in "1" above.
Department Preferences
- Preference will be given to candidates with:
- Comprehensive knowledge of quality improvement and quality assurance principles and practices.
- Working knowledge of FQHC requirements, such as UDS, is strongly desired.
- Knowledge of principles and workflows for health care delivery systems generally.
- Ability to identify and implement clear plans including all necessary evaluation and follow-up reports.
- Ability to communicate effectively, timely, and constructively with all levels of staff from senior leadership to frontline health care team members in order to coach, assist, and promote a culture of improvement.
- Advanced skills in writing, spread sheets, and statistical analysis.
- Strong interpersonal, written and verbal skills, with the ability to deliver complex information in a manner that is understandable, transparent, and on a need-to-know basis and in forecasting potential areas of concern.
- Ability to structure and manage group processes and a track record of managing multiple team members.
- RN degree or higher-level nursing training (e.g., NP) or doctorate-level training (e.g., PhD, DNP, PsyD) with at least 5 years of progressively responsible experience in quality assurance and/or quality improvement activities, preferably in primary care.
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