Quality Program Manager

Description

The Quality Program Manager is responsible for maintaining and improving the following quality improvement programs: NCQA Patient-Centered Medical Home, Meaningful Use Requirements, UDS Clinical Quality Measures, Health Plan and Paid-for-Performance Quality Incentive Program Measures, monitoring and working the Health Plans member rosters, and any other programs deemed essential for quality by Tri-Cities Community Health. In maintaining and improving these programs, the Quality Program Manager will gather data and report compliance and progress to the Quality Committee. The Quality Program Manager actively engages with the clinical teams and leadership in education and workflow processes to improve all our quality programs.

Essential Functions

• Coordinates, implements, and documents TCCH’s quality/performance improvement program on an on-going basis, ensuring that it is consistent with the requirements of governmental agencies such as HRSA, health plans, and other accrediting agencies or associations that TCCH participates in.
• Work with management on the annual quality/performance improvement plan and submit it to the TCCH Quality Committee.
• Schedules and coordinates quality committee and subcommittee meetings and prepares agendas for the meetings. Collects or coordinates the collection of quality improvement data related to metrics, trends, and outcomes to present to committees. Arranges for collection of meeting minutes.
• Supervises the Continuous Quality (QI) Improvement activities of the clinical record with practice sub committees of the QI program.
• Ensures that the quality improvement program is designed to meet the various regulatory, health plans, and other accrediting agencies that TCCH participates in.
• Evaluates the quality improvement program to assess effectiveness.
• Works with All Health Plans to meet quality expectations in the contracts.
• Attend all meetings with the Health Plans.
• Ensure the rosters of each Health Plan are maintained and used to meet our quality expectations set by the Health Plans.
• Report progress on each Health Plan Paid-For-Performance reports up to the Quality Committee
• In coordination with the site mangers. Ensure staff understand processes in place to meet the quality measures.
• Work on process improvement with the staff and leadership in order to achieve quality goals.
• Oversee the patient satisfaction survey process, report the results, and provide input on what can be done to increase the level of patient satisfaction.
• Communicates with other managers the required survey sample size needed for reporting purposes, Monitors and records the survey results received.
• Prepares monthly and quarterly patient satisfaction survey results along with patient comments.
• Communicates the results of the surveys on a quarterly basis to Quality Committee.
• Assist Directors, Managers and Site Leadership in developing process improvements to meet any of TCCH’s quality program requirements.
• Support and/or perform reporting requirements to any outside agency to meet quality program requirements. (Examples: HRSA/Grant renewal reporting, UDS reporting, All Health Plan Paid-for-reporting plans)
• Actively pursues and takes advantage of educational opportunities to further his/her knowledge of areas of responsibility or to become a more effective manager.
• Shares information with peers and staff in formal in-service programs or during team meetings.
• Supervises and participates in development/implementation of Critical Pathways/patient outcome plans.
• Attends and participates in TCCH committees and subcommittees as directed.
• Acts as a resource for clinical managers and staff.
• Supports Site Managers with training and development of Community Health Workers, including assisting with the development of performance standards and goals.
• Is responsible for the fiscal management of the department and ensures the proper utilization of the organization’s financial resources.
• Develops and monitors budget to stay within budget guidelines.
• Effectively utilizes resources within an established budget.
• Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
• Interacts with all of the above in a considerate, helpful, and courteous manner
• Fosters mature professional relationships with fellow employees in a courteous, friendly manner, as measured by management observation and peer input.
• Maintains professional composure and confidence during stressful situations.
• Maintains open communication using appropriate chain of command regarding issues.
• Conducts all work activities with respect for the rights and wishes of patients, visitors, families, and fellow employees.
• Presents neat appearance in proper attire and identification, as required by the position, department, and home and community services division policy.
• Displays a positive attitude within the department and across departmental lines.
  
  

Requirements

Minimum Education: Bachelor’s Degree in healthcare field preferred. Equivalent relevant experience in lieu of degree is acceptable.

Minimum Work Experience: 2 years’ experience working in a healthcare facility required. Experience in quality improvement and management in a hospital or ambulatory setting preferred. Experience in quality improvement in a Federally Qualified Health Center highly preferred.

Required Licenses/Certifications: N/A

Required Skills, Knowledge, and Abilities: High level of knowledge in quality of care standards and regulations, in areas such as HRSA, MCO’s, and PCMHs. Experience in developing, implementing, and enforcing quality of care standards and regulations. Very strong communication, analytical, and interpersonal skills. Computer literate and able to review and analyze data in electronic format.