Quality & Population Health Dept Manager

JOB TITLE:

Quality and Population Health Department Manager

FLSA STATUS:

Exempt

DEPARTMENT:

Quality and Population Health

SUPERVISED BY:

Chief Operating Officer

I. POSITION FUNTION SUMMARY

Under the direction of the Chief Operating Officer (COO), the Quality and Population HealthDepartment Manager serves in a leadership and infrastructure role across the organization by specializing in patient care processes, clinical workflows, and utilization of the electronic health record to accurately and efficiently document healthcare services provided and maximize reimbursement from payors. The informaticist provides timely and high-quality reports in a variety of formats and leads the analysis, development, implementation, and on-going evaluation of clinical information for both staff and leadership audiences. Participates and assists in data integrity analysis, data capturing and software implementation update on an on-going basis. Provides training and support to end-users to obtain optimal use of electronic health record and practice management software. The Informaticist drives transformation through careful analysis of metrics and existing data with current clinical processes and proves effective workflow design through the utilization of change management strategies and project management while leveraging available resources. The Quality and Population HealthDepartment Manager utilizes internal and external resources to maintain up to date knowledge of current trends and issues in healthcare, healthcare informatics, training techniques, regulatory standards and organizational policies and procedures.

II. ESSENTIAL DUTIES AND RESPONSIBILIES

This position may have various work assignments within HICHC. This description is intended to be generic in nature, and as such it does not detail all duties and responsibilities of the job assignment. Various duties, responsibilities and accountabilities may be assigned to an incumbent in this position depending on clinic needs, and may include but not be limited to the following:

• Works with a wide variety of staff at all levels to identify the cause of data gaps and find a solution through the evaluation of all levels of data entry, collation, and reporting. Leads multidisciplinary groups and provides system level leadership to champion organizational changes from inception to culmination. Identifies barriers to change and accepts and manages ambiguity/complexity.
• Develops and maintains system wide health informatics policies and standard operating procedures. Liaises with managers and staff to ensure appropriate business practices/processes are being followed.
• Understands organizational workflows and promotes optimal use of EHR application to capture all relevant information in a manner that can be evaluated and reported.
• Collaborates with clinical management and multidisciplinary team members to assess and continually improve effectiveness and productivity of clinical workflows with software programs.
• Ensures the implementation of continuous quality control processes and deliverables by meeting with leadership and quality improvement teams to review current needs and identify workflow and/or software issues and propose solutions.
• Supports innovation in clinical practice, care delivery systems, and healthcare business operations by staying current through literature and continuing education in healthcare informatics and care delivery. Disseminates and incorporates research findings to improve clinical operation in alignment with organizational goals and objectives.
• Effectively uses, interprets, applies, and communicates data and information from multiple sources. These data sources include financial reports, clinical and service quality data, human resource data and information from external sources such as third-party payors and public health data.
• Provides support and coaches clinical management and supervisors in effective process analysis and improvement techniques and in using data to assess and improve clinical performance.
• Coordinate and lead patient data integrity initiatives; facilitate collaboration and coordination among stakeholders; establish key contacts at each site; develop communication plan; define and maintain reporting requirements; define and maintain auditing requirements.
• Communicates any risk in data reporting or storage to leadership promptly and effectively.
• Proactively runs reports to identify data integrity discrepancies and monitor incomplete or incorrect records.
• Assists in the identification and investigation of data issues. Redirects issues to appropriate staff to follow up.
• Maintains an 'issues and problems' log associated with resolving data integrity issues and following up with appropriate staff.
• Evaluates software utilization by individuals, teams, departments, and organization to determine effectiveness, accuracy, and consistency. Maintains records and tracking tools and communicates pertinent feedback to clinical leadership.
• Plans, organizes, and conducts or participates in technical training programs inclusive of all applicable clinical and support roles. Identifies staff training needs based on data analysis and works with clinical leadership to develop appropriate training materials and processes to optimize EHR use.
• Provides assistance and advice to staff on data changes to ensure integrity of data collection. This includes ongoing site support and retraining.
• Assists in quality-of-care reporting for P4P, MU, HEDIS, etc. as determined by the clinical leadership/executive team.
• Oversees UDS compliance and assists in the facilitation of PCMH standards.
• Builds an effective network of internal and external resources to facilitate the provision of services as an FQHC with the unique population served, current software applications and reporting requirements.
• Performs periodic data integrity reviews of the systems as required and ensures requirements are met for data integrity and reporting. Follows up with appropriate stakeholders including the vendor.
• Stays abreast of any changes in data collection requirements both local and national as well as other jurisdictional client identity initiatives, EMR data quality and primary care data elements and reference sets and provides recommendations to the HICHC management.
• Liaises with Network/software support company and HICHC when upgrade or enhancement projects that incorporate changes in data quality capture or data elements occur.
• Acts as PCMH manager for HICHC. Responsible for coordination of PCMH transformation and continuous sustainability of all PCMH standards for the organization.

• Performs other duties consistent with the position and in compliance with HICHC policies and procedures as assigned.

III. POSITION SPECIFICATIONS

Requirements of Position

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience

• This position requires a Master of Science degree.
• Five (5) years of experience providing direct patient care in acute care or ambulatory setting.
• One (1) year of change management, Clinical informatics, project management, quality improvement and/or data analyst experience.
• One year of leadership experience in a clinic setting with in FQHC preferred.
• Experience with data analysis, quality, and validation methods/tools.
• Knowledgeable in data profiling, root cause analysis, and quality improvement.

Licenses and Certifications

• Must have current, valid, RN license in the State of Hawai'i.
• Must obtain American Nurses Credentialing Center (ANCC) Clinical Informatics certification within 18 months of hire.
• Must maintain current BLS certificate.

Knowledge, Skills and Abilities

• The Quality and Population HealthDepartment Manager must be familiar with the community health care field and must have a sound understanding of and ability to apply leadership and management principles and methods. Additional knowledge and skills important to this position include but are not limited to:
• Knowledge and understanding of eHealth Information Systems.
• Proficient in use of the electronic health record (electronic medical record) to record and retrieve patient health information, obtain reports, and evaluate documentation and associated charges.
• Demonstrates knowledge of the principles of growth and development over the life span.
• Strong project management, written, verbal, presentation skills.
• Ability to be flexible and work both independently and in a team environment.
• Interpersonal relations and customer service skills; facilitating interdepartmental, inter-clinical operations.
• Knowledge of the applicable administrative standards, rules, and regulations.
• Good organizational and self-management skills, including time management, document handling and management, etc.
• Excellent computer skills, including word processing, spreadsheet, and database applications.
• Understanding and proficiently use systems and programs to investigate and resolve data integrity issues, including running and analyzing reports.
• Demonstrated skill and knowledge of computer systems including but not limited to word processing, spreadsheet, database, and electronic communication software applications.
• Ability to pay attention to detail, maintain accurate records, and maintain confidentiality.

Language Skills

• Ability to read and interpret documents such as government regulations and guidelines, patient records, operating and maintenance instructions, procedure manuals, etc.
• Ability to write at an above average level of competence, including internal reports and memoranda.
• Ability to communicate with diverse groups of people to include staff and providers and patients.
• Ability to communicate effectively with patients and their families to make their visit a pleasant experience.
• Sensitivity to the multicultural nature of the service area population and may be required to communicate in another language.

Personal Characteristics

Personal characteristics include: a team player, high integrity, multitasker, communication and customer relations skills, regular work attendance, courteous and friendly, able to work well with diverse groups of people, gain and maintain the respect of others, accept HICHC mission and values.

Confidential and Sensitive Information

Because the employee has access to personal and professional data regarding individual employees and their families, personal data regarding individual patients and the families, and/or sensitive company financial data, an essential job result is the maintenance of a high level of confidentiality of the information processed by the employee. Violation of this confidence may result in disciplinary action, up to and including termination of employment.

IV. PHYSICAL CHARACTERISTICS/WORKING CONDITIONS

General Remarks: The work environments described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential tasks and functions.

Environment: Noise level in the work environment is low to moderate. There are no known environmental hazards on the premises. Work environment is often stressful and may be subject to frequent interruptions. Work is in the office. Occasional travelling off site may be required. Incumbent may be exposed to patient's conditions and some unpleasant sights, smells and contagious diseases including virus, disease and infection from patients and specimens in working environment. All employees are offered the opportunity to receive the Hepatitis B vaccination series.

Equipment Use: Telephone system and office equipment including but not limited to computer, printer, facsimile machine, copier and general office supplies.

Work Hours: This position is exempt under the provisions of the Fair labor Standards Act (FLSA) and is not subject to the policies and procedures pertaining to overtime hours and premium pay. The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. In order to ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.

Mental Demands: Duties require attention to detail, alertness, problem solving, tolerance to stress and exercising sound judgement. Duties require high tolerance and adequate coping skills for dealing with loss, grief, and bereavement. Good stress reduction and management skills are essential.

V. REMARKS

The foregoing position description is not all-inclusive of the duties that may be assigned to the employee. To ensure maximum flexibility and efficiency and to encourage cross training, employees will be assigned additional duties as deemed necessary or desirable by HICHC.