Scope of Position

The Ohio State University Wexner Medical Center is committed to enhancing the quality of care provided to patients. The Quality Program Coordination Lead establishes and monitors consistent commitment to standards to satisfy specific internal, regulatory or other requirements. Provide oversight for quality programs so that optimal quality of care and the highest level of patient outcomes can be achieved.

Position Summary

Under the direction of the Associate Director, Ambulatory Quality Program Coordination, the Lead coordinates, designs and maintains quality programs and ensures compliance with regulatory and other requirements; directs and coordinates mechanisms to help identify and prioritize ongoing opportunities for improvement; collects, analyzes and reports meaningful quality metrics; recommends and facilitates strategies for improvement; monitors effectiveness of improvement strategies; validates sustained improvement over time and provides training and education on quality programs. The Lead may collaborate with clinical staff to review current practices in order to improve patient outcomes and enhance safety and may work with multidisciplinary teams to identify gaps in care and facilitate the clinical process improvement process to ensure clinical goals and outcomes are obtained.

Duties and Responsibilities

Quality Leadership and Integration

• Ambulatory Quality Program facilitation, including review of key performance indicators compared to national benchmarks, processes related to workflow and data capture, and change management implementation.

• Ensures accurate performance can be captured and benchmarked to identify areas of strength as well as opportunities for improvement. Works closely with teams to implement changes, monitor and communicate progress, and provide subsequent quality reporting to Leadership.

Quality Management & Performance Improvement

• Use performance improvement and change management methods to support clinical quality initiatives, improve performance, and achieve organizational goals.

• Strategically plans and implements quality management and performance improvement projects with clinical and service line leadership based on enterprise priorities.

• Ensures the delivery of patient care within the framework of evidence-based practice across the health system continuum.

Health Data Analytics

• Leverages internal and external data sources to help guide data driven decision making and inform quality improvement initiatives.

• Offers leadership and expertise to design data collection plans for key metrics and performance indicators, set organizational goals, and evaluate program effectiveness.

• Conducts analysis of internal patterns and trends, and comparison to national benchmarks, to identify areas of strengths and opportunities for improvement.

Administrative Direction

• Plans, organizes, and manages departmental functions. Develops and implements short- and long-term goals and objectives to include integration with medical center goals.

• Analyzes utilization of human and financial resources. Forecasts needs, project costs, investigates trends and variances, and prepares statistical data and reports.

• Assures that departmental administrative functions are performed, and that staff supervision and evaluation occur. Interviews, selects, and trains staff. Gives immediate direction to Quality staff. Evaluates departmental workload and responsibilities. Monitors departmental quality management and productivity standards. Enhances staff education and job satisfaction.

• Manages contracts, vendor relationships and serves as a liaison between vendors, national registries, legal services, and purchasing

Quality Review and Accountability

• Direct activities that support compliance with voluntary mandatory and contractual reporting requirements for data acquisition, analysis, reporting, and improvement.

• Direct organization-wide processes for evaluating, monitoring, and improving compliance with internal and external requirements related to quality and patient safety.

• Offers leadership and expertise related to current and emerging payment models to healthcare quality.

• Oversee the activities to execute quality measure requirements and reporting.

• Implement process to facilitate practitioner performance review activities.

• Expert knowledge of federal rules, external regulatory requirements and regulations to ensure compliance with the TJC, CMS, ODH, and other regulatory agencies associated with healthcare accreditation, regulation, and reimbursement.

• Advises and updates administration and the medical staff on new and modified regulations and requirements of State and Federal agencies and the TJC

• Plans and prepares for accreditation surveys and evaluation

Minimum Qualifications

• Bachelors degree in health-related specialty or equivalent combination of education and experience.

• 6 years of relevant experience required. 8-12 years of relevant experience preferred.

Our Comprehensive Employee Benefits Include

• An array of retirement plan options, each with a generous employer contribution.

• Affordable health insurance options, including dental, vision and prescription coverage that begin on day one.

• Paid vacation and sick leave, including short and long-term disability and paid parental leave.

• Get the most out of the Public Service Loan Forgiveness program.

• And much more!

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