Clinical Quality Improvement Specialist

Division : Eskenazi Health

Sub-Division : FQHC

Req ID : 24435

Schedule : Full Time

Shift : Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Exempt

Job Role Summary

The Clinical Quality Improvement Specialist is responsible for participating in and assisting with the development and implementation of appropriate methods of quality assessment / assurance / improvement and activities as part of the Quality Management Program. This position contributes to external programs and requirements associated with managed care contracts, HRSA and Joint Commission standards, CMS and NCQA programs. Proactively contributes to Eskenazi Health's mission : Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi values of P.R.I.D.E. (Professionalism, Respect, Innovation, Development and Excellence)

Essential Functions and Responsibilities

• Assists in the development, implementation, monitoring and effectiveness analysis of appropriate methods of quality assessment / assurance and quality improvement projects and activities as part of the Quality Management Program
• Interacts with all internal and external customers in a caring and respectful manner in accordance with our Core Values philosophy
• Serves as a subject matter expert for assigned quality measures and has general understanding of all quality measures
• Cofacilitates and supports multiple projects / programs simultaneously including but not limited to outreach, process improvement, external incentive, recognition programs, or contracted programs and adoption of standards of work (SOW)
• Serves as content expert and educates customers on assigned programs (ex : HEDIS, MIPS, PCMH, pay for performance, UDS). Collaborate with colleagues to ensure successful completion of assigned project(s).
• Works with direct supervisor to coordinate initiatives aimed at meeting or exceeding clinical performance measure targets
• Leads internal customers through implementation and management of clinical quality best practices including the process of hard wiring, identifying sustainability opportunities and metrics, identifying opportunities to create new or change existing best practices and ensuring compliance with regulatory and safety standards
• Develop materials and communications to assist with implementation of the quality program including but not limited to cultural and language sensitive patient materials, newsletters, SharePoint page, posters, audit tools, visual aids, presentations, workflows, etc.
• Coordinates and conducts formal presentations and training to various levels in the organization and externally
• Assists in medical record reviews and quality control reviews include participation in the data collection process for HEDIS and other performance measures and on-going audits to ensure data integrity and identify opportunities for improvement
• Supports quality department and internal partners through formal process improvement (PDSAs, LSS, DMAIC, SMART, etc), partners with community and external organizations to reduce barriers to care and collect voice of the customer
• Cofacilitates committee meetings
• Participates in site visits and audit requests, ensures on-going compliance with regulatory standards (ex : HRSA, FSSA)
• Responsible for development, implementation and adherence to the data governance process and uses data for decision making. Ensures data integrity, policy adherence, proper storage and utilization, and analysis of data to assist with improvement and monitoring of performance.
• Coordinates assigned quality and process improvement efforts which includes, but is not limited to quality studies, auditing, program maintenance, patient experience efforts, regulatory program, care coordination, monitoring and evaluating effectiveness of improvement efforts.

Job Requirements

Knowledge, Skills & Abilities

Accredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.

Nearest Major Market : IndianapolisPandoLogic. Category : , Keywords : Quality Control / Quality Assurance Specialist