Director of Quality

Supervisor: Reports directly to the COO and the CMO

Job Summary and Responsibilities:
This position is responsible for monitoring HRSA Clinical Objectives and working with
Patient Centered Medical Home implementation alongside the director of Clinical Services.
Other duties include performing policy review, FTCA, HIPAA, and OSHA compliance.
The employee will be responsible for maintaining required employee health documents,
facilitating QA/QI monthly meetings and tracking and implementing PDSAs. Working
with the CIO and the Director of Risk Management on policy and procedure is also a
required duty. Monthly reviews of UDS clinical measures will be done by this person.
Working closely with the COO, CMO and the Director of Clinical Services duties include
ensuring that High Country Community Health remains compliant within UDS health
measures.

Specific responsibilities include:

Quality Initiatives and Quality Assurance: Assurance of implementation of
QI plan working closely with the CMO and COO
Facilitates all QI/QA monthly meetings
Reviews Clinical Performance Measures monthly
Must be willing to travel to all HCCH medical sites
Tracks and reviews all patient and employee incidents
Provides education on performance improvement as necessary for clinical
staff and providers
Directs QI activities, compiles data using appropriate sampling techniques
Analyzes and interprets data to determine quality of patient care and to
identify problems, patterns, and high-risk activities
Works closely with Director of Clinical Services/IT/Software staff and EHR
team
Disseminates data and results of quality improvement activities in a timely
and actionable format
Implements and maintains PCMH certification.
Identifies training needs; trains on purpose, scope, administration, and
practice of QI

Supervision of the QI department and all relevant staff, including QI
assistant, Risk Management Specialist, and Data Specialist
Supervision of the Population Health program

Knowledge:
1. Knowledge of TQM (Total Quality Management) concepts, methods and tools,
including understanding of utilization review
2. Comfortable with NCQA PCMH, HEDIS, utilization management and risk
management and other national quality programs.
3. Knowledge of how to use computer applications including spreadsheet software.
4. Knowledge of medical records and documentation of clinical care.
5. Must have a working knowledge of data management, computers, telephones, and
typical office machines and equipment
6. Must maintain effective written, oral, and interpersonal communication
7. Knowledge of care management/care coordination
8. Ability to communicate knowledge effectively both verbally and in written form
9. Ability to work effectively as a member of interdisciplinary teams
10. Ability to plan, prioritize and organize time appropriately
11. Able to manage both short term and long-term projects, as well as multiple
projects, achieving milestones and deliverable in a timely fashion
12. Skilled in understanding of analytical methods and statistical software packages
by developing appropriate reports
13. Must feel comfortable speaking to large and small groups of people.