REPORTS TO: Chief Medical Officer and Chief Executive Officer
Job Summary: The Director of Quality works across all Agency sites cooperating with Medical and Operations staff to balance organizational needs and resources to establish an organizational standard of practice for quality assurance, risk management, and audit readiness. S/he is accountable and responsible for planning, evaluating, and making corrective activities for ongoing quality assurance, spread of projects, and sustaining on-going projects. Additionally, the Director of Quality will develop, maintain, and update policies and procedures related to quality assurance, risk management, and clinical safety. S/he will assure that appropriate staff are trained and signed off on required safety and risk management policies. In collaboration with the site personnel, the Director of Quality will establish standards of practice consistent with health plan and safety net standards or other standards set by the Board of Directors, monitor performance across sites, and organize educational training that supports quality management.
Specific Tasks/Duties Include:
Lead the organization-wide Quality Assurance Committee, including accountability for progress on QA projects.
Lead PCMH readiness team; accountable for achieving PCMH designation, completing reporting requirements and implementing any corrective action plans.
Responsible for successfully passing external audits and regulatory requirements such as health plan audits, CHDP, clinic licensure requirements, CLIA waiver, immunization audits, etc. in conjunction with Director of Clinical Operations.
Responsible for clinical policies and procedures related to quality assurance: maintain, update, implementation, ongoing training, and verification of competency, as needed for support staff.
Lead the collaborative effort to meet all Quality Improvement Performance measures established by Health Plans and the achievement of Meaningful Use targets.
Work with individual health centers to assure they are conducting and documenting high-value quality assurance and activities that are aligned with organizational goals.
Other tasks as assigned to support UMMA’s quality goals.
Lead the organization-wide Quality Improvement Committee, including accountability for progress on QI projects.
Assist sites in the management of quality improvement projects.
Work with individual health centers to assure that they are conducting and documenting high-value quality improvement meetings and activities that are aligned with organizational goals.
Support pilot projects at clinic sites and evaluate for best practices.
Promote and support spread of best practices for cross-organizational development and sustainability.
Assist with development of Board Quality Improvement Plan on a periodic basis and support CMO and Site Leaders to implement the plan at the clinic level.
Interaction and coordination with health plans to meet quality goals and initiatives.
RISK MANAGEMENT and CLINICAL SAFETY
Lead organization-wide Risk Management Committee.
Responsible for managing, documenting, and responding to variance and sentinel events including appropriate corrective action plans.
Track and report on variance trends to support organizational improvement.
Oversee the patient grievance response process at each health center; manage and track patient grievances that are escalated to central administration.
Responsible for policies and procedures related to risk management, clinical safety and infection control: maintain, update, implementation, ongoing training, and verification of competency, as needed.
Responsible for meeting requirements related to infection control.
The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
Degree in Nursing, Masters in Public Health, or Health Care Administration or equivalent experience.
Graduate degree highly preferred.
Experience with eClinical Works (our practice electronic medical record system)
Minimum of three years’ experience in an administrative or leadership role.
Minimum of three years’ experience in a Community Health Center setting or equivalent experience in ambulatory care quality preferred.
Experience managing or assisting certification processes preferred.
Experience in LEAN (system process)
Knowledge and Skills:
Expertise in running reports and gathering data in eClinical Works
In depth knowledge of community health center/ambulatory care regulatory requirements.
Commitment to health care for underserved populations.
Strong interpersonal and ability to lead through influence.
Excellent verbal and written communication skills.
Ability to work with people with a variety of backgrounds and educational levels.
Ability to work in a highly dynamic, mission-driven environment.
Skillful in change management processes.
Excellent work ethic.
Ability to transform vision to reality.
Excellent computer skills.
While performing the duties of this job, this position is frequently required to do the following:
Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
Communicate effectively in person or via telephone in a manner which can be understood by those with whom the person is speaking, including a diverse population.
Give and follow verbal and written instructions with attention to detail and accuracy.
Perform complex mental functions and basic arithmetic functions; interpret complex laws, regulations, and policies; collect, interpret, and/or analyze complex data and information.
Vision: see details of objects at close range.
Coordinate multiple tasks simultaneously.
Reach forward, up, down, and to the side.
Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
Lift up to 20 pounds.
Travel to other office and community locations.
Internal Number: 0001
About UMMA Community Clinic
Founded in the wake of the Rodney King uprising by Muslim-American medical students from UCLA and Charles Drew University, UMMA Community Clinic is a two-location Federally Qualified Health Center (FQHC) that offers comprehensive physical and behavioral health services to the South Los Angeles community. Our mission, to serve those in need regardless of their ability to pay, is redefining health care by applying the ethical, financial and social teachings of Islam to the problems of caring for the underserved.