Department: Quality Management SRH
Exempt: No
Schedule: DAYS
Position Type: Full Time 0.6 FTE or More
FTE: 1.000000
Base Wage: $ 31.77 to $ 47.66
Location: Skagit Valley Hospital
The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
Other information:
Job Summary
The position will monitor, manage, submit, and ensure successful reporting of CMS and Washington State quality reporting programs such as Promoting Interoperability, Inpatient Quality Reporting Program (IQR), Outpatient Quality Reporting Program (OQR). This person will need to understand and interpret Quality program requirements, navigate the EHR (Epic) and Safety Reporting System (Midas), and communicate these reporting initiatives to teams. This person will analyze and articulate SRH performance and recommend areas for improvement while promoting a culture of safety and SRH mission. The position is responsible for escalating any critical issues to the appropriate leader, meeting submission deadlines, and supporting organizational quality objectives including the administration of Midas and other regulatory and accreditation supporting quality reporting systems.
Essential Functions
Plans and executes quality program tasks. Develops work plans, summaries, and communicates as needed to meet program objectives. Responsible for planning, tracking, and managing all activities of the program(s). Prepares status reports, SRH performance summaries, and program/measure recommendations as needed to stakeholders and governance. Gives guidance for performance improvement activities associated with program measures when applicable. Serves as a liaison between quality, leadership, IS and other staff as needed to maintain the quality program objectives and educate where information is needed about the programs. Able to read and understand the federal register documents as well as research and follow through where any gaps or interpretations are needed. Utilizes all resources available and uses critical thinking skills and creative approaches to work through obstacles. Learns, understands, and assists with workflows within the EHR as necessary to meet program objectives. Consults with analysts, trainers, clinical application specialists to understand processes, data collection, report details, and other aspects associated with quality program objectives. Validates measure capture or assists with validation. Assists with potential program penalty and incentive analysis. Incentive payment tracking. Final attestation and program data submissions. Promotes a culture of safety. Maintains project documentation including resources used, decisions made, outcomes and agreements. Builds audit files for submitted data. Assists with Safety Reporting System and Press Ganey administration and database management tasks in support of reporting. Exercises caution on behalf of the organization while meeting regulatory compliance. Maintains up to date knowledge of regulatory program changes as they transform to newer models and communicates upcoming changes to leadership, allowing SRH to evolve and plan for the upcoming changes. Complies with SRH policies and procedures. Performs other duties as assigned by Director or Designee. Attend and actively participate in all department, team and/or committee meetings. Complies with all Skagit Regional Health, department and location specific policies and procedures.
Education
Bachelor degree in Business, Finance, Computer Science, Information Systems or other related area preferred.
Experience/Training
Minimum of 4 years of health care management or Quality/Population Health/Performance Improvement experience is required. Certified Professional in Healthcare Quality (CPHQ) required within first 2 years.
License/Certifications
Project Management Professional (PMP) Certification preferred. Experience with Midas strongly preferred. Experience with hospital inpatient and outpatient regulatory programs strongly preferred.
Other Skills
Strong verbal, written and interpersonal communication skills. Strong critical thinking skills. Highly motivated and able to take initiative. Ability work effectively with a team and communicate program details (written and oral). Ability to look ahead and perceive potential barriers and develop a plan to prevent difficulties. Demonstrated organizational and communications skills (written and oral). Use of an electronic health record system and strong Microsoft Office (Excel, Word, PowerPoint) are required.
Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for long periods of time; when working in office. Repetitive tasks such as typing, sitting, answering phones, and interacting with computers and computer systems most of the day is a function of the position. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus. This position requires working in an indoor, environmentally controlled environment when in the office but will also assist in occasional on-site surveys requiring travelling to an SRH site, walking throughout SRH premises, and standing for most of the day.
Skagit Regional Health offers a comprehensive benefit package including medical, dental, vision, 457b/401a (retirement), long term disability, and paid time off to all employees holding an FTE of 20 or more hours per week. Eligible employees also receive sick time pay.
