Quality Improvement Coordinator

General Summary:

The Quality Improvement Coordinator oversees all South Central Primary Care activities related to ensuring that patient care meets the highest quality standards and continuously identifies opportunities to enhance outcomes.

Employment Status:               Full-time Salaried – FSLA Exempt Status

Essential Duties and Responsibilities:

• Studies the requirements and guidelines involved in creating office policy and procedures necessary for adherence to requirements for the UDS measures, PCMH, ACO, and Meaningful Use.
• Ensures adherence to industry standards and regulatory requirements.
• Uses the registry and other data analysis tools to create reports necessary for these entities.
• Chairs the Quality Assurance Committee.
• Conducts training to educate staff on quality standards, best practices, and process improvements.
• Directs Patient Satisfaction Surveys and Provider Chart Reviews.  Also, reviews patient feedback, addresses complaints, and implement strategies to improve satisfaction and safety.
• Preforms audits, investigates non-conformance issues, and maintains documentation of quality processes.
• Works closely with multidisciplinary teams, including managers, clinical staff, and external stakeholders, to facilitate continuous improvement initiatives.
• Uses quality improvement methodologies and AAAHC PDSA cycles to optimize workflows, reduce errors, and enhance efficiency.
• Monitors for issues related to privacy and HIPPA compliance.
• Serves as the HIPAA Privacy Officer.
• Assists in investigation and resolution of quality-of-care complaints.
• Works with CEO and CMO on developing clinical goals. Performs computer-based statistical analysis of data related to the Quality Improvement (QI) program.
• Performs analysis to determine statistically significant trends in the data compared to standards and recognized benchmarks.
• Evaluates reports for accuracy of data. Presents the QI report to the Board members at their monthly meeting in a clear and understandable manner utilizing appropriate visual aids.
• Manage web portal messages.
• Oversee Referral, Labs Orders, and Hospital Follow-ups for the organization.
• Serves as director for Chronic Care Management services.
• Leads and participates in special projects, as directed.
• Performs other duties as assigned.

Essential Skills and Experience:

• Able to work unsupervised as an individual or in a group.
• Be a good team leader.
• Knowledgeable of the quality of care given at each site.
• Strong critical thinking and problem-solving skills.
• Ability to maintain confidentiality in all aspects of the job.
• Ability to manage multiple tasks with frequent interruptions.
• Ability to manage multiple priorities.
• Ability to diffuse and manage volatile and stressful situations.
• Be skilled in preparing and maintaining records and writing reports.
• Have good data collection, analysis, and interpretation skills.
• Ability to communicate, interact and work effectively and cooperatively with all people including those from diverse ethnic and educational backgrounds.
• Skills in applying and modifying the principles, methods, and techniques of medicine.

Qualifications:

• Requires certification of graduation from a school of nursing and a Georgia RN license preferred.
• 2 years of experience in Quality Improvement preferred.
• Extensive knowledge of eClinicalWorks required or Super User training preferred.
• Knowledge of Federally Qualified Health Centers or Primary Health Care policies and procedures is desirable.
• Strong Computer Competency.
• Ability to work within a team-based structure.

Physical Requirements:

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to satisfactorily perform these essential functions without causing undue hardship for the employer.

• Full range body motion that includes handling and lifting patients, manual and finger dexterity and eye-hand coordination.
• Sitting, standing, and walking for prolonged periods of time.
• Occasionally lifting and carrying items weighing up to 50 pounds.
• Normal or corrected vision and hearing to normal range.
• Exposure to communicable diseases and bodily fluids.
• Ability to respond rapidly to potential security and/or medical codes/issues.
• Remaining awake and alert while on duty for 8 or more hours per shift.

Typical Working Conditions:

• Incumbents work in a fast-paced office environment requiring travel to facilities.
• Frequent contact with staff, patients, and the public.

HIPAA Disclosure:

This position has access to systems and/or services that contain protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996.  Additionally, the position ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and the supporting GAPHC policies and procedures.

Travel Requirements:                        Travel to other organization sites and/or meetings as needed.