Valley Healthcare System, Inc.

General

• Report to the Chief Medical Officer and provide leadership for Valley Healthcare System's organization-wide quality and performance improvement program
• Develop and revise the annual Quality Improvement program, evaluation, and work plan
• Integrate quality planning into organizational strategic and operating plans
• Develop a data-driven culture supporting compliance and continuous quality improvement
• Lead complex improvement initiatives and resolve strategically important quality issues
• Design, plan, and implement performance improvement systems
• Review processes, policies, and procedures; identify best practices and recommend changes
• Conduct quality audits related to Uniform Data System reporting, Patient-Centered Medical Home standards, HEDIS measures, Meaningful Use requirements, and other applicable programs
• Collect, prepare, trend, and analyze aggregate performance improvement and quality monitoring data
• Present data and findings to executive leadership, committees, and departments
• Review clinical documentation for completeness, accuracy, quality, and compliance
• Identify audit outliers and quality concerns; develop and monitor corrective action plans
• Research clinical standards, benchmarks, and evidence-based criteria
• Assist with provider documentation and quality audits at least twice annually
• Coordinate care-gap closure and payer quality initiatives for Medicaid and managed care patients
• Distribute and track patient appointment agendas and quality documentation from contracted partners
• Promote healthcare integration and Patient-Centered Medical Home principles
• Coach and support staff in completing quality improvement deliverables
• Provide consultation, technical assistance, and training on quality tools, methods, and measures
• Coordinate and provide functional direction to Data Analysis, Medical Records, and Risk Management personnel
• Consult with leadership, managers, providers, and staff on quality, compliance, risk, and performance matters
• Monitor regulatory requirements, professional standards, accreditation expectations, and industry practices
• Support compliance with federal, state, and local requirements, ethical standards, confidentiality guidelines, and HIPAA policies
• Identify methods to reduce organizational, clinical, and operational risk
• Serve on and lead meetings for the Quality Improvement Committee and Risk Management and Compliance Committee
• Develop strategic partnerships and seek funding to strengthen quality management programs
• Maintain quality management knowledge through continuing education and professional development
• Lead or assist with special projects assigned by the Chief Executive Officer or Chief Medical Officer

Quality Coordinator