PERFORMANCE IMPROVEMENT SPECIALIST

LE01 Whitman Hospital & Medical Clinics; United States; On-site; USD 56,000 - 98,000; Full time

Benefits offered by this job

Medical, dental, vision, life ins.

403(b) & 457 retirement options

Medical insurance on day one

Shift differentials (evening, night, &

PTO accrual increases with years of服务

Job summary

Whitman Hospital & Medical Clinics seeks a Performance Improvement Specialist to provide project management and analytic support for the quality improvement program. You will capture, validate, and report data to support improvement initiatives and lead process improvements approved by the Senior Director of Quality.

The role includes developing dashboards, analytics, and reporting, working with clinical teams and leadership to optimize value-based care and ensure regulatory compliance.

Qualifications

• Bachelor’s Degree in related healthcare discipline, Healthcare Informatics, or Public Health.
• Three (3)+ years in an acute care/clinical setting with data management, data analysis, and quality improvement experience.
• Experience with electronic health records or similar data sets.
• Proficiency with Excel, Access, SQL or similar statistical software.
• CPHQ certification within 2 years.

Responsibilities

• Review data for accuracy and validity of source data and results.
• Develop quality checks to ensure data accuracy and integrity.
• Assist with developing and maintaining reports and dashboards (e.g., WHMC Quality Dashboard).
• Lead and manage quality reporting programs (OQR, IQR, PI, MIPS, MBQIP, MSSP, ACO, VB programs).
• Coordinate interdepartmental performance improvement teams and CMS reporting responsibilities.

Skills

Data management

Data analysis

Quality improvement

Facilitation tools

Education

Bachelor’s Degree in related healthcare discipline or Public Health.

Master’s Degree in healthcare discipline / Healthcare informatics / Statistics / Healthcare Administration / Public Health

Tools

Microsoft Excel

Microsoft Access

SQL

Job description

Rewarding career. Competitive salary. Outstanding benefits.

Under the direction of the Senior Director of Quality, the Performance Improvement Specialist provides project management and analytic support for Whitman Hospital & Medical Clinics overall quality improvement program. The Performance Improvement Specialist is responsible for accurately capturing, recording, validating and reporting data necessary to support performance improvement initiatives. The Performance Improvement Specialist will also lead the development and implementation of process improvement initiatives as approved by the Senior Director of Quality

STANDARD EXPECTATIONS

• Promotes a Positive Working Environment
• Conducts oneself in line with organization’s mission, vision, values and standards of behavior
• Consistently demonstrates organizational values and standards of behavior
• Accepts new responsibilities and challenges with a positive attitude
• Consistently adheres to organizational policy
• Assists in improving inter-department processes
• Communicates Effectively
• Builds relationships and works collaboratively with other staff
• Provides timely operational updates to supervisor
• Responds to communications in a timely manner
• Performs Duties Efficiently and Effectively

DUTIES & RESPONSIBILITIES

Data Management Activities

• Review data for accuracy and validity of both source data and results
• Assist in facilitating, testing, and maintaining electronic data feeds
• Perform trending and analysis on key performance metrics and manage data for team review
• Maintain current knowledge of related internal/external data requirements and data specifications for all assigned data elements and serve as an institutional resource related to selected internal/external data requirements
• Develop quality checks to ensure data accuracy and integrity
• Assist with developing and maintaining reports and dashboards to support quality initiatives (i.e. WHMC Quality Dashboard)

Data Analysis & Reporting

• Assist with updating and reporting results to stakeholders through the use of spreadsheets, charts, statistical programs, SQL reports and other reporting software
• Clearly reports to various leadership groups the progress of performance improvement initiatives
• Translate result interpretations into recommendations for action
• Independently abstract and analyze clinical care from complex medical record systems as requested
• Assist with developing data collection and reporting procedures for quality improvement initiatives
• Lead and ensure timely WHMC data submission for quality reporting programs including, but not limited to: Hospital Outpatient Quality Reporting (OQR), Inpatient Quality Reporting (IQR), Promoting Interoperability (PI), Merit Based Incentive Payment System (MIPS), Medicare Beneficiary Quality Improvement Program (MBQIP), The Rural Collaborative, and Washington State Hospital Association
• Collaborates with clinical teams/leaders, informatics, providers, vendors, and executive leadership to optimize value-based care performance metrics, validate data exchange, close care gaps, and maximize shared savings potential (MSSP, ACO, other Value Based Purchasing programs)
• Manages ACO and value-based program quality reporting activities, including dissemination of results to leadership to support regulatory compliance and benchmark achievement

Project Management

• Assist with planning, defining and testing new measures, development and documentation of data or automation of collection processes, validation of data accuracy, and improvement of data collection
• Effectively facilitate interdepartmental and/or interdisciplinary performance improvement teams to support organization wide performance improvement activities
• Coordinate QAPI projects to include identification of team members, schedule meetings, compile status reports, assign responsibilities, monitor progress and determine necessary data measurement/analysis for project evaluation
• Develop and maintain detailed project schedules, delivery requirements and timeliness
• Manage CMS quality data reporting programs to include oversight of measure selection and ensuring compliance with government regulations
• Lead WHMC Performance Improvement Committee

Backup & Cross Coverage Responsibilities

• Serve as designated back up to Infection Prevention/Employee Health during absences or peak volumes
• Assist Clinical IT with electronic medical record workflows, data reporting, data analysis, and other duties as requested
• Serve as a resource to leadership team for general data collection & reporting
• Assist with Senior Director of Quality surveillance responsibilities during periods of absence
• Lead Root Cause Analysis, Failure-Mode-And-Effects Analysis, Gap Analysis and Risk Assessments as requested
• Maintain knowledge of CMS Conditions of Participation for Critical Access Hospitals, Washington Department of Health licensure requirements, Washington Administrative Codes and Revised Code of Washington as they pertain to acute care hospitals

QUALIFICATIONS

• Required Bachelor’s Degree in related healthcare discipline, Healthcare Informatics, or Public Health.
• Three (3) or more years in an acute care or clinical setting with data management, data analysis, and quality improvement experience including direct experience with process improvement, and use of facilitation tools/techniques such as agenda planning, group facilitation and decision-making, brainstorming, and task prioritization.
• Experience working with electronic health record or similar data set.
• Proficiency with Microsoft Excel, Microsoft Access, SQL, or other statistical software.
• Certified Professional in Healthcare Quality (CPHQ) within 2 years
• Preferred Experience in EMR documentation build and mapping and interfaces.
• Lean Management/Six Sigma training or ability to obtain within 2 years.
• Master’s Degree in a healthcare discipline, Healthcare Informatics, Statistics, Healthcare Administration, or Public Health.
• Project Management experience

WORK ENVIRONMENT AND PHYSICAL DEMANDS

This position is primarily worked in an office environment. This may include irregular working hours including weekends and on-call responsibilities. Travel to off-site locations for meetings, education and training may be required. Primarily stationary with occasional standing, walking, lifting, reaching carrying, kneeling, bending, stooping, pushing and pulling of objects weighing up to 20lbs. The position requires continuous finger dexterity and fine manipulation. The employee must demonstrate the ability to perform the essential functions of the position, with or without reasonable accommodation.

POSITION DETAILS

• Hours per week: 36
• Employee Status: Regular Full Time
• Shift: Day Shift (United States of America)
• Pay Range: $41.00 - $71.00 Actual pay offered will vary based on years of experience.

EMPLOYEE BENEFITS

• Our benefit package includes medical, dental, vision, life insurance, and retirement options (403(b) & 457).
• Medical insurance coverage begins on day one and is available to both full time and part time employees.
• Additionally, employees receive discounts on medical services provided by Whitman Hospital and Medical Clinics.
• Differentials apply for evening, night, and weekend shifts.
• Our unique PTO plan enables employees to increase their accrual with each year of service!

Here at WHMC we are proud of our mission to enhance the health and welfare of those we serve, and we strive every day to embody our values. WHMC is a rural critical access hospital which is growing our presence and our services in order to improve access to care and optimize the health of our communities. We value our patients, our community, and our employees and that is what sets us apart! Committed to: Respect – We respect the dignity of each individual at all times. Compassion – We demonstrate our sincere compassion to all. Teamwork – We recognize, embrace and capitalize on the unique talents of everyone. Stewardship – We are prudent, careful and deliberate with all resources. Trustworthiness – We act with integrity and honor in all situations.