QI SPECIALIST Job at HEART OF OHIO FAMILY HEA LTH CENTERS

HEART OF OHIO FAMILY HEA LTH CENTERS Columbus, OH 43213

Summary: The Quality Improvement Specialist works with the Clinical Systems and Quality Manager to plan, organize, facilitate, and participate in the quality improvement process. Responsibilities include supporting quality improvement initiatives, leading projects and programs to promote improved healthcare outcomes, and assisting with training.

Reports to: Clinical Systems and Quality Manager

Supervises: N/A

Dress Requirement: Business casual in accordance with the Heart of Ohio Family Health dress code policy

Work Schedule: Full-Time Position, Monday through Friday during standard business hours

Times are subject to change due to business necessity.

Non-Exempt

Job Duties: These are considered essential to the successful performance of this position:

Quality Improvement/Quality Assurance/Performance Improvement

Quality Improvement Specialist assures positive client health outcomes through an effective surveillance, monitoring, and performance improvement program.

  • Develops, implements and maintains existing policies and procedures in collaboration with supervisor, functional leaders, the QI teams.
  • Conducts data analysis of performance improvement and quality monitoring activities and reports findings.
  • Participates in the design, implementation and evaluation of data-driven performance improvement initiatives.
  • Analyzes quality data to identify workforce training and education needs.
  • Conducts quality audits or assessments, as needed, on key performance indicators.
  • Works with Health Plans and internal clinical team on closing in Gaps-in-Care.
  • Participates in the data collection for UDS, CPC, PCMH, various grants related to quality care, and other program reporting, as needed.
  • Participates in quality and process improvement teams as requested. Assists in note-taking at meetings.
  • Participates in Accreditation/ Recognition activities and assists in keeping organization current with all new standards and/or requirements.
  • Educates staff at various levels of the organization in performance improvement philosophy, tools, and techniques.
  • Assesses the effectiveness of orientation and education materials and or programs and make needed revisions based on findings.
  • Leads special programs and projects based on assignment (mammogram bus program, smoking cessation, CPC outreach, no-show improvement, etc.).
  • Assist in EHR training activities related to project implementation.
  • Assists with patient experience phone line and initiatives to improve patient experience/satisfaction.
  • Other Duties as Assigned

Job Qualifications: (Experience, Knowledge, Skills and Abilities)

  • 3 to 5 years of healthcare industry experience required. Knowledge of managed care, Medicare, Medicaid and Community Health Center operations a plus.
  • Experience in quality improvement preferred
  • Knowledgeable of regulatory, accreditation and or recognition standards related to quality activities.
  • Ability to develop trend reports with analysis and develop appropriate action plans for submission to Quality Committees.
  • Willingness to become familiar with NCQA, PCMH, HEDIS, CMS regulations, Health Plans and Health Insurance Exchange.
  • Ability to understand complex workflows; Ability to comprehend technical documents and programs.
  • Must be detail oriented, produce accurate work and have the ability to effectively communicate both verbally and in writing with all levels and roles within the company.
  • Must demonstrate self-direction and be able to manage multiple priorities.
  • Must be flexible to adapt to changing, competing priorities.
  • Ability to maintain confidentiality when dealing with sensitive, performance-related information.


Education
:

Associate Degree and/or QI or data analysis experience in healthcare preferred.


Adheres to HOFH’s Values:

Communication, Teamwork, Respect and Quality

Equipment Operated:

Telephone


Computer


Printer


Fax machine


Copier


Other office equipment as assigned


Facility Environment:

Heart of Ohio Family Health operates in multiple sites in Columbus, Ohio and surrounding areas. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, pharmacy stock room, business offices, hallways and private toilet facilities. Both facilities ADA compliant.




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