Under the direction of the Chief Quality Officer the Director, Performance Excellence and Quality (PE/Quality) is responsible for planning, monitoring, and directing the effective implementation of key Performance Excellence (PE) and Quality/Safety (Q/S) strategies that support the objectives and results of the Business Unit. Key responsibilities include overseeing daily activities of local performance excellence and clinical quality/safety staff and activities in the areas of risk management, infection prevention, regulatory readiness/accreditation, patient safety, process/quality improvement (Pl/QI), BCBSM P4P collaborative initiatives, and local strategic/action planning, including ensuring alignment to System goals, and objectives. The Director Performance Excellence and Quality will partner with stakeholder departments to maximize LeapFrog, AHA, US News and World Report, and CMS Star ratings. Collaborates with local and system-level leaders (including other Directors of PE/Quality) and relevant System-level leaders (including the CQO, COO, CMO, CNO, and/or CEO, Directors/Managers of Performance Improvement, Clinical Quality & Safety, Strategic Planning, and Performance Improvement to stay apprised of new approaches, innovations, and integration opportunities. Interacts with or leads quality teams throughout the Business Unit and participates in System quality/safety/process improvement teams as appropriate.
Responsible for directing and supporting Performance Excellence and Quality teams, in a matrix relationship, to HFH Performance Excellence and Quality/Safety Leadership - with emphasis on HF-Detroit as they provide planning, performance excellence, and quality/safety services to the Business Unit and System (as regularly evaluated by Director and System leadership). Specific responsibilities include:
In conjunction and coordination with the Clinical Risk and Patient Safety and Quality Optimization and Regulatory Reporting departments, provides leadership and analytic support to the Business Unit strategic planning to develop and prioritize key strategies and action plans, including identifying and routinely reporting key measures of success.
Ensures appropriate initiatives are in place to meet the strategic, risk, performance improvement, and quality reporting needs of the Business Unit related to process improvement efforts, in conjunction with appropriate System and Business Unit leadership.
Is accountable for the ongoing development and improvement of the Business Unit's process and Pl infrastructure. Leads processes to determine the appropriate application of Business Unit resources and methodologies to Pl initiatives such as CUSP, BCBSM P4P, and targeted initiatives. In partnership with System Pl/PA/Quality leaders, responsible for leadership and development of Performance Excellence and Quality teams, including the identification of internal and external education and development opportunities to enhance skills and expertise, and to prepare them for relevant leadership roles in the future as appropriate
Identifies opportunities for performance improvement across the Business Unit and, in conjunction with Business Unit administrative, physician leadership, and partners with quality directors to identify best practices, proposes, plans, and executes improvement activities.
Ensures appropriate data systems (including data warehouses, performance dashboards, and other systems including the HFH Enterprise Data Warehouse) are properly utilized to respond to and meet the Pl, CUSP, quality, risk, and safety needs of the Business Unit and external constituencies, in conjunction with appropriate Business Unit and Performance Analytics leadership. Serves as the Business Unit liaison to HFH Performance Analytics leaders/staff.
Partners with stakeholder departments for the planning and execution of process redesign initiatives, including those related to dashboards and EPIC/Helios implementations. Ensures that processes designed are efficient and effective with respect to quality patient care and fiscal responsibility
Ensures appropriate quality, patient safety, risk, and Pl staff and functions are in place to support meeting the requirements of accreditation and regulatory agencies, in conjunction with appropriate Business Unit and System leadership, including the HFH SVP and Chief Quality Officer.
Partners with Business Unit leaders on best practices in healthcare operations and healthcare performance improvement. Designs and oversees processes for evaluating potential opportunities and develops realistic and quantifiable goals.
Working with appropriate System and Business Unit leadership, ensures e representation and participation in appropriate external collaboratives, benchmarking groups, and other initiatives at local and national levels (e.g., MHA Quality and Accountability and Michigan Hospital Group (MHG).
Assumes leadership roles as appropriate. In partnership with System external reporting, value-based purchasing, and P4P Leaders, ensures key activities and staff are in place to optimize bonus/reimbursement payments for programs coordinated by BCBSM P4P third-party payer programs.
Chairs and staffs committees and meetings as needed to include the HFH Quality Committee meeting, Board of Trustee's, and Quality, Sentinel Event Review Committee, Quality, Safety, and Reliability Committees.
Facilitate annual review of Quality Assessment and Performance Improvement (QAPI) plan
Lead the development of a system to receive, prioritize, approve, and monitor quality and performance improvement initiatives inclusive of program leaders' authority to manage pace and prioritization of change.
Facilitates and/or supports performance improvement work at all levels and acts as an agent of change for continuous improvement efforts.
Fosters a culture of quality for learning and a commitment to the spread and sustainability of quality and performance improvement initiatives.
Incorporate quality improvement expectations into job descriptions, core competencies, and performance evaluations.
Performs other related duties as assigned
ADDITIONAL DUTIES AND RESPONSIBILITIES:
Supports strategies to align service lines with BCBSM P4P collaboratives.
Seeks opportunities to learn best practices and expand knowledge related to advancing strategic performance excellence goals and programmatic initiatives
Interacts regularly with Business Unit and other Corporate/System Senior Leaders as clients and principal decision makers about Performance Excellence and Quality/Safety functions.
Works collaboratively with Business Unit administrators, managers, and physicians on projects within their areas.
Serves as a change agent within HFH, supporting both the identification and application of new quality/safety and performance improvement concepts, and sharing of local improvements throughout the System.
In partnership with Corporate leaders as appropriate, interviews applicants for departmental vacancies, recommends pay increases, and recommends discipline and termination as warranted. Develops, implements and enforces procedural standards for project activities. Estimates resource requirements, time, and costs of Performance Excellence and Quality projects and functions.
Serves as a subject matter expert for PE/Quality activities and staff within the Business Unit. Participates in routine discussions and learning activities with other Performance Excellence and Quality/Safety leaders across the System.
NOTE: Staff (or their managers, if present) in Quality/Safety and Performance Improvement has a matrixed relationship to System Leaders in the same area.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor's Degree in Business, Engineering, Management, Healthcare Services Admin