Manager - Quality Improvement & Reporting (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
Identifies and implements clinical, operational, and quality improvement initiatives and strategies for quality consulting and external reporting for Stanford Health Care (SHC) and the Quality, Patient, Safety department. This position works closely with the Chief Quality Officer, VP of Quality, SHC Leadership, and reports to the Director of Quality Consulting and Reporting. Additional responsibilities will include planning and supervising staff to help implement, sustain improvement, and oversee reputational programs. Monitoring and improving key outcomes on the QPSEC Dashboard, teaching and influencing medical staff and process owners on clinical improvement opportunities. In addition, the Manager of Quality, Clinical Effectiveness and Reporting serves as SHC's liaison with external reporting agencies regarding overall quality and safety performance. This position designs systems and processes to effectively support quality improvement efforts as required by regulatory bodies, and accurately collects and reports data to external benchmarking agencies such as the Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) and QualityNet programs, American Hospital Association (AHA), Vizient, U.S. News & World Reports (USNWR) and Leapfrog to address SHC's quality, safety, and reputation.

Locations
Stanford Health Care

What you will do

• Provides leadership to accomplish Stanford Health Care’s mission, goals, and strategic plan.
• Oversees onboarding and orientation of new employees to ensure understanding of duties, responsibilities, work requirements and performance standards.
• Recommends organizational structure, reporting relationships and staffing needs based on program goals. Makes hiring, promotional and salary decisions in accordance with SHC policy.
• Stays abreast of changes that impact hospital for reported measures including, but not limited to: Centers for Medicare Services (CMS) and QualityNet, Vizient, Agency for Healthcare Quality (AHRQ), LeapFrog, US News & World Report, and registries.
• Creates reports to track performance metrics and clinical outcomes, metrics can include, but not limited to mortality, length of stay, readmissions, hospital-acquired conditions, resource utilization, complications, and patient safety indicators.
• Applies clinical analytic skills to evaluate, summarize, present, and recommend action based on data interpretation. (MIDAS, Vizient, Epic, QlikView, Statit, etc.).
• Identifies opportunities for implementing innovation and novel approaches to clinical and technical gaps in care delivery by utilizing peer institution practices and evidence-based guidelines,
• Facilitates quality improvement projects as needed with A3 support, improvement science education, statistical process control, data support and maintains a strong collaboration with Quality Analytics, Information Technology, Clinical Business Analytics and Digital Solutions.
• Understands SHC’s strategic initiatives and aligns improvement work with the strategic goals of the organization.

Education Qualifications

• Bachelor’s Degree in a work-related field/discipline from an accredited college or university is required.
• Master's degree from an accredited college or university in a work-related field is preferred

Experience Qualifications

• Five (5) years of progressive responsibility and directly related quality improvement work within a large acute care hospital, health care system, or equivalent institution

Required Knowledge, Skills and Abilities

• Demonstrated clinical acumen necessary to assess patient care and identify gaps or deficiencies in services provided.
• Demonstrated understanding of accreditation, regulatory and licensure standards, requirements, and guidelines applicable to hospitals, specifically, The Joint Commission, Centers for Medicare and Medicaid Services (CMS), and Title 22.
• Ability to effectively communicate key messages to diverse audiences and is comfortable presenting to large detail-oriented groups.
• Understands high-value care, principles and practice of value-based decision-making, health care payment/reimbursement, and delivery models, including familiarity with barriers to high-value care.
• Understands clinical analytics and benchmarking tools for tracking data - such as Vizient/UHC, Hospital Compare, Midas, and Statit.
• Proficient in Microsoft Office Suite - Word, Excel, PowerPoint

Licenses and Certifications

• CA-RN License (Registered Nurse)

Physical Demands and Work Conditions

Physical Demands

• Seldom (please list each item under Comments). • Work is performed in a typical office environment with standard equipment and tasks.
• There may be some walking, standing, bending and carrying of light items such as papers and books.
• No special physical demands are required to perform the work.
• Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Blood Borne Pathogens

• Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $76.84 - $101.82 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.