QI SPECIALIST

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.