Population Health Quality Coordinator

ACHC is a Federally Qualified Health Center and licensed primary care clinic. We provide medical and dental care, with additional specialists in Chiropractic, Internal Medicine, Neurology, Gynecology, Pediatrics, Psychology, Podiatry and Optometry. ACHC Clinics are located across Fresno, Kings and Tulare counties.

The Population Health Quality Coordinator is responsible for managing and analyzing data related to quality improvement initiatives and empanelment processes within the healthcare organization. This role involves ensuring the accuracy and integrity of data, developing and implementing data-driven strategies to improve patient care, and supporting the empanelment of healthcare providers.

Key Responsibilities:

• Quality Improvement:
• Data Analysis: Collect, analyze, and interpret data to identify trends, patterns, and areas for improvement in healthcare quality.
• Performance Metrics: Develop and monitor key performance indicators to measure the effectiveness of quality improvement initiatives.
• Reporting: Generate detailed reports and dashboards to communicate findings to senior management and clinical teams.
• Process Improvement: Collaborate with clinical and administrative staff to design and implement process improvements based on data insights.
• Compliance: Ensure that all quality improvement activities comply with relevant regulations and standards.
   

Responsibilities:

• This role involves ensuring the accuracy and integrity of data, developing and implementing data-driven strategies to improve patient care, and supporting the empanelment of healthcare providers.
• Data Analysis: Collect, analyze, and interpret data to identify trends, patterns, and areas for improvement in healthcare quality.
• Performance Metrics: Develop and monitor key performance indicators to measure the effectiveness of quality improvement initiatives.
• Reporting: Generate detailed reports and dashboards to communicate findings to senior management and clinical teams.
• Process Improvement: Collaborate with clinical and administrative staff to design and implement process improvements based on data insights.
• Compliance: Ensure that all quality improvement activities comply with relevant regulations and standards.
• Empanelment Processes: Maintenance of the empanelment process, ensuring that providers are appropriately assigned to patient panels based on data-driven criteria.
• Team Coordination: Work closely with providers and managers to facilitate smooth and efficient empanelment.
• Data Integrity: Ensure the integrity and accuracy of empanelment data through regular audits and validation checks.
• Continuous Improvement: Identify opportunities to streamline and enhance the empanelment process through the use of technology and best practices.
• Process Improvement: Collaborate with clinical and administrative staff to design and implement process improvements based on data insights.
• Compliance: Ensure that all quality improvement activities comply with relevant regulations and standards.

Empanelment:

• Ensures each patient is assigned a primary care provider (PCP).
• Resolves unassigned patients by reviewing appointment history to determine appropriate assignment based on PCP availability.
• Monitors influx of new patients into panels and analyzes PCP capacity (panel fullness) to absorb new patients.
•  Reporting:
  • Develops monthly panel report and reviews PCP assignments. The monthly panel report consists of all patients seen in specified month, assigned PCP, treating provider (continuity), retention and PCP change.
  • Determines continuity percentages for each provider against community health center (CHC) goals.
  • Ensures continuity target goals are being met. If not, develops a performance im