Quality Program Manager - Sepsis

Department Overview

The Healthcare Program Manager is responsible for coordinating, organizing, and supporting improvement ofprioritized quality projects. This role is responsible for providing expertise in process and outcome measure performance for key clinical stakeholders to improve the care being delivered, with the ultimate goal of improving patient outcomes. The Program Manager supports clinical staff to establish best practices in the care of patients related to the specific improvement projects they are assigned to (sepsis to start; will include other projects within 6 months of hire). They maintain prospective, current state, and retrospective awareness of the prioritized patient population within the institution. They are responsible for the planning, coordination, implementation, execution, control, and completion of the improvement work.

Function/Duties of Position

Program/Project Management

• Ensure successful completion of all projects assigned through effective management of people, time, and other resources.
• Knowledgeable regarding the qualifications and experience of key project delivery team members’ personnel
• Oversees project implementation, utilizing OHSU’s implementing change model.
• Develops project plans, goals, and objectives in collaboration with leadership and project stakeholders
• Provides professional and technical leadership in the execution of day-to-day project activities
• Assures successful implementation of process, and system changes to support improvement of quality & safety priorities
• Facilitates (or participates in) committees and meetings to achieve goals and objectives of assigned projects
• Designs and leads project improvement activities related to assigned projects
• Promotes and models change management tools and approaches to assigned projects
• Prepares and presents reports and presentations as needed for teams, committees, and OHSU Health leadership
• Evaluates and reports on success and improvements achieved through assigned projects
• Utilizes data to inform decision making
• Escalate barriers in a timely fashion, through leadership structure

Reporting and Communication

• Develop and maintain tracker/database of all sepsis cases reviewed, and other work as assigned.
• Serve as partner for sepsis core measure abstractor, completing abstraction for failed cases to ensure comprehensive trending over time achievable
• Utilizes change management and facilitation strategies to ensure team buy-in, championship, and shared accountabilities
• Communicates project information to project stakeholders, management, and executive leadership

Program Evaluation and Monitoring

• Develops project evaluation plans and processes as needed to ensure implementation meets project goals & objectives
• Utilizes data to inform critical project decision points
• Conducts and/or supports complex qualitative and quantitative analysis of project data, summarizes findings, draws appropriate conclusions, and effectively communicates results to team and leadership
• Facilitate development of recommendations for program changes with stakeholders

Support Implementation

• Develop implementation plan with stakeholders
• Test implementation assumptions and develop contingency plans to prevent untoward consequences of process changes
• Develop plan to measure short term and ongoing impact of changes
• Teach, train, support, and mentor others in performance improvement strategies and methods
• Develop and distribute work tools to support performance improvement efforts
• Guide implementation of prioritized projects

Other Duties as Assigned

Required Qualifications

• Bachelor's degree in healthcare related field and a master’s degree or evidence of progression toward an advanced degree.
• Minimum 3 years of recent experience in healthcare settings.
• Experience that demonstrates expertise in performance improvement and regulatory standards in healthcare.

Job Related Knowledge, Skills and Abilities (Competencies):

• Excellent knowledge base in quality/performance improvement processes and tools. A proven record of accomplishment and strong leadership skills to ensure that improvement processes are sustained,priorities established, and performance goals are met.
• Systems knowledge and experience in identifying root causes and developing reliable and safe systems.Excellent knowledge of statistical analysis and reporting practices pertinent to stable and high performing systems.
• Evidence of leadership, creativity, initiative,