Clinical Effectiveness Consultant III

Performance Improvement.

• Serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, performance improvement and peer review.

• Facilitates improvement activities for specific areas of responsibility.

• Promotes collaboration, decision making, and problem solving through effective interactions or facilitations with members of the ambulatory or hospital organization. Oversees and coordinates process improvement activities related to the organization- wide outcome measures defined through established quality and safety strategic goals which optimize clinical care and reduce waste and rework.

• Collects and retrieves data, designs, and uses spreadsheets and databases for clinical and administrative decision making, and analyzes data for relationships to outcomes.

• Conducts basic and advanced analyses of performance on clinical processes and outcomes. Reviews, evaluates, interprets, and develops reports, and provides end-user assistance, involving analysis, identification of problem needs, designing solutions, and identifying required system adaptations with a high level of independence.

• Maintains and disseminates information on successful interventions and programs proven to be effective and evidence-based practices.

• Prepares and presents educational programs on performance improvement, evidence-based practice, or ongoing quality initiatives to physicians and clinical staff.

• Assists in the development of an organization wide performance improvement plan (supplementary to the corporate performance improvement requirements) which integrates the medical staff / medical group structure and activities, and in the development of long-term strategies and methodologies for evaluation of processes and outcomes across the continuum of care including measurement, analysis, and reporting of data used in achieving goals identified in the strategic plan.

• Using strong performance improvement skills including ability to manage a project from conception to completion, facilitate meetings, provide timely accurate data/information, and present information in a clear, concise manner. Maintains knowledge of all applicable standards from accreditation and regulatory bodies.

Regulatory Compliance.

• Provides education on standard changes and compliance outcomes. Organizes all on-site surveys managing the survey activation plan. Works with affiliate and system content experts to develop and implement processes to assure regulatory compliance with complex requirements.

• Responsible for reviewing internally / externally reported measure performance including collaboration with the process owners to develop action plans to improve performance, identify need for interdisciplinary process improvement, and follow- up with physicians.

• Using in-depth knowledge of healthcare regulations, standards and internal / external measures,  identifies opportunities for improvement, and creates relevant reports and action plans.

Public Quality Reports.

• Proactively manages performance on public quality reports. Serves as a resource and expert on public quality reporting organizations. Responsible for ensuring compliance with internal and external regulatory requirements. Completes system under the supervision of the Quality and Patient Safety Manager/Director and approval of leadership.

• Directly supports  in the planning and implementation of a systematic program for improving performance on public quality reports. Responsive to health plan, regulatory and other expectations for clinical quality outcomes.

Special Reports.