Program Manager - Clinical Quality Improvement

Primary City/State:

Virtual•

Arizona Category:

Quality Assurance Shift:

Day Department:

Quality Improvement Division Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

Job Summary The Clinical Quality Improvement Program Manager will facilitate multidisciplinary improvement teams and provide consultation to improve clinical processes and outcomes, eliminate unnecessary variation, and reduce the risk of harm to patients across the network and continuum. Provides ongoing evaluation of service line and/or clinical area performance, facilitates prioritization of improvement activities, and ensures successful implementation of initiatives within assigned scope. Provides operational oversight for the hospital's Medical Staff Peer Review System across the network to ensure it is instrumental in identifying, tracking and improving processes to resolve clinical performance in a manner that promotes education, improvement, and patient safety. Provides direction to ensure that clinical services are supported by the best evidence available and are provided in accordance with standards established by federal and state regulatory agencies. Draws on expertise in LEAN continuous improvement methodologies, project/change management skills, and clinical specialty expertise to analyze and drive improvement. Essential Functions Leads and/or facilitates clinical process improvement. Serves as a resource for assessment of clinical performance, process improvement methodologies and peer review. Collaborates and supports the implementation of evidence based clinical practices. Develops and presents information at hospital, medical staff departments and committees to demonstrate progress toward goals. Partners with service line leaders, executives, medical staff, and hospital staff regarding clinical performance improvement goals and regulatory requirements. Supports the development of specific clinical indicators for service line, clinical specialty, and medical staff quality scorecards. Serves as a resource and mentor to data support specialists and analysts in the definition/development of indicators and data displays including the application of statistical techniques. Provides ongoing assessment of clinical specialty performance and analyzes clinical process and outcome data to identify performance improvement opportunities or trends. Supports and facilitates performance improvement activities related to or resulting from peer review, OPPE, FPPE, analysis of patient safety and clinical performance measures. Facilitates prioritization of improvement activities with clinical specialty leadership while supporting alignment with the organizational goals. Evaluates and communicates the effectiveness of specific interventions. Evaluates network performance on publically reported quality measures such as Inpatient and Outpatient Quality Reporting (IQR, OQR). If applicable, Collaborates with appropriate external organizations. Collaborates with Safety/Quality Improvement teams to analyze events and near misses to identify trends and appropriate cases for peer review within the clinical specialty. Supports Safety/Quality Improvement teams by participating in root cause analyses pertinent to clinical specialty. Supports ongoing professional practice evaluation (OPPE), focused professional practice evaluation (FPPE), and peer review processes. Collaborates with medical staff in the development of accurate, meaningful physician quality profiles. Collaborates with the Clinical Performance Measurement and Reporting team to monitor database integrity validate data accuracy, and ensure the transfer of data to appropriate national and state benchmarking. Conducts and presents research to identify best practice performance measures for benchmarking opportunities. Maintains the confidentiality of highly sensitive information. Disseminates information as appropriate throughout the network, while using appropriate safeguards to prevent inappropriate use or disclosure of confidential information. In collaboration with the appropriate stakeholders, supports clinical specialty specific accreditations/designations Participates in internal audits and supports compliance with DNV process requirements. Participates in DNV and state (regulatory) site visits. Performs other duties as assigned. Education Master's Degree in healthcare related field

• Preferred Associate's Degree or 2 years' work related experience in healthcare or related field
• Required Experience 2 years clinical experience in relevant clinical area; OR
• Required 2 years Process and quality improvement experience
• Required 5 years clinical experience in job related clinical specialty(s) in a hospital or health system
• Preferred Licenses and Certifications Certified Professional in Healthcare Quality (CPHQ) Advanced Training Program in Quality Improvement, Patient Safety, Analytics or healthcare informatics Formal training in project and or change management
• Preferred Registered Nurse (RN) State And/Or Compact State Licensure If RN, verified current RN AZ license or other compact state RN license.
• Required LEAN or Six Sigma Process Improvement training/certification
• Preferred We're all in for your career. Expert care from experts who care. At HonorHealth, you'll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication. We're delivering a healthcare experience that simply feels better through:
• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff Since 1927, we've been focused on doing what matters most — caring for people and communities across the greater Phoenix area.

From humble beginnings to one of Arizona's largest nonprofit healthcare systems, we're just as driven as we were a century ago. Come join us and go all in for your career. 🔗 Helpful links 💼 Benefits 🖥️ Career site 🤝 Culture 📄 Hiring Process 🏥 Locations 🖥️ HonorHealth.com Join our talent community here!

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