Director Of Performance Improvement

The Director of Performance Improvement (DPI) is responsible for coordinating and monitoring the facility-wide quality management assessment and quality performance improvement program, supporting implementation of Value Based Payment in collaboration with Care Clinic leadership, and ensuring that Care Clinic programs are in compliance with all regulatory agencies, Joint Commission, CMS, and all other state and federal agencies. This individual directs the strategy and all activities related to the quality, risk management and compliance programs, ensures the maintenance and success of these programs, and ensure that quality improvement and risk management activities are in line with the organization’s strategic plan.

As a condition of employment, Summit Community Care Clinic requires COVID-19 vaccination of all clinical and non-clinical staff.

Essential Functions:

General

• Participate in electronic health record projects as they relate to quality and data reporting.
• Develop, maintain, and enforce policies and procedures related to Quality Assurance, Risk Management, and Compliance.
• Supervise Data and Quality staff.
• Oversee the Population Health Manager.
• Deliver relevant data and recommendations to the chief leadership team.
• Participate in Regional Accountable Entity (RAE) and other statewide efforts as they relate to quality and compliance.
• Partner on practice expansion efforts to ensure that quality, risk management, and compliance standards are met.
• Stay up to date on legislative and regulatory changes related to quality, risk, and compliance and collaborate with department leaders to ensure documentation and processes are current and compliant.
• Participate in strategic planning efforts as they relate to quality, risk, and compliance.
• Facilitate required meetings including QA Core, QA, Risk Management, and others, and present to the Board of Directors as needed.

Value Based Care

• Ensure all applicable data reporting requirements are met as they relate to value-based payment/payment reform and other incentive payments.
• Monitor practice and provider progress with value-based contracts and analyze performance reports and data to inform decision-making, process, and program implementation, as well as the development of process interventions based on practice-level data, trends and identified opportunities.
• Develop strategies and advise on clinical workflows to position the practice to realize quality-based incentives and to protect against fee schedule penalties.
• Oversee and provide guidance to population health management staff.
• Outreach to patients to support population health-based deliverables through registry maintenance, use of attribution list, utilization of PDSAs and other forms of communication.
• Oversee development of provider education and support resources necessary for practice transformation to improve quality and meet the quadruple aim.
• Work in collaboration with the CEO to evaluate and negotiate contracts related to Value Based Payment initiatives.
• Help providers in the use of population health management tools.

Quality

• Coordinate appropriate utilization of funds related to quality improvement (i.e., HRSA QI awards).
• Ensure requirements related to Patient Centered Medical Home recognition are maintained.
• Collaborate with the board QA Committee Chair to ensure achievement of goals related to quality.
• Direct activities related to patient feedback and satisfaction.
• Facilitate the unanticipated outcomes process to ensure a thorough event analysis is completed and that appropriate interventions and corrective actions are identified and implemented.
• Provide quality oversight for staff credentialing and privileging as it relates to patient safety.
• Maintain familiarity with state and national standards of care.
• Periodically review and maintain Quality Assurance Program Plan and ensure program activities are carried out.
• Assess outcomes related to metrics and direct activities related to process improvement.
• Ensure strategies and activities related to quality are congruent with the principles of reducing health care costs, improving patient health outcomes, and improving both patient and staff satisfaction.
• Interact with all levels of staff within the organization to be the “face” of quality and encourage participation in quality improvement projects.

Risk Management

• Act as an advisor to the organization on risk management concerns as they relate to organizational and process changes to ensure minimal negative impact.
• Act as Claims Manager and liaison with all applicable parties as it relates to a malpractice claim.
• Oversee and facilitate the Care Clinic’s Safety Committee meetings.
• Coordinate with Human Resources Director and other key management personnel to develop an annual staff risk/safety training plan that proactively addresses areas of highest risk to the organization.
• Partner with the Chief Financial Officer on all risk financing efforts to ensure adequate organizational protection.
• Act as Risk Manager for the organization to ensure that all aspects of the Risk Management Plan are adhered to.
• Encourage a Just Culture throughout the entire organization.
• Assure compliance to all aspects of the Federal Tort Claims Act deeming program.
• Report on risk management program activities and outcomes to key management team members and Board of Directors at least annually.
• Facilitate risk management training annually for all staff and Board of Directors as appropriate.

Compliance

• Periodically review and update Corporate Compliance Plan/Standards of Conduct.
• Act as Compliance Officer and manage day-to-day activities of the compliance program as it relates to clinical and operational activities per the Compliance workplan.
• Train staff and Board of Directors, as needed, in compliance-related policies and procedures, such as the Corporate Compliance plan.
• Provide interpretation to staff, management, and Board of Directors concerning regulations, laws and standards, and provide training and direction as applicable.
• Act as an advisor to the organization as it relates to compliance, interpreting policies and procedures in an equitable and consistent manner for staff, management, and Board of Directors.
• Oversee ongoing compliance efforts as they relate to the health center’s HRSA program requirements.
• Respond to alleged violations of rules, regulations, policies, procedures, and standards of conduct through appropriate evaluation and investigation.
• Ensure compliance with CMS Conditions of Coverage as it relates to the FQHC program.

Additional Requirements:

• Adhere to all policies within organization and those outlined withing the SCCC Employee Handbook.
• Comply with all SCCC Vaccine Mandates.
• Embrace the SCCC Mission and Vision and agree to work within the SCCC Guiding Principles and the principles set by the position supervisor.
• Complete additional duties as assigned by the CEO.
• Grants are a vital part of Care Clinic revenues and directly or indirectly support all positions. This role may have responsibilities that are closely associated with grant deliverables. Grants and grant responsibilities may change over time.
• Complete all required training as designated by HR and the position supervisor.
• Comply with all applicable Credentialing and Privileging requirements timely.

Qualifications:

To perform this job successfully, an individual must be able to engage in each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

Must Haves to be Successful:

• Strong analytical, critical thinking and problem-solving skills required.
• Knowledge of data management/Health Information Systems (Aprima and Dentrix) required.
• Displays courteous and professional behavior in all interactions with the public.
• Experience of risk management and compliance programs required. Experience with healthcare management desired.
• High level of competence with MS Word, Excel, & Power Point, and familiarity with audit tracking systems and external reporting requirements.
• S. or B.A. Degree or equivalent experience required.
• Strong written and verbal communication skills.
• Leadership capabilities.
• Excellent interpersonal skills and ability to develop rapport across a broad range of personalities.
• Displays flexibility in accepting and carrying out assignments.
• 3+ years of experience with quality management including quality measurement, data analysis, quality reporting and process improvement required.
• Must be familiar with relevant legislations, laws, regulations, precedents, and protocol of clinical practice for FQHC’s.

Nice to Haves:

• Masters’ Degree in related field preferred.
• Familiarity with Community Health Center operational, financial quality assurance and general personnel procedures and regulations highly desired.

Supervisory Responsibilities:

Direct supervision of employees with respect to quality and risk.

Work Environment:

The work environment is in a healthcare setting and can be fast paced and involve working directly with patients and healthcare professionals. Many of our patients with chronic diseases have a minimal level of health literacy and a significant number of barriers to accessing health care. The individual may also work in a clerical setting. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.

Live, work, and play in ‘Colorado’s Playground’! Summit County boasts four world class ski resorts with Vail Resort just 45 minutes away. With rivers, lakes, hiking, and mountain biking trails, Summit County is paradise for the outdoor enthusiast. From summer to winter, Summit County is a year-round destination with activities include skiing, snowboarding, cross-country skiing, snowshoeing, snowmobiling, hiking, biking, rafting, fishing, and boating. Music, art, cultural and social events are plentiful year-round. The different communities in Summit County include Frisco, Breckenridge, Dillon, and Silverthorne; ski resorts include Breckenridge, Copper Mountain, Keystone and Arapahoe Basin.

Summit Community Care Clinic:

• Training program for growth potential
• Life, AD&D, and Long-term disability plans paid for by employer
• Lifestyle Spending Account (for Full Time employees)
• Insured group health, dental, & vision plans
• Is a Federally Qualified Health Center (FQHC) that provides a full range of integrated care services including medical, dental, and behavioral health services through a team-based model of care. is highly valued as an important thread in the community fabric. There is an underlying appreciation of what the clinic provides to the community, and this creates a fulfilling workplace environment.
• Provides rewarding, mission-driven careers in the heart of the beautiful Colorado mountains. As a member of the Care Clinic team, you will make an important difference in the lives of the patients you serve - changing lives every day. We have been nationally recognized for our integrated care model.
• Offer fringe benefits like ski medallion, rec center discounts, etc.
• SCCC currently offers the following:
• A generous mix of Paid Time Off and paid holidays
• 401k retirement plan with an employer contribution match
• Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and short-term disability, and group pet insurance
• Medical and dependent care flexible spending account options
• Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
• • Insured group health, dental, & vision plans
  • Medical and dependent care flexible spending account options
  • 401k retirement plan with an employer contribution match
  • Life, AD&D, and Long-term disability plans paid for by employer
  • Free 24/7 access to confidential resources through an Employee Assistance Program (EAP)
  • Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and short-term disability, and group pet insurance
  • A generous mix of Paid Time Off and paid holidays
  • Lifestyle Spending Account (for Full Time employees)
  • Offer fringe benefits like ski medallion, rec center discounts, etc.
  • Training program for growth potential

If we sound like the kind of dynamic, caring organization that meets your requirements, apply now.