Organization:

　　MPHS-Mills-Peninsula Medical Center

　　Position Overview:

　　This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, performance improvement, patient safety and regulatory compliance. These activities ensure the highest level of care and regulatory compliance is obtained and maintained. This position writes concise clear reports and presents the reports verbally at clinical and administrative meetings Provides all levels of management, physicians, and clinical staff with accurate and timely information for effective decision making utilizing internal and external decision support systems.

　　Job Description :

　　These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

　　JOB ACCOUNTABILITIES:

　　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.

　　Supports and facilitates physician peer review, OPPE, and FPPE processes.

　　Promotes collaboration, decision making, and problem solving through effective interactions or facilitations with members of the ambulatory or hospital organization and members of the medical staff.

　　Coordinates process improvement activities related to 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 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.

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

　　Acts as a departmental representative in meetings involving ambulatory or hospital policy issues surrounding performance improvement, decision support, and utilization of ambulatory or hospital resources.

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

　　In collaboration with the Manager/Director, 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. Maintains knowledge of all applicable standards from accreditation and regulatory bodies.

　　Regulatory Compliance.

　　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.

　　Public Quality Reports.

　　Proactively manages performance on public quality reports. Responsible for ensuring compliance with internal, as well as external regulatory, requirements.

　　Completes submission under the supervision of the Quality and Patient Safety Manager/Director and approval of leadership.

　　Directly supports the 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 Projects.

　　Assumes special assignments.

　　Performance to be evaluated in terms of: accuracy, completion due date, adherence to instructions and cooperation.

　　EDUCATION:

　　Equivalent experience will be accepted in lieu of the required degree or diploma.

　　Bachelor's: Management, public health, nursing, business administration, organizational leadership or related field

　　TYPICAL EXPERIENCE:

　　2 years recent relevant experience.

　　SKILLS AND KNOWLEDGE:

　　Demonstrated proficiency in Microsoft Office Suite, including Word, Power Point, and Excel. Ability to format tables, retrieve data via queries, and create presentations via PowerPoint. Ability to navigate an electronic health record required.

　　Must demonstrate written/verbal interpersonal communication and problem solving skills. ability to communicate effectively with a wide variety of personalities and departments, including medical staff members.

　　Ability to manage own time and schedule own tasks. Must have initiative to work effectively without constant supervision and direction.

　　Ability to work with diverse personalities at all levels of the organization.

　　ability to work with and motive a diverse groups of individuals working together on an initiative.

　　PHYSICAL ACTIVITIES AND REQUIREMENTS:

　　See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements (https://sutterhealth.sharepoint.com/:b:/s/JobAnalysisLibrary/ERB-IcsfFyhBhpp4HJcgNqEBFRddckIt9zQxcajIATM7iA?e=xcUfQf)

　　Job Shift:

　　Days

　　Schedule:

　　Full Time

　　Shift Hours:

　　8

　　Days of the Week:

　　Monday - Friday

　　Weekend Requirements:

　　None

　　Benefits:

　　Yes

　　Unions:

　　No

　　Position Status:

　　Non-Exempt

　　Weekly Hours:

　　40

　　Employee Status:

　　Regular

　　Number of Openings:

　　Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

　　Pay Range is $44.94 to $67.41 / hour

　　The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

　　All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.