Under administrative direction, uses extensive knowledge and skills obtained through education and experience to develop, implement, and manage the medical operations quality management program for Planned Parenthood of Michigan (PPMI). Serve as a member of the Medical Leadership Team to champion continuous improvement efforts and strategic initiatives in an effort to establish an effective quality management program. Initiates and implements quality improvement system-wide activities as appropriate to raise the performance of the organization’s services. Utilizes clinical administrative data and data derived from clinicians and patients to implement quality improvement efforts. Ensures compliance with regulatory requirements as defined by state, federal and Planned Parenthood Federation of America (PPFA) standards and guidelines.
Areas of Responsibility:
Essential Duties and Responsibilities:
- In conjunction with medical leadership creates, updates, and revises policies and procedures that ensure good quality care and minimizes harm to the patient.
- Systematically monitors and evaluates the outcome of care, treatment and services.
- Gathers and evaluates clinical information and analyzes data for patterns and trends in patient care service and delivery.
- Conducts root cause analysis on selected events.
- Stays abreast of all Planned Parenthood Federation of America (PPFA) medical guidelines, federal and state laws and regulations; and regularly performs follow-up evaluations of data and medical business unit performance to ensure consistent improvement.
- Directs all quality assurance activities, including PPFA annual survey, work plan and drafts medical protocols from the PPFA Standards and Guidelines.
- Regularly reports quality concerns and findings, as well as improvement recommendations to Medical Administration management.
- Determine and monitor the organization’s medical audits related to all services.
- Plans, leads and manages monthly Quality Assurance (QA) meetings.
- Reviews incoming medical correspondence for relevance to the organization’s medical policies, procedures, and protocols; initiates changes accordingly.
- Investigates, evaluates, and follows-up on any medical incidents, identifying and addressing patterns and trends if applicable.
- Communicates medical protocol, policy, and procedure updates and new information to appropriate target audience. Serve as a medical information resource for staff members.
- Applies for waivers when deviations from PPFA standards are requested.
- Promote staff awareness of the organization's medical quality improvement initiatives and quality outcomes.
- Receive, investigate, document, and respond to complaints about HIPAA breaches and other privacy practices.
- Ensure research protocols and related privacy requirements are followed.
- Oversees authorizations and requests for health records.
- Assist with patient requests for an amendment to their health information.
- Coordinate with appropriate governmental authorities on privacy matters.
- Ensure compliance with results on de-identification of Health Information and Limited Data Sets.
- Identify state laws not preempted or superseded by privacy regulations.
- Plans, assigns, monitors and manages the work of others.
- Reviews performance and evaluates results achieved by subordinates.
- Coaches and mentors subordinates.
- Interprets, applies and recommends changes to organizational policies and procedures.
- Reviews progress of assignments with senior management.
- Balances conflicting resource and priority demands.
- Represent PPMI to other affiliates/national office and collaborate on state and national projects.
- Maintains currency in effective and efficient quality improvement and risk management techniques.
- Operates standard office equipment and uses required software applications.
- Performs other duties and responsibilities as assigned.
Educational Background:
Bachelor’s degree
Quality Management, Health Care Administration or a related field
Skills/Experience:
- At least 5 years of experience in qualify improvement in a medical environment. At least two years supervisory experience preferred. Professional Nursing license preferred. Experience with process improvement, project management, change management and/or team leadership.
Job Function:
Organization Info
Listing Stats
Post Date:
Aug 24 2017
Active Until:
Sep 24 2017
Hiring Organization:
Planned Parenthood Federation of America
industry:
Nonprofit