Clinical Effectiveness Consultant III

Sutter Health•Walnut Creek, CA

About The Position

This position provides primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes management, performance improvement, patient safety, peer review, and regulatory compliance. It conducts organization-wide performance improvement activities to help ensure high-quality care and ongoing compliance. The role analyzes clinical and administrative data, prepares clear written reports, and presents findings at clinical and administrative meetings. It also advises staff across disciplines on performance improvement methods, patient safety, healthcare regulations, and hospital and ambulatory performance, providing management, physicians, and clinical staff with accurate and timely decision-support information. The consultant facilitates improvement initiatives, supports regulatory readiness and public quality reporting, and collaborates with process owners and subject matter experts to develop action plans. The position may also complete special projects, respond to external inquiries, and train new staff. When supporting an MBSAQIP-accredited bariatric program, the role includes chart abstraction for all bariatric procedures, data collection and database maintenance, reporting outcomes, and maintaining the required reviewer certification.

Requirements

Bachelor's degree in management, public health, nursing, business administration, organizational leadership, or a related field; equivalent experience may be accepted in lieu of the degree.
For an MBSAQIP-accredited bariatric center, certification as an MBSCR or successful completion of training and passing the MBSCR exam within 60 days of hire.
For an MBSAQIP-accredited bariatric center, registration as a healthcare professional in one of the specified fields, including nursing, public health, social work, health education, healthcare administration, clinical laboratory technology, diagnostic medical sonography, medical dosimetry, biomedical engineering, bioinformatics/biostatistics, blood bank technology, cytotechnology, radiation therapy, forensic science technology, or health information technology.
Five years of recent relevant experience.
Proficiency with Microsoft Office, including Word, PowerPoint, and Excel; ability to format tables, retrieve data through queries, and create presentations.
Ability to navigate an electronic health record.
In-depth knowledge of accreditation and regulatory standards.
Strong written, verbal, interpersonal communication, and problem-solving skills, including the ability to communicate with varied personalities and departments and with medical staff.
Ability to manage time, schedule tasks, and work effectively with minimal supervision.
Experience managing and prioritizing multiple projects and duties, including performance improvement projects from conception to completion.
Analytical, problem-resolution, persuasion, and negotiation skills.
Organizational skills and the ability to plan, prioritize, set objectives, and execute them.
Ability to apply teaching and learning principles.
Ability to motivate and work with diverse groups and tactfully direct health professionals toward performance improvement and risk reduction.

Responsibilities

Support clinical and operational leadership in monitoring and evaluating outcomes management, performance improvement, and peer review.
Facilitate improvement activities for assigned areas and promote collaboration, decision-making, and problem-solving across ambulatory or hospital teams.
Coordinate organization-wide process improvement activities tied to quality and safety goals, with the aim of optimizing care and reducing waste and rework.
Collect and retrieve data; design and use spreadsheets and databases; and analyze relationships between processes and outcomes.
Conduct basic and advanced analyses of clinical processes and outcomes, interpret results, develop reports, and provide end-user assistance and recommendations for system adaptations.
Maintain and share information about successful interventions and evidence-based practices.
Represent the department in meetings concerning policy, performance improvement, decision support, and resource utilization.
Prepare and present education on performance improvement, evidence-based practice, and quality initiatives to physicians and clinical staff.
Assist with development of the organization-wide performance improvement plan and long-term approaches for evaluating care processes and outcomes across the continuum of care.
Manage improvement projects from conception to completion, facilitate meetings, provide timely and accurate information, and present findings clearly.
Maintain knowledge of applicable accreditation and regulatory standards and educate others about changes and compliance outcomes.
Organize on-site surveys and manage the survey activation plan.
Collaborate with affiliate and system content experts to develop and implement processes that address complex regulatory requirements.
Review internal and external measure performance with process owners; develop action plans, identify interdisciplinary improvement needs, and follow up with physicians.
Identify improvement opportunities based on healthcare regulations, standards, and measures, and create related reports and action plans.
Manage performance on public quality reports, serve as a resource on public quality reporting organizations, and support systematic programs to improve reported performance.
Complete special projects, regional or corporate initiatives, external inquiries, and other assignments; train new staff.
For an MBSAQIP bariatric program, abstract charts for 100% of bariatric procedures using electronic medical record information, as required by the standard.
Coordinate bariatric data collection, maintain databases, and work with the center and clinicians to ensure medical records contain appropriate short- and long-term data elements.
Complete initial and ongoing MBSCR training and certification requirements and comply with data integrity audits when required.
Report bariatric data to relevant groups and assist with producing and distributing standard reports and outcomes as directed.