Clinical Effectiveness Consultant III

Sutter Health•Walnut Creek, CA

4d•$54 - $80

About The Position

The Clinical Effectiveness Consultant III provides primary support to clinical and operational leadership in monitoring and evaluating outcomes management, performance improvement, peer review, patient safety, and regulatory compliance. The role conducts organization-wide performance improvement activities to support high-quality care and compliance, and provides management, physicians, and clinical staff with accurate and timely information for decision-making using internal and external decision support systems. The consultant prepares clear reports and presents findings at clinical and administrative meetings, and serves as a resource on performance improvement methods, patient safety, healthcare regulations, and hospital and ambulatory performance. The position facilitates improvement activities, coordinates work related to organizational outcome measures and strategic quality and safety goals, analyzes clinical and administrative data, and supports evidence-based interventions. It also contributes to regulatory readiness and compliance, public quality reporting, special projects, and staff training. When supporting an MBSAQIP-accredited bariatric program, the consultant abstracts bariatric procedure records, coordinates data collection and databases, supports data integrity and certification requirements, and reports outcomes to relevant groups.

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.
Five years of recent relevant experience.
Demonstrated proficiency with Microsoft Office, including Word, PowerPoint, and Excel; ability to format tables, retrieve data using queries, and create presentations.
Ability to navigate an electronic health record.
In-depth knowledge of accreditation and regulatory standards.
Strong written and verbal communication, interpersonal, and problem-solving skills, including the ability to communicate with diverse personalities and medical staff.
Ability to manage time, schedule tasks, work effectively with minimal supervision, and prioritize multiple projects and duties.
Ability to manage performance improvement projects from conception to completion, using analytical, problem-resolution, persuasion, and negotiation skills.
Organizational skills and the ability to plan, set, and execute objectives.
Ability to apply teaching and learning principles and motivate diverse groups working together on an initiative.
Ability to tactfully direct diverse health professionals toward performance improvement and risk reduction activities.
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 listed eligible professions.

Responsibilities

Support clinical and operational leadership in monitoring and evaluating outcomes management, performance improvement, and peer review.
Facilitate improvement activities in assigned areas and coordinate organization-wide improvement work tied to quality and safety goals.
Promote collaboration, decision-making, and problem-solving among ambulatory or hospital teams.
Collect, retrieve, and analyze data; design and use spreadsheets and databases; and assess relationships between processes and outcomes.
Conduct basic and advanced analyses of clinical processes and outcomes, interpret results, develop reports, and assist end users with analysis and system adaptations.
Maintain and share information about successful interventions and evidence-based practices.
Represent the department in meetings concerning performance improvement, decision support, policy, and resource utilization.
Prepare and present education for physicians and clinical staff on performance improvement, evidence-based practice, and quality initiatives.
Assist with development of organization-wide performance improvement plans and long-term methods for evaluating care processes and outcomes.
Manage improvement projects from conception to completion, facilitate meetings, provide timely information, and present findings clearly.
Maintain knowledge of applicable accreditation and regulatory standards.
Educate stakeholders about standards changes and compliance outcomes; organize on-site surveys and manage survey activation plans.
Work with affiliate and system experts to develop and implement processes for meeting complex regulatory requirements.
Review internal and external measure performance, collaborate with process owners on action plans, identify interdisciplinary improvement needs, and follow up with physicians.
Identify improvement opportunities using knowledge of regulations, standards, and measures; develop related reports and action plans.
Manage performance on public quality reports, support public reporting programs, and help ensure regulatory compliance.
Support planning and implementation of programs to improve public quality reporting performance and respond to health plan, regulatory, and other expectations.
Complete special projects and assignments, including regional or corporate clinical and patient safety improvement work and responses to external inquiries.
Train new staff.
When supporting an MBSAQIP bariatric program, abstract records for all bariatric procedures using electronic medical record information, as required by MBSAQIP standards.
When supporting an MBSAQIP bariatric program, coordinate data collection, maintain databases, and work with the center and clinicians to ensure relevant short- and long-term data are available in medical records.
When supporting an MBSAQIP bariatric program, complete initial training and annual certification requirements and comply with data integrity audits.
When supporting an MBSAQIP bariatric program, report bariatric data and assist with producing and distributing standard reports and outcomes.