Quality Improvement Officer (TM45663)

CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

18d•$42 - $51

About The Position

The Quality Improvement Officer (QIO) supports the Health Care Authority’s commitment to safe, effective, and accountable care by proactively preventing compliance risks related to funding agreements, legislation, accreditation standards, and regulatory requirements. The QIO leads quality improvement initiatives, monitors compliance indicators, and works collaboratively with clinical and operational teams to strengthen systems, reduce risk, and ensure responsible stewardship of public funds. The QIO will perform their job duties in a professional manner while assuring that all needs of the patients are met with a professional demeanor.

Requirements

Bachelor’s Degree in health-related field (i.e., nursing, public health, health administration) required.
At least 3 (three) years’ experience in heath field, direct ambulatory health care operations, public health or social service required.
Must be highly self-motivated, organized and demonstrate ability to establish priorities and coordinate work activities.
Applicant must be culturally competent in dealing with racially and ethnically diverse populations.
Experience with policy development required.
Experience with electronic health records, data collection and reporting required.
HIPAA Certificate within initial 90 days of employment.
Ability to understand, speak, communicate and read the English language.
Requires ability to utilize a multi-line telephone with good telephone etiquette.
Proficiency in MS Office (Word, Excel, Outlook, PowerPoint).
Ability to handle sensitive information with discretion and maintain confidentiality.
Well-developed human relation skills to convey technical concepts to others.
Ability to communicate technical information and to interact with a wide variety of groups and individuals inside and outside the organization.
Ability to plan, organize, and prioritize work processes in a high-volume environment in order to meet schedules and timelines.
Ability to analyze data from multiple information ports by comparing and contrasting data to draw a conclusion or to identify trends.
Ability to communicate professionally in written, verbal, and non-verbal format while portraying a friendly tone, word choice, and body language.
Ability to take initiative and be proactive in the duties of the position in order to meet mandated deadlines and to comply with goals and objectives.
Valid Washington State Driver’s License is required and be insurable

Nice To Haves

Demonstrated experience using formal performance improvement methodologies preferred (e.g., PDSA, Lean, Six Sigma) and applying them across clinical and operational settings.
Experience with accreditation and adhering to grant and Federal guidelines preferred.

Responsibilities

Monitor and assess compliance with funding agreements, service contracts, and applicable federal, state, and local health regulations.
Leads development, implementation, and annual evaluation of the organization-wide Quality Improvement/Quality Assurance (QI/QA) Plan, ensuring alignment with all tribal, state, federal and grantee requirements and reporting results to executive leadership and the CTHCA Board.
Supports quality improvement and performance reporting requirements associated with HIS program, Tribal 638 funding agreements, and other federal and state funding sources while honoring Tribal sovereignty and community priorities.
Has the authority to escalate quality, safety or compliance concerns directly to the CEO and CTHCA Board when unresolved risks pose a threat to patient safety, accreditation or funding.
Develop, meet and maintain objectives, coordinate and implement metrics, performance targets and reporting requirements, work plans and best practices for value-based care initiatives and other QI recognition programs in line with the Colville Tribal Health Care Authority (CTHCA) mission and goals.
Act as a change agent, driving process improvement, coordinating data collection, conducting gap/root-cause analyses, and quality reviews.
Coordinates, maintains, evaluates, reports on risk management program activities.
Follows up on Patient/Staff comments/complaints, Incident Reports, Patient Satisfaction Surveys, and other related measures, activities and systems.
Guide the development and review of patient satisfaction surveys and comment processes; assist in operationalizing these processes into workflows; work with department managers to build action plans based on results to implement appropriate changes to process and workflows.
Assists Administration with the management and processing of legal claims related activities and serves as the claims point of contact.
Collects, analyzes and reports on performance measure data, including UDS reports.
Develop and maintain a strong Population Health program—including risk stratification—that not only aids care coordination and improved operational performance, but also positions the organization to manage financial risk and thrive in new payment models and arrangements.
Oversees accreditation activities and projects.
Keeps current on annual updates to accreditation standards.
Prepares the organization for accreditation re-survey process.
Provide written progress reports for QA initiatives as required.
Educates new staff, including physicians, about QI systems and requirements.
Facilitates and assists departments with development of QI projects and initiation.
Active member of safety committee and assists in safety endeavors.
Complies and ensures compliance with applicable legislation, funding and organizational requirements, policies and procedures.
Ensure confidential handling of sensitive team member information in line with data protection policies and laws
Performs other duties as assigned.