Manager of Improvement

Overview

Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

Job Details

Description

Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

Reporting to the Director of Performance Improvement (PI), the Manager of Performance Improvement (PI) is responsible for providing leadership and support across the organization in all aspects of the area of the performance improvement process. The Manager is responsible for internal monitoring and reporting of specific clinical and performance indicators. He or she works with leaders and facilitates teams in the identification of benchmark data for project goal and target setting.

The Manager supervises performance improvement projects in alignment with Frederick Health goals and objectives and provides quality improvement educational activities and information to committees, departments and/or individuals. The Manager develops data management strategies for clinical information capturing and support of other organizational priorities. The Manager is responsible for the transfer of data and information from the Meditech System to Premier for the quality monitoring and reportable data and validating accuracy of the data and data transmission.

In addition, the Manager will oversee the daily activities of the Clinical Documentation Improvement Specialists within the Performance Improvement Department. This person will facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity actively present during the patient's encounter. This manager is responsible for development and execution of the clinical documentation improvement process, must be knowledgeable of program metrics and serves to ensure data is timely and accurately reported.

The Manager understands the CDI /coding data base and ensures optimization of 3M
-360 applications.

The Manager provides administrative direction for the department’s operations, budgeting, development of information systems and coordination of information flow. The Manager supports, and is responsible for incorporating into job performance, the Frederick Health mission, vision, core values and customer service philosophy and adheres to the Frederick Health Compliance Program, including following all regulatory requirements, and the Frederick Health Standards of Behavior.

Example Of Essential Functions

• Participates in and provides leadership to the establishment, implementation, and maintenance of the organization’s clinical quality improvement strategies, programs, and methods
• Develops, implements, and monitors effectiveness of quality strategies and plans
• Designs and coordinates communication of clinical quality improvement activities and outcomes and results to enhance programming
• Communicates concepts and issues effectively (written and oral) across all service lines within the organization
• Able to convert data into actionable information
• Coach, train, and develop teams to create processes to consistently achieve best practices that is evidence based
• Facilitates problem-solving within and between program area
• Provides organizational leadership for the design, implementation, and maintenance of quality outcomes and databases such as core measures, disease specific indications, MHAC’s, physician peer review, clinical registries and quality indicators that will contribute to process improvements and reimbursement from the HSCRC while improving the quality of care throughout the continuum of care
• Participates and supports medical staff and committees and facilitates intra-disciplinary work groups focused on clinical care
• Manages the process for the Physician Peer Review process including MROC and…