A. Position Summary

Under the general direction of the COO. The PQI Director leads a collaborative effort to devise, install and continually update performance and quality improvement systems. This position is responsible for overseeing the process of organizing and coordinating all PQI activities, including the coordination of the PQI plan, the development of outcome and performance measures and their incorporation into an integrated model, the consolidation of review of outcomes at all levels, including management outcomes, client outcomes, and measures of program and service delivery effectiveness. This position will ensure the agency's systems comply with the AAAHC standards for Performance and Quality Improvement (PQI) and will lead the process of preparing PQI documentation required for accreditation.

B. Essential Duties and Responsibilities

• Develop, oversee, and maintain all PQI initiatives, models, practices.
• Develop and implement the organization PQI Plan.
• Design and develop PQI procedure, protocols and documentation for all programs and support functions.
• Review organizational processes, clinic flow, risk management etc, to ensure efficient patient/provider relationship.
• Coordinate the PQI Plan, which defines overarching long-term and short-term PQI goals, including those that are active at any given time, and assigns responsibility for different elements and tasks required by the PQI plan.
• Develop, maintain, and distribute the PQI Manual, which will include PQI policies, procedures, protocols, and PQI related documentation forms.
• Leads organizational compliance surveys and audits.
• Implementation of an annual evaluation of the PQI program.
• Establish and oversee systems to produce outcome reports for all programs. Analyze performance/outcomes data and charts against defined parameters, benchmarks, and contract requirements.
• Uses valid and reliable data collection methods to measure outputs, outcomes, and progress toward performance targets.
• Support writing grants by providing metrics and forecasting impact, in conjunction with the COO.
• Assists in the surveying of agency stakeholders to determine satisfaction with services.
• Performs miscellaneous job-related duties as assigned.

C. MINIMUM EDUCATION AND EXPERIENCE

• Baccalaureate degree in business, public or health administration or closely related field required.
• Experience with continuous quality improvement, research, data entry and analysis.
• Demonstrated experience developing and operationalizing strategies that have taken a program or organization to the next stage of growth.

D. LICENSES/CERTIFICATIONS REQUIRED

• CPR Certification must be obtained within 6 months from hire and maintained

F. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

• Working knowledge of various databases as well as advanced knowledge of Excel.
• Ability to see the big picture and to bring those concepts to the engagement process and communicate it clearly to our constituents.
• Ability to communicate effectively in written and verbal formats.
• Ability to interpret, analyze, formulate plans, organize, and implement organizational decisions;
• Skill in examining and re-engineering operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Ability to develop, plan, and implement short- and long-range goals.
• Knowledge of organizational structure, workflow, and operating procedures.
• Ability to lead, guide, and integrate strategic planning processes and organizational goal development.
• Knowledge of JCAHO and related accreditation and certification requirements.

G. PHYSICAL CHARACTERISTICS/WORKING CONDITIONS

• Physical Effort and Dexterity: Moderate physical activity. May require handling of objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.
• Machines, Tools, Equipment: Capable of using medical equipment, office machines and personal computers for word-processing and data entry.
• Visual Acuity, Hearing, and Speaking: Must be able to communicate clearly and accurately for work and safety compliance.
• Environment/Working Conditions: Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment. Work is normally performed in a typical interior/office work environment. Work is inside a clinic in a controlled environment at multiple health centers working with managers, providers, support staff, and partners. Normal office and clinic safety precautions and practices are required. Work regularly scheduled Monday-Friday, although weekends may be required to attend meetings and conferences, and meet deadlines.

This description lists the major duties and requirements of the job and is not all-inclusive. Applicants may be expected to perform job-related duties other than those contained in this document and may be required to have specific job-related knowledge and skills