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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Executive Director, Quality and Population Health is responsible and accountable for developing, implementing, supporting, and evaluating clinical quality and population health improvement initiatives for Stanford Health Care (SHC) in line with organizational goals and deliverables. The Executive Director plans, organizes, and directs the work of staff that perform quality and population health assessments and performance improvement programs to assure compliance with regulatory reporting and in support of the value-based obligations, as well safety in the ambulatory setting. The role directly liaises with Accreditation, Regulatory and Licensure, Patient Safety and Infection Prevention and Control departments to enhance quality and patient safety in the outpatient arena while working with existing infrastructure within the service lines. The role supports Stanford Health Care's strategies for primary, complex and accountable care across the care continuum. The incumbent will manage CMS and Joint Commission quality reporting programs, coordinate quality initiatives and collaboratives across primary and specialty care. Establishes and maintains systems and standards for all quality reporting, maximizing integration with current systems and providing vision for the future. Develops a coordinated approach to quality and population health programs in tight collaboration with other SHC quality partners (e.g., UHA, VMOC), ensuring strategic alignment and coordination. Contributes to strategic plans and policies that have impact throughout the health system.

Locations
Stanford Health Care

What you will do

• Manages staff assigned to programs including but not limited to onboarding, orientation, time schedules to ensure understanding of duties, responsibilities, work requirements and performance standards.
• Recommends organizational structure, reporting relationships and staffing needs based on program goals.
• Makes hiring, promotional and salary decisions in accordance with SHC policy.
• Provides performance appraisals for staff and determine need for disciplinary action.
• Leads the development and execution of the plans for quality and safety in the Ambulatory Practices.
• Provides clinical and technical direction/ expertise in the development, maintenance and expansion of Clinical Quality Measurement Sets reflecting internal and external major stakeholder priorities.
• Creates and maintains a framework and infrastructure for quality and population health management including ongoing measurement and sustained improvements in support of care coordination and management for various populations.
• Interprets, implements, reports and improves regulatory and contractual performance and measurement required by CMS regulation for SHC Advantage and by employer specific contract for SHC Alliance. These include Medicare Stars for SHC Advantage and customer specific performance metrics for SHC Alliance customers.
• Manages the improvements across the broad portfolio of health plan performance measurement requirements which includes clinical quality, patient experience, access to care, resources use and in-network utilization, operational efficiency, case management, My Health registration, and many other areas of measurement.
• Directs the maintenance and expansion of the Population Management Dashboard to support quality analytics including enterprise and practice level reports.
• Engages physicians and Stanford Health Care staff in quality and population health management activities and helping drive accountability across the care continuum.
• Provides strategic and implementation support of emerging accountable care activities.
• Directs the development of standard work, including evidence‐based clinical pathways for complex care in collaboration with physician leaders of the clinical programs.
• Builds relationships with and engage primary care and specialist physicians and residents and provide education when needed in clinical effectiveness methods.
• Directs activities to assure compliance with survey readiness when appropriate.
• Applies multiple performance improvement methodologies and tools to projects as needed (Lean, Six Sigma, statistical process control, DMAIC, FMEA, RCA, process mapping, cause and effect diagrams, etc.).
• Manages audits related to measurement validation (i.e NCQA audits) and vendor relationships (e.g. Verscend) as they relate to health plan data validation.

Education Qualifications

• Master's Degree Master's degree from an accredited college or university in a work-related field.

Experience Qualifications

• Seven (7) years of progressive responsibility and directly related quality improvement work within a large acute care hospital or health care system.

Required Knowledge, Skills and Abilities

• Provide leadership and influence others at all levels of the organization.
• Develop long-range business plans and strategies for a functional group.
• Manage complex projects and resources (people, costs, and time), solve problems and identify solutions.
• Demonstrate effective verbal and written communications skills.
• Knowledge of TJC, State, Center of Medicare/Medicaid Services, Managed Care and other external regulatory agencies.
• Knowledge of computer systems and software used in functional area, including Electronic Health Records (EHR). Experience with the EPIC system and its relevant modules a plus.
• Knowledge of the principles and practices of high value care, value-based decision-making, health care payment/reimbursement, and delivery models.
• Knowledge of advanced quantitative skills and ability to use statistics to evaluate and interpret data, summarize results and make recommendations.
• Knowledge of project management and change management methodologies and tools.
• Knowledge and ability to use decision support systems such as Access, MIDAS, Vizient, FPSC or other relational databases.
• Knowledge of outpatient quality measures receiving external visibility and attention (e.g. CMS, HealthGrades, US News & World Report, HEDIS, STARS, MACRA/MIPS, bundled payments).
• Ability to lead multi-disciplinary teams through Kaizen/RIE/RPIW/PDSA.
• Ability to navigate strategic and operational challenges and achieve objectives with constraints of limited resources and competing demands.
• Excellent skills in developing strategic plans, creating benchmarks, integrating programs, building staff competencies, organizing operations, and fiscal management.
• Advanced analytical, organizational, and problem-solving skills, with in-depth ability to develop and pursue goals, synthesize data to identify system vulnerabilities and develop and apply innovative solutions.
• Strong knowledge of relevant healthcare information technology, including QI workflows and processes, relevant systems and data management techniques and methodologies.
• Knowledge of relevant QI regulatory requirements, as well as related legislative, accreditation, licensing and compliance environments.
• Proficiency in MS Office Suite – Word, Excel, PowerPoint, Visio.

Licenses and Certifications

• RN - Registered Nurse - State Licensure And/Or Compact State Licensure and
• CPHQ - Health Care Quality Certification
  

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $102.84 - $136.26 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.