Data analytics for performance and quality measures

Data analytics for performance and quality measures

Patient Outcomes Director


Job Title: Patient Outcomes Director   Supervised by: Risk Management Director

Job Summary: Patient Outcomes Director: Responsible for participating with the development team
in planning coordinating and implementing the Remote Patient Outcomes Program to meet the needs of
all QPI Clients and Providers. Facilitates performance improvement activities and CQI activities
throughout QPI. Coordinate development of outcome definitions and reports to enable all QPI
departments and clients to establish the capability to measure and improve outcomes of care patient
care in accordance with CAHPS. Facilitate achievement of desired outcomes in concert with QPI
leadership. Acts as a resource person to administrative team, department managers and clients.
Oversight responsibility for all regulatory body surveys, i.e., TJC, State Licensing Review, CMS
Validation surveys. Maintains oversight responsibility for all performance improvement activities
conducted throughout the company.


Demonstrates Competency in the Following Areas: PATIENT OUTCOMES DIRECTOR RESPONSIBILITIES:

Assist with the development and coordination of processes to monitor quality of care.

Identifies opportunities to improve patient care, treatment and services.

Demonstrates effectiveness in planning and implementing the remote patient outcomes monitoring
program to meet the needs of QPI clients.

Ability to facilitate performance improvement and CQI activities.

Demonstrates effective organizational skills through ongoing interaction with managers, ancillary
department managers, administrative team and Governing Body to facilitate the QPI PI program.

Demonstrates knowledge of current methodology and practices. Maintains awareness of changes in the
regulations and requirements by accrediting bodies.

Demonstrates awareness of the responsibilities of the position and how it interfaces with the rest
of the QPI team and clients.

Works closely with all department members as required, is flexible to meet the needs of the department and changes in the workload.

Accurately demonstrates use of database systems to document occurrences, medical staff review
functions, committee review and actions.

Compiles reports for committees and administrative team.

Consults with other departments as appropriate to collaborate in patient care and performance
improvement activities.

Provides support and assistance to medical staff officers, committee chairpersons and Governing Body, as required.

Utilizes information obtained via performance improvement activities to seek and act on
opportunities to improve patient care processes.

Actively participates in QPI meetings, provides oversight for meeting preparation, gives
presentations on performance improvement to staff and clients.

Presents patient outcomes statistics and information.

Demonstrates current clinical knowledge as well as current knowledge of regulations and standards
as relating to TJC, CMS and State Health Departments. Remains current in the appropriate fields
encompassed by the company.

Reviews and directs submission of monthly, quarterly and annual reports as required.

Responsible for maintaining current systems to ensure integrity of data obtained during the varying
processes performed in the department.

Consults other departments as appropriate to collaborate in risk management, utilization management and
performance improvement activities.

Demonstrates Competency in the Following Areas:


Evidence Based-Care Measures: Work with QPI team members to provide leadership and education in the
creation of evidence-based care guidelines and recommendations. Work to resolve issues that
challenge the implementation of evidence care protocols. Develop and implement evidence-based
condition specific outcome measures in all client settings. Provide leadership to ensure quality
patient care outcomes and ensure results of strategic outcome improvement priorities.
Measurement Development: Precisely and accurately write Operational Definitions for outcome
measures and specify their component data variables, effectively communicate these to software
development, IT, Risk Management, and QPI Administration. Develop data dictionaries to build custom
QPI screens (flowsheets) for clinical data collection. Develop, monitor, and revise operational
definitions and data specifications to achieve robust outcome measures, which include
specifications for data analysts, application specialists, and QPI end users.
Analysis/Reporting: Work with QPI, software development, IT, and risk management to ensure
integrity and quality of clinical data abstraction and electronic data entry through ongoing
quality monitoring. Identify and document areas for clarification and improvement, provide
re-education for improvements identified. Provide leadership and analytical support to the
development Lavear Dashboards, improve the reliability of data capture and demonstrate improvement
in condition-specific outcomes measured.
Strategic Initiatives Alignment: Work with QPI Leadership to ensure that condition-specific outcome
measure development process is in-line with CAHPS, MIPS and VBHC strategic plan: Develop and embed
condition specific standardized measures to improve outcomes for diseases and complex disorders
specific to MIPS and VBHC. Optimize the use of the Lavear system to improve outcomes and achieve
best in class outcomes for patient diagnosis’.


Demonstrates an ability to be flexible, organized and function under stressful situations.
Documentation meets current standards and policies.
Performs management activities including interviewing, hiring, evaluating and firing.
Consistently demonstrates a professional, self directed, mature, disciplined and tactful approach
to department responsibilities. Listens and communicates effectively.
Maintains regulatory requirements, including all state, federal and TJC regulations related to the
Assists with the coordination of performance improvement and continuous quality improvement
activities for Quality Management, Risk Management.

Professional Requirements:

Complies with all organizational policies regarding ethical business practices.
Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the

Regulatory Requirements:

• Five (5) years experience in healthcare outcome measurement development
• Five (5) or more years of experience in data management, analysis, measurement
definitions, identification of data variables and managing clinical information systems

• Five (5) or more years of experience with outcome measurement development.

Language Skills:

• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.
• Strong written and verbal skills.
• Strong interpersonal skills.
• Excellent presentation skills.


• Intermediate computer knowledge.

Physical Demands:

• For physical demands of position, including vision, hearing, repetitive motion
and environment, see following description.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions of the position without compromising patient care.

Adheres to dress code, appearance is neat and clean and professional. Completes annual education requirements.
Maintains regulatory requirements, including all state, federal and TJC regulations.
Maintains and ensures confidentiality at all times. Reports to work on time and as scheduled.
Represents the organization in a positive and professional manner.

Communicates administrative directive to personnel and encourages interactive departmental meetings and discussions.


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