Clinical Quality Program Management: Directs and leads the operational management of the clinical quality program of OHSU Quality Management.

• Designs and maintains Clinical Quality Program function and structure to ensure that organizational quality assurance programs connect to quality improvement activities to accomplish strategic quality goals.
• Directs the central quality assurance team resources to align and address quality priorities and integrate quality management at critical points in the organizational infrastructure.
• Works with key quality leaders in healthcare services and academic departments to support and drive work on healthcare quality and safety priorities
• Examines and addresses systems and structural barriers to achieve performance goals.
• Demonstrates inclusiveness, collaboration and the ability to connect multi-disciplinary teams and leaders across different sites of care.
• Leads resourcefully and applies stewardship principles
• Fosters individual growth and contribution to the larger mission of the department and institution.
• Provides leadership for activities related to the OMS, regulatory requirements that relate to the quality management system, and institutional quality priorities.

Improves the Quality Assurance function and is committed to building a system that works.

• Maintains knowledge of hospital accreditation and regulatory requirements
• Continually improves processes and structures to support monitoring, analysis, and identification of root cause to support priorities
• Connects and aligns performance improvement methodology, quality improvement, regulatory requirements, clinical care and operations to complement one another and simply complexity.
• Advises and improves framework for continuously improving patient care: metrics, measurement, monitoring, evaluation, analysis of performance gaps (including risk assessment), and decision making and reporting.
• Makes performance transparent and provides executives with actionable information required for data driven decision making.
• Supports the Quality and Safety Oversight Committee, reports to OHSU Governance Council
• Provides recommendations to the VP of Quality, Safety and and Improvement, OHSU healthcare, and other organizational leaders regarding opportunities for improvement

Program Coordination: Understands internal and external customer requirements, analyzes performance gaps, identifies priorities and develops quality management strategies and tactics, align improvement priorities and integrates the quality

management framework across healthcare.

• Builds on existing success
• Advises on and contributes to the development of the annual Quality and Safety plan.
• Guides committees, departmental and professional leadership in the achievement of quality and performance improvement goals.
• Collaborates with VP of Quality, Safety & Improvement to monitor improvement for value-based payment initiatives and collaborates with other stakeholders such as Population Health, the Integrated Delivery System and other clinically integrated programs and episodes of care.
• Promotes integration of quality management in critical points in the organization
• Disseminates quality performance information

Other Duties as Assigned

Job Related Knowledge, Skills and Abilities (Competencies):

• Management principles, tools and techniques with proven program leadership skills in large scale performance improvement projects
• Knows how to build highly functioning teams
• Knows how to inspire and lead in a highly matrixed environment
• Models integrity, respect, teamwork
• Understands strategic planning
• Exceptional verbal and written communication skills
• Creates effective/efficient systems and processes
• Embodies mentorship
• Decision making consistent with fiscal stewardship principles

• Certified Professional in Healthcare Quality or Licensed clinical professional