Manager, Performance Improvement-Clinical Quality

About the role

The Manager Clinical Performance Improvement (MCPI) provides overall leadership, vision and direction of the Clinical Performance Improvement Department within the Quality Division. This position ensures the appropriate planning, implementation and monitoring of clinical performance improvement activities. The Manager Clinical Performance Improvement works collaboratively with appropriate stakeholders to ensure that all organizational and regulatory agency requirements are met. Job Responsibilities Leads the daily operations of the Clinical Performance Improvement Department and establishes Performance Improvement priorities for the team and in conjunction with other Grady leadership initiatives. Manages the completion of the mortality review for the organization. Cultivates strong working relationships with Nursing and the Chiefs of Service to ensure quality/performance improvement efforts are identified, resourced, and supported. Directs the service-based performance improvement efforts through focused and generic reviews of services and High Volume (HV), High Risk (HR), Problem Prone (PP), and High Complications (HC) cases. Develops, manages and controls budgetary requirements for team success. Creates policy and procedures that support Performance Improvement activities. Coordinates clinical care standardization through protocols, order sets or process improvement activities. Abstracts, submits and identifies performance improvement efforts associated with Centers for Medicare and Medicaid Services (CMS) and the Joint Commission Core Measures (ORYX) as needed. Serves as the data resource, in collaboration with the Manager of Clinical Quality Analytics, for clinical performance improvement activities and the distribution, reporting and coordination of activities associated with said improvement efforts. Works effectively with other divisions and departments in driving positive quality improvements. Demonstrates strong initiative in carrying out assignments and meeting deadlines. Promotes open communication, respect, and positive interactions with all levels of staff within the hospital and is a positive role model.