JOB DESCRIPTION/
SPECIFICATION
Lisbon Avenue Health Center / Hillside Family Health Center
JOB TITLE:
DEPARTMENT:
Administration
Quality Improvement Coordinator
APPOINTED BY AND REPORTS TO:
WITH APPROVAL OF:
Chief Operating Officer
LOCATION:
Lisbon Avenue Health Center and/or
Hillside Family Health Center
N/A
FLSA:
DAYS AND HOURS OF WORK:
Monday – Friday, 40 Hours
EEO CODE:
Exempt
02-Professional
JOB SUMMARY
Under the supervision of VP/COO and in collaboration with CMO designs, implements and manages
the Quality Improvement Program for the organization. Works collaboratively with all clinic disciplines
to establish a “quality” culture and implement Joint Commission standards.
ESSENTIAL FUNCTIONS AND DUTIES
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Design, implement, and manage a Quality Improvement Program for the agency that
encompasses both clinical and administrative functions.
Establish and measure quality indicators periodically at a determined interval.
Review and evaluate patient medical records, as needed, to assess quality indicators.
Develop and utilize electronic method of data collection and storage.
Produce reports on identified quality indicators results.
Target low-performing indicators with improvement strategies and track changes over time to
ensure strategies have been effective.
Prioritize targeted areas for improvement and develop planning timeline to address them.
Develop and lead cross-functional teams in the development and implementation of
improvement strategies.
Collaborate with other agency staff in areas of Quality Improvement.
Assist in building a culture of quality within the agency.
Educate staff on Quality Improvement concepts and tools.
Engage staff in participation of quality improvement activities.
Update and revise policies and procedures as needed in support of quality initiatives.
Manages the Diabetes collaborative project.
Comply with TB Control Plan including PPD testing.
Perform other duties as assigned.
KNOWLEDGE and SKILLS
1.
2.
Demonstrate initiative, ability to work with others, and good professional judgment.
Ability to work independently and organize time effectively.
JOB DESCRIPTION
Quality Improvement Coordinator
03/10/08
Page 1 of 4
3.
4.
5.
6.
7.
Excellent written and verbal communication skills.
Strong organizational skills and attention to detail.
Knowledge of and well-skilled in Microsoft Word, Excel, Outlook, and Power Point.
Coaching, mentoring, and teaching skills.
Ability to relate well to people from diverse ethnic and cultural backgrounds.
MANAGEMENT COMPETENCIES
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Involve, whenever appropriate, people in decisions that affect them.
Reflect on Mission, Vision and Values when making decisions.
Understand and follow all laws, regulations and policies that apply to your work.
Place organizational success above personal gain.
Organize work to maintain balance in our lives.
Focus our work on efforts that lead to achieving organizational priorities.
Address challenges and opportunities quickly and creatively.
Balance multiple and often competing priorities.
Use best practices to help the organization achieve its goals.
Make informed decisions, considering both short and long-term implications.
Evaluate plans, meetings, work processes and behaviors based on expected outcomes.
Carry out work responsibilities to support strategic and financial objectives.
Advocate for public policy that provides basic services for those who have limited resources.
Address underperformance and holds others accountable.
EXPECTED BEHAVIORS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Treat all people with dignity, respect and compassion.
Honor diversity in practices of faith, traditions, and culture.
Recognize the good work and accomplishments of others.
Invite and acknowledge concerns, suggestions and opinions of others.
Protect personal and professional privacy and confidentiality.
Communicate truthfully and expect others to do the same.
Identify and resolve difficult issues.
Seek out and participate in opportunities for development.
View change as opportunity.
Accept and offer feedback that promotes respect and leads to development.
Seek out education and training to build job skills.
Exceed expectations of patients and colleagues.
Strive to exceed job requirements.
Seek to continuously improve work processes.
Work with others in the spirit of teamwork.
Be accountable for the successful completion of scope of work.
Make decisions about time and work resources that avoid waste and duplication.
Conserve natural and environmental resources.
Maintain health, safety and security in the workplace.
EDUCATION AND EXPERIENCE:
Nursing degree or other healthcare related field. Experience in Clinical Quality Improvement of at least
two years.
JOB DESCRIPTION
Quality Improvement Coordinator
03/10/08
Page 2 of 4
QUALIFICATIONS
To perform this job successfully, the employee must be able to perform each essential function, as well
as the physical and mental requirements satisfactorily. The requirements listed above are representative
of the knowledge, skills, abilities and other characteristics required. Reasonable accommodations may
be made to enable individuals with disabilities to perform the essential functions.
PHYSICAL REQUIREMENTS/DEMANDS
PERCENTAGE OF TIME
0-24%
25-49%
50-74%
75-100%
Seeing:
Must be able to read, as well as use computer, fax
machine, Xerox machine and other medical equipment
in accordance with specialty.
X
Hearing:
Must be able to hear well enough to communicate with
co-workers and patients.
X
X
Sitting:
Must be able to sit for the majority of the work shift
while answering telephone and communicating with
co-workers, management, public etc.
X
Standing/Walking/Mobility:
Must be able to stand and be capable of walking on
hardwood and linoleum floors with concrete
underlayment. Must be able to walk between various
clinical areas, departments and within other facilities.
Climbing/Stooping/Kneeling:
X
Lifting/Pulling/Pushing:
X
Fingering/Grasping/Feeling:
X
The employee is required to be able to move throughout three sites to inspect processes, attend
meetings, etc. The employee must possess hearing and speaking skills to lead meetings, talk via
telephone, and communicate orally. The employee must have the manual dexterity to effect strong
computer skills. Visual acuity is needed to assess processes within the agency. Must have ability to
work successfully under stressful conditions and must be capable of adapting to varying workloads
and work assignments on a constant basis.
LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions,
and procedure manuals. Ability to complete forms and correspondence. Ability to speak effectively
before groups of patients, employees or the public.
JOB DESCRIPTION
Quality Improvement Coordinator
03/10/08
Page 3 of 4
MATHEMATICAL SKILLS
Ability to add, subtract, multiply, and divide.
REASONING ABILITY
Able to think and reason in order to solve practical problems and deal with a variety of concrete variables
in situations where only limited standardization exists. Ability to interpret a variety of instructions
furnished in written, oral, diagram, or schedule form.
WORK ENVIRONMENT
Must understand and accept the possibility of exposure to inside environmental conditions such as
communicable diseases, occasional fumes and odors from routine maintenance, etc. Must be able to
comply with Westside Healthcare Association’s TB Control Plan as required. Fast paced work
environment. The noise level in the work environment is usually moderate.
*****
DISCLAIMER
The above duties and responsibilities are essential job functions, subject to reasonable
accommodations. All job requirements listed indicate the minimum level of knowledge, skills and/or
abilities deemed necessary to perform the job proficiently.
This job description is not intended to be construed as an exhaustive statement of duties,
responsibilities, or requirements. Employees may be required to perform any other job-related
instructions, as requested by their supervisor, subject to reasonable accommodation.
Signatures:
Human Resources
JOB DESCRIPTION
Quality Improvement Coordinator
Date
Employee
Date
03/10/08
Page 4 of 4