Quality Improvement Leader

Overview

When we say “our community” we mean it. UMMC Midtown Campus, one of two campuses of the University of Maryland Medical Center, has had a long history of working to keep our community healthy and has grown to become a trusted teaching hospital for medical and surgical care in Baltimore City. Located in Baltimore’s cultural center near the historic Mount Vernon neighborhood, UMMC Midtown Campus is a 180-bed, community teaching hospital with a focus on helping people manage chronic diseases, including diabetes, hypertension, pulmonary conditions, and infectious diseases.

Job Description

Under limited supervision, plans, coordinates, leads, and monitors quality improvement initiatives within clinical service departments and across the UMMC Downtown campus ("organization"). Communicates with organization leadership (Directors, Chairs, VPs, SVPs), clinical teams and other departments (Performance Innovation, Infection Prevention, Nursing, etc.) to drive organizational change toward high reliability and Zero Harm. Ensures awareness of, and continuously implements, the UMMC Quality Assurance/Performance Improvement (QAPI) program and the Annual Operating Plan (AOP) goals.

Provides leadership and direction to multi-disciplinary teams (which include physicians and senior leaders) to collaboratively accomplish quality improvement strategies ountable for overall quality of care provided to all patients in the designated clinical service departments, as well as compliance with quality requirements as outlined by CMS, Joint Commission, and/or disease specific certifications. Collects and analyzes data, conducts presentations, provides consultation, and staffs and leads service specific and organization-wide committees.

Promotes UMMC on its journey to become a High Reliability Organization (HRO) through the use of robust quality improvement tools and by promoting a Just Culture.

The position encompasses various roles (e.g., subject matter expert, coordinator, educator, project manager, data analyst, and facilitator), and requires effective interpersonal, management and leadership skills. A working knowledge of clinical workflows and strong leadership skills are therefore integral to gaining credibility and collaboration from colleagues. Duties include working with UMMC clinical service departments on quality improvement strategies to
1) enhance clinical/patient outcomes,
2) maximize the organization’s financial reward within the State of Maryland’s pay for performance programs, and
3) optimize the organization’s ranking within Vizient’s Quality and Accountability (Q&A) dashboard. This role works with organization leadership, staff, advanced practitioners, and physicians to provide a planned, systematic, organization-wide approach to identify, measure, monitor, and evaluate quality improvement activities to foster a Zero Harm environment while promoting principles of a High Reliability Organization. This position develops and maintains interactive and collaborative relationships with key medical staff (including Chairs);

collaborates with and provides structure and guidance to clinical service departments; and serves as a vital quality improvement resource to clinical teams and support staff including faculty, unit dyads, and front-line team members.

• Assists in the coordination and implementation of activities in the journey to become a high reliability organization with a focus on Zero Harm
• Collaborates with organization and Quality leadership to direct and implement the bi-campus, integrated quality improvement program including:
• Quality Program Management
• Oversees implementation of the quality improvement program for improving organizational performance. This includes planning, organizing, leading and directing clinical service department and organization-wide quality improvement activities by facilitating and leading multidisciplinary teams, which include physicians and senior leaders.
• Develops and leads projects of identified problem areas in accordance with organizational, department, and clinical service strategic priorities, including UMMC’s QAPI program, AOP goals, the State of…