Director of Population Health Quality Outcomes

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance.

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Reporting to the COO, Population Health, the Director of Population Health Quality Outcomes is accountable for designing, implementing, and leading enterprise-wide quality improvement initiatives to support population health goals. This key role focuses on improving patient outcomes through proactive outreach, closing preventive health maintenance care gaps, standardizing quality care delivery, and maximizing payer incentives (targeting 4.5 Star or better performance) in value-based arrangements.

This leader will leverage various tools (e.g. HEDIS dashboards, Epic Cheers and Campaigns, RAD/RED) to maximize outcomes, improve population risk capture, and facilitate operational partners to improve overall care processes through standardization and sharing of best practices.

The Director will lead process improvement efforts across the primary care enterprise to advance patient-centered care, coordination, and enhance quality measure performance. As an active participant in strategic planning for Population Health and Primary Care, the Director will work to strengthen integration between hospitals and primary care by improving access, reducing avoidable ED/inpatient utilization, and advancing quality performance.

Partners with physicians, care management, operations, contracting and analytics teams to develop and optimize high-value, patient-centered care quality and equity, supporting UPHS mission and performance goals.

Lead the development of new operational and clinical programs across primary care with guidance from the COO by garnering support from key stakeholders, forming planning teams, developing financial projections and presenting plans various forums to gain approval.

Design and oversee a programmatic patient outreach function to engage patients in proactive care and closure of clinical care gaps. Develop and monitor metrics to ensure successful strategy.

Leverage HEDIS dashboards to optimize payer incentive capture. Lead daily and weekly oversight of team to ensure optimal outcomes.

Administrative lead for the Penn Medicine MSSP ACOs directing improvements in quality outcomes and patient population risk capture.

Serves as the principal interface for Penn Medicine Primary Care with all primary care practice sites to facilitate prioritization of success planning initiatives, sharing of best practices and optimizing best practice sharing.

Provides input for the development of primary care strategic plan and budget. Facilitates this process in partnership with primary care leadership and ensures that annual strategic goals are linked to entity and leadership’s performance targets.

Build and manage a team responsible for enterprise performance, facilitation of best practice sharing, and standardization of practice operations as it relates to population health activities.

Serves as point coordinator and leader for select PMMG functions as required or needed:

Population Health Dashboards:
Work with ambulatory operations group and PMMG practices in developing and standardizing ambulatory-specific outpatient dashboards, as well as practice-specific metrics; facilitate communication and management by metric culture across ambulatory services.

Effectively uses management and clinical information systems to monitor and improve workflow, revenue cycle performance, patient access and service performance.

Addresses interdepartmental barriers to delivery of care including staffing, equipment and facilities. Ensures that care delivery in shared programs is consistent with policies and standards, federal and state laws and regulations, and accreditation requirements.

Ensures…