Quality Improvement/Population Health Nurse

Job Summary: The Quality Improvement/Population Health (QI/PH) Nurse will be responsible for coordinating quality management efforts including development, implementation, education, data collection, and analysis. They will be responsible for coordination and implementation of the Quality Improvement and Population Health programs for Open Door Health Center. Under the supervision of the Director of Quality Improvement & Support Services, the QI/PH Nurse champions clinical quality improvement initiatives of all service areas including medical, behavioral health, dental, and support services. They will provide daily leadership to the clinical staff in areas such as population health management, quality improvement practices, and efficient use of electronic health record (EHR) and population health tools. Primary Responsibilities Quality Improvement: Responsible for learning and ensuring Quality Improvement, as defined by Health Resources and Services Administration (HRSA) and collaborates with all departments in developing, implementing, evaluating, and maintaining procedures and workflows throughout all service lines and sites as needed to meet the mission, vision, and values of ODHC. Coordinate QI programs that address the quality and utilization of health center services, patient safety, patient satisfaction, operational performance, transformation activities and program policies and procedures; Coordinate monthly QI Meetings, including meeting minutes and QI Board reporting. Coach and trains clinic teams on effective design and implementation strategies, to sustain quality improvement through project cycles (PDSA), including team building, project planning, workflow redesign, developing resources, electronic health record (EHR) and population health systems optimization, and outcomes monitoring. Work closely with the Compliance Director to ensure alignment and mutual support across Compliance and Quality Improvement programs, plans and efforts. Works with the Compliance Director to plan and complete quarterly risk assessments for clinical activities. Conduct comprehensive audits on medical records, patient charts, and healthcare documentation to assess accuracy and adherence to protocols in concert with the Compliance Director. Under direction from the Compliance Director, assist in the investigation of complaints, incidents, and adverse events, conducting root cause analysis and implementing corrective actions. Possesses the ability to analyze utilization data and facilitate quality improvement discussions to understand and translate the quality outcomes, patient safety and patient experience data into actionable items; serves as an advisor to care teams and patient support staff. Serve on the Federally Qualified Health Center Unified Health Network (FUHN) collaborative Quality Improvement Committee and other internal and external committees as assigned. Population Health: Responsible for expanding the population health program at ODHC including the build-out, integration, and maintenance of the Azara population health platform in collaboration with OCHIN and FUHN. Manages and is responsible for tracking, improving and reporting the clinical performance for all Value Based Payment (VBP) metrics with all payors. Works closely with the Finance department to understand and support the VBP contracts. Health Technology: Ensures that meaningful use and Uniform Data System (UDS) program requirements are being met across all clinic sites; Serves as a subject matter expert for population health systems, OCHIN Epic and Azara DRVS specifically. Acts as primary site specialist for Azara DRVS. Supports the EHR Support Analyst (ESA) and serves as a back-up ESA in OCHIN Epic as required. Works with the clinic management team to develop and implement practice workflow redesigns; Provides ongoing 1-on-1 training sessions with ODHC clinical staff in quality, compliance, workflows, systems knowledge and best practices. Advises clinic leadership on Azara DRVS optimization as it relates to patient quality care and population health and executes accordingly; Leads efforts to assist primary care practice in maximizing use of available health information technology resources to achieve improved patient outcomes and increase efficiency. Health Care Home: Demonstrates and shares up-to-date knowledge and expertise in care transformation; Understands and translates Minnesota Department of Healths Health Care Home (MDH HCH) patient centered medical home requirements, benefits and processes for ODHCs primary care practice; and Assists in proactively developing internal policies and procedures as well as new workflows to meet and stay compliant with the current and future UDS and MDH HCH requirements; Works closely with the medical team to strengthen care coordination workflows. Actively coaches all departments in support of increased integrated care collaboration. Knowledge, Skills, Abilities, Qualifications: Registered Nurse or Licensed Practical Nurse with current licensure required. Bachelors degree preferred. Minimum 5 years of medical experience in a clinical setting, with at least 3 years working in a capacity related to quality improvement and population health. Demonstrated understanding of the primary care practice management environment. Extensive knowledge in Electronic Health Records required, OCHIN Epic experience preferred. Experience in the use of analytical tools for QI/PH-related data management and display highly desired. Azara DRVS experience preferred. Excellent communication skills are required to work effectively with patients, clinical staff, and other staff members. Dedication to patient centered care and patient satisfaction required. Demonstrated program and/or project management experience required. Cultural sensitivity and demonstrated ability to work with diverse individuals and groups required. Knowledge of Federally Qualified Health Center (FQHC) standards of practice, legal and ethical codes and regulations applicable to FQHCs preferred. Other Requirements: Travel is required to meetings, events, and to support other clinic locations within the community and across the region. Means of travel and travel expenses will be reimbursed according to ODHCs travel policy. Working Environment: Physical ability to sit or stand for extended periods of time. Position requires repetitive use of fingers, hands, and wrist in job related duties, i.e. telephone, computer. Complete range of motion needed, including fine motor skills and tactile sense of both hands. Ability to lift 25 pounds. In addition, this position may require the use of additional PPE and a respirator fit test, including, but not limited to, face shield, face mask, gown, gloves, goggles, etc. This document is intended to describe the general nature and level of work performed and is not intended to serve as an exhaustive list of all duties, skills, and responsibilities.