Quality Improvement Director

    • Job Tracking ID: 2021-872
    • Job Location: Petaluma , CA
    • Job Level: Management
    • Level of Education: Masters Degree
    • Job Type: Full-Time/Regular
    • Date Updated: April 13, 2021
    • Years of Experience: 2 - 5 Years
    • Starting Date: ASAP
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Job Description:

Summary: The Quality Improvement Director configures and guides the strategy of quality improvement to meet our organizational mission of providing the highest quality care with access for all in Southern Sonoma County. The key areas of responsibility include quality and performance improvement, patient centered care and care team integration, and innovative health care models. The Director collaborates across the organization and with external partners via facilitation, coaching, and education to achieve quality goals and improve population health.


Areas of Responsibility:

Quality Improvement:

Collaborate with CMO, CMIO, and senior leadership team to prioritize, catalogue, and strategize clinical and operational quality metrics in alignment with strategic plan and our organizational mission.

  • Collaborate with clinical, operational, and administrative leaders to update, maintain, and realize the quality standards of our accreditations and quality incentive programs: Joint Commission, NCQA Patient Centered Medical Home, HRSA; Partnership Health Plan Quality Improvement and Performance Improvement Plans.
  • Update yearly QI plan for senior leadership and board approval to align with local, regional, and national population health goals
  • Oversee the flow of QI process throughout organization and to the board by preparing content, materials, and communication for Internal and Board Quality Improvement meetings and Team meetings related to quality improvement
  • Provide all clinical and operational programs access to quality goals and educate and coach   departments and teams about clinical and operational metrics and methods to achieve them
  • Ensure the daily implementation of QI/QA operating procedures and completion of QI/QA assessments, monitoring of QI/QA outcomes, and updating QI/QA operating procedures

Performance improvement:

Strategize timing and execution of performance improvement initiatives with senior leadership, department leaders, and health care teams.

  • Assess team, department, and organizational readiness for implementation of new performance improvement initiatives
  • Provide standardized methodology for use by senior leaders and team leaders to prioritize initiatives
  • Assist teams to implement initiatives; catalogue and communicate successful strategies to the organization
  • Educate clinical and operational directors to identify and implement infrastructure improvements to transform initiatives into sustained organizational change
  • Collaborate with informatics and data analysts to provide teams and departments with actionable data for the purpose of performance improvement initiatives
  • Educate teams and department leaders in performance improvement methods (PDSA, rapid cycle improvements, etc.)

Patient Experience and Care Integration:

Strategize methods to ensure integrated and patient centered care via the Patient Centered Medical Home model.

  • Collaborate with patient advisors to obtain critical feedback regarding clinical and operational processes
  • Facilitate patient involvement in process improvements and innovations in the health center
  • Educate clinical and operational leaders and teams regarding the patient experience and team based patient centered care
  • Provide strategy and consultation to clinical leaders to enhance team member capacities in patient centered care
  • Assist clinical and operational leaders of ancillary departments (Mental Health, Wellness, Specialty Care) to integrate the flow and content of their services into the patient centered primary care setting

External Collaboration:

Create critical external linkages for the purpose of improving regional population health and health care innovations.

  • Represent the health center in regional collaborative efforts for population health improvement
  • Work with external partners to bring new innovations and quality improvement techniques to the health center
  • Present our innovations to the external community at regional and national meetings
  • Serve as a consultant and coach to partnering health centers
  • Other duties as assigned

Experience and Skills:

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.



  • Master in Public Health or applicable education and experience in Quality Improvement, Population Health, and Health Care Innovations
  • Clinical experience using an electronic health record system
  • Minimum three years of experience working in a community health center or other safety net health care facility
  • At least one year experience serving as chair of clinical committees and/or workgroups

Desired  Skills:

  • Demonstrated leadership skills in motivating clinical and operational teams, building consensus, and facilitating change in dynamic environments
  • Ability to transform big picture concepts into concrete operational actions to improve quality of care, clinical outcomes and population health
  • Proven ability to collaborate and convene stakeholders across sectors and organizational levels
  • Ability to communicate clearly and succinctly in writing and in speech
  • Knowledge across a broad range of clinical areas (e.g., quality improvement, clinic management, population health)


Licenses  and  Certifications:

  • Current, unrestricted Nurse Practitioner, Physician Assistant, Registered Nurse, or Physician license in California, or other relevant credential
  • Valid California driver’s license and proof of current auto insurance
  • Candidate must be able to successfully meet PHC’s credentialing and privileging requirements


Language Skills: Ability to effectively present information and respond to questions and requests from patients, co-workers, and others as necessary. Bilingual in English and Spanish, both written and verbal preferred.


Mathematical Skills: Ability to add, subtract, multiply, divide in all units of measure, using whole numbers, common fractions and decimals, algebraic and statistical skills for the purpose of data analysis


Reasoning Ability: Ability to recognize problems, collect data and establish facts.


Computer Skills: High level of computer literacy and proficiency in MS Office (Word, Excel and Outlook, PowerPoint), electronic medical records and web applications.


Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Movement within health center complex environment repeatedly throughout the day
  • Ability to write by hand, use phone, use computer keyboard and mouse extensively to perform general office functions
  • Manual wrist and finger dexterity and wrist-finger speed sufficient to perform repetitive actions for extended periods of time
  • Ability to effectively communicate by hearing continuously and speech in a manner which can be understood by a diverse population
  • Ability to give and follow verbal and written instructions with attention to detail and accuracy
  • Must have visual acuity near and far (20 inches to 20 feet), depth perception, field of vision, ability to focus on an object, ability to identify and distinguish colors
  • Ability to sit or stand for extended periods of time (minimum periods of one (1) hour at a time)
  • Ability to frequently walk, bend, squat, stoop, kneel, twist, crouch, and climb with the use of a step stool
  • Ability to grasp, hold and pick up and reach with hands and arms
  • Ability to frequently lift and or move up to fifteen (15) pounds
  • Ability to occasionally lift and carry up to thirty-five (35) pounds (periodic lifting of supplies or equipment)
  • Ability to coordinate multiple tasks simultaneously
  • Ability to travel to and from other health center sites and community locations


Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.


While performing the duties of this job, the employee is regularly exposed to Health Center areas and general office environment. The work environment is a clean, well lit, well ventilated, and temperature controlled environment. The noise level in the work environment is usually moderate. The hours of duty are lengthy and irregular.


Acknowledgment: This job description in no way states or implies that these are the only duties to be performed by the employee incumbent in this position. The Employee may be required to follow any other job-related instructions and to perform any other job-related duties requested. This document does not create an employment contract, implied or otherwise, other than an "at-will" relationship.