To assist ACO Participating Practices in performance improvement and transformation activities to achieve annual quality and operational goals as established by the ACO Quality Improvement Committee.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Conduct monthly review of practice performance reporting
Communicate ACO-specific initiatives and assist with implementation via workflow development
Supports in the education of Hierarchical Condition Categories (HCC) documentation and coding requirements
In coordination with ACO Quality Team, assist in the development and use of Quality Score Card and focus on Quality Measures
Participate and support node- and practice-level engagement efforts to achieve established quality, utilization and cost operational goals
ADDITIONAL RESPONSIBILITIES INCLUDE:
Assists with annual ACO regulatory reporting requirements for clinical quality measurement at both the individual practice and health system level.
Perform regular practice reviews to determine compliance status with ACO participation and performance requirements, while providing identification of available resources to assist as available.
Provides oversight to and support for Participants in the Focused Improvement Plan process so that they can contribute positively to the ACO's clinical, quality and financial goals.
Identify opportunities for improvement and alternate strategies when goals are not met.
Assist in the identification of EMR enhancements needed for practice improvement and transformation initiatives.
Facilitate and motivate personnel and leadership from throughout the practice and affiliated health system and ACO to implement evidenc based practices.
Performs assignments that need to be completed, even when outside the scope of routine responsibilities; adaptable to changing departmental conditions.
SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:
Works collaboratively with Carelink CareNow Director of Strategic Partnerships and ACO Quality Coordinator.
Frequent contact with departmental personnel, Medical-Dental Staff, Medical Records Staff, hospital personnel, physicians/staff that are ACO participants and executive leadership for the CCQP ACO for collection and exchange of relevant information.
Intermittent contact with external personnel as assigned for the development and ongoing operation of Registry and EMR development.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Bachelor's degree in healthcare or management
At least five years of work experience with two years in patient safety, quality or performance improvement or practice management.
Knowledge of medical terminology and anatomy required.
Knowledge of or experience in any of the following is preferred: computers, data abstraction and entry, outcome analysis, utilization management, clinical experiences in patient care processes, medical records, performance improvement, and team facilitation and education (patient/staff) processes.
Organizational skills and project management required.
Internal Number: JR55720
About ChristianaCare Health System
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.