The aim of the role is to facilitate and contribute to the achievement of OHSUs strategic plan goal of being recognized as a high reliability organization that delivers market leading quality and service. OHSU is on a journey to becoming an anti-racist institution. A quality specialist (QS) is the member of the quality management team responsible for providing quality management, performance improvement, and regulatory guidance. Quality Management Quality Specialists primary focus is on healthcare priority initiatives, improvement of patient care systems and processes. Quality Specialists bring a lenses of sensitivity, and appreciation for equity and racial justice, cultural humility, and inclusiveness to their daily work. QSs collaborate with physicians, nurses, department and administrative leaders to prioritize and align quality improvement activities and report performance through the OHSU Management System (OMS). QSs coach, teach, consult, analyze data, and make recommendations for improving capacity for performance excellence. QSs partner with leaders to facilitate the development of OHSU Performance Excellence (OPEX) plans. Specific duties vary based on assignments.

1. Facilitate use of an equity lens in all quality and improvement work

Partner closely with leaders to mitigating structural racism and the disparities that result from it in healthcare.

Serve as advocate for an organizational culture that is sensitive to a wide range of disciplines, interests, and constituencies represented while maintaining a deep commitment to diversity as part of OHSUs mission

Promote OHSUs commitment to a climate of diversity, equity, and inclusion through interaction with OHSU leadership, employees, patients and the community.

1. Provide quality management consultation and collaborate with Clinical/Hospital Departments, Quality Medical Directors and staff

Serve as content experts and advisors in partnering with leaders.

Provide expertise in the following:

- Creating alignment and linkages between institutional priorities and local context with partner areas

- Quality management

- Performance improvement

- Change development

- Performance excellence infrastructure maturity

- ISO and NIAHO QM regulatory requirements (does not include Regulatory Affairs responsibilities)

- OPEx Plan planning

- OMS: requirements, infrastructure, reporting process, evidence of conformity

Partner with Quality Medical Directors and quality leaders in hospital departments with guidance for building effective systems and processes to deliver safe and high quality patient care.

Use a lens of equity as they guide, instruct, coach and facilitate development of OPEx Plans and OMS reports, while considering in metric selection, analysis and evaluation of performance, prioritization, and improvement projects.

Apply and teach performance and improvement and quality management principles to promote safe, effective, timely, efficient, patient-centered quality care.

Identify quality improvement opportunities, recommend and promote action planning for partnered programs and departments.

Promote and model collaborative working relationships with all members of the healthcare team.

Consult and contribute to compliance with regulatory requirements and achievement of organizational quality priorities

1. Facilitation

Maintain and coordinate OMS committee report processes including but not limited to: facilitating, coaching, and ensuring required inputs and outputs are scheduled, documented and action items are closed.

Coordinate implementation of appropriate action plans as directed by OMS oversight committees.

Earn credibility and trust of OHSU leadership and staff, related to confidential treatment of materials and activities, and attention to the scrutiny of reliable and valid of performance data.

Lead activities that support regulatory requirements and organizational priorities. This may include participating in various quality/performance related committees.

Provide project management, change management, and performance improvement methodology expertise to leaders and teams across OHSU Healthcare.

1. Analysis and Reporting

Provide recommend, guide, instruct, and coach appropriate metric selection, target setting, analysis (including root cause identification), and evaluation (including risk/opportunity assessment), priority setting, and action planning

Facilitate reporting into OMS reports

1. Education

Provide education, training and coaching on OHSU Management System reporting structure and process, performance improvement and change management methods, tools, and activities to leaders, physicians and staff.

Provide education on indicator development and data analyses.

Identify specific needs for self-development and implement plans to achieve professional growth in the areas of regulatory, quality management, performance improvement, change management, and project management.

• Bachelors Degree in healthcare related field
• Minimum 3 years recent experience in healthcare, public health working with vulnerable populations , quality management, performance improvement, and/or regulatory standards in healthcare.
• Mindful of diversity, equity, and inclusion practices, particularly adept at collaborating with others who have varying perceptions of diversity, equity, and inclusion with sensitivity to multicultural variances.
• Brings a lenses of sensitivity, and appreciation for equity and racial justice, cultural humility, and inclusiveness to their practice
• Able to interact across cultural differences with diverse partners, including collaborating with others who have varying perceptions of diversity, equity, and inclusion with sensitivity to multicultural variances and facilitating teams
• Knowledge of racial disparities in healthcare settings.
• Knowledgeable about the role of racism and bias in healthcare and other root causes of health inequities
• Evidence of knowledge base and/or experience in leadership, creativity, initiative and a diplomatic communicator
• Evidence of knowledge base and experience in quality improvement processes and tools with proven record of accomplishment of strong leadership skills to ensure that improvement processes stick, priorities established, and are met
• Evidence of knowledge base and experience in understanding of statistical analysis and reporting practices pertinent to quality improvement
• Evidence of knowledge base and/or experience in presenting technical reports
• Evidence of knowledge base and experience in working with teams requiring self-direction and excellent written and verbal communication skills
• Experience in office automation computer software including the Microsoft Office Suite of products
• Must be able to perform the essential functions of the position with or without accommodation
  

• Masters degree in healthcare
• Hold license in healthcare (i.e. RN, physical therapist, physician)
• Experience in teach and/or leading others in the mitigating of structural racism and the disparities that result from it in healthcare.
• Knowledge, experience in Lean, Six Sigma, Project Management and other performance improvement tools
• Experience with statistical flow diagram programs
• Leading group discussions with medical clinicians and administrators

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