Collaborative Quality Initiative (CQI) programs are state-wide, quality improvement collaboratives involving facilities and providers who seek to measure and improve the care and outcomes of patients. They are supported by Blue Cross Blue Shield of Michigan (BCBSM) as part of the BCBSM Value Partnerships program. Their structures are like several other Collaborative Quality Initiative (CQI) programs sponsored by Blue Cross Blue Shield of Michigan. Every CQI has a Coordinating Center. MSSIC, MIBAC and MI-MIND are housed at Henry Ford Hospital, and the other 17 CQI's are housed at the University of Michigan. The CQI QI Lead develops, supports, and evaluates QI Initiatives at all participating facilities (sites). This includes initiatives that are both sitespecific and statewide. The CQI QI Lead performs all duties independently and professionally with minimal or no direction and consults with the Program Manager and Directors as appropriate.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Independently leads and facilitates QI Initiatives at all sites, directly impacting process improvement, standardization, waste reduction, and improving patient outcomes including satisfaction, quality of life and return to work. Additionally, these efforts reduce the occurrence of adverse events.
2. Continually assesses the performance of sites in relation to each performance year's goals, standards, recommended best practices, policies, and procedures to facilitate progress toward QI initiative goals.
3. Works with each site to develop QI action plans and provide both leadership and mentoring in QI methodology.
4. Coaches and mentors all sites in the utilization of the PDCA process improvement methodology, Lean Transformational Thinking, and other process improvement methods the support effective decision making.
5. Influences and guides effective decision making and creative solutions.
6. Provides expertise using change management tools to ensure successful and sustainable implementation of Quality Improvement.
7. Works with the Coordinating Center Directors and Executive Committee to direct, facilitate, and coordinate the design and implementation of clinical quality initiatives for the consortium. This includes the establishment of short- and long-term goals and to assure continued movement toward improved patient outcomes.
8. Prepare QI Initiative content and makes informed recommendations to the CQI Executive Committee for review/approval.
9. Is responsible for the core development of each year's Performance Index and Supporting Document detailing statewide, QI goals and scheduled QI deliverables. Works in collaboration to establish objective, achievable Quality Improvement Initiatives (QII) to encourage stretch goals and continuous improvement across the state collaborative.
10.Coaches, leads, or co-leads large, multi-disciplinary collaborative teams. Guides implementation plans, and act as a consultant or facilitator on regulatory, patient safety and quality improvement issues for the statewide collaborative.
11.Analyzes QI-related data and present findings via one-on-one calls with individual sites. Collaborative-wide findings are presented in a professional manner to the Coordinating Center Director leadership.
12.Develops patient education materials and best practice guidelines to support QI initiatives and disseminate to all CQI participants.
13.Looks for top performing sites to present on various topics at statewide, collaborative meetings. Provides guidance for the speaker by outlining presentation content and assure that it will benefit the whole collaborative. Reviews final site presentations and suggest any changes regarding content to assure appropriateness prior to statewide meetings and abstractor calls.
14.Is responsible for QI presentation materials for each statewide meeting including presentation slides and the delivery of those presentations. The content includes but is not limited to QI Initiative progress and results, best practices, and literature review findings that support current QI initiatives.
15.Is responsible for site education materials and presentations regarding QI processes and keys to QI success.
16.Performs literature searches on PubMed to find and review appropriate resources to be posted on the CQI website for both providers and patients.
17.Is responsible to keep the content of Provider Resources and QI Toolkits up to date and reflective of current QI initiatives.
18.Works with the Analytics Team and participate on Analytics Team calls regarding current and potential areas of QI opportunity for data analysis to share with sites and at CQI meetings.
19.Prepares materials to be discussed regarding QI goal progress, barriers, and lessons learned at Coordinating Center meetings bi-monthly and on scheduled surgeon and abstractor calls.
20.At the end of each performance period, completes analysis for each site to determine the outcome and performance index points awarded for performance measures. Confirmation emails are composed and sent to each site regarding the outcomes of site-specific QI initiatives and all other performance measures.
21.Oversees pilot QI Initiatives, tracks progress, and supports statewide opioid initiatives as directed by CQI Leadership.
22.Supports Value-Based Reimbursement initiatives and assist in the development of meaningful and reasonable metrics and goals.
23.Collaborates with CQI leadership in the development of each year's Performance Index and Supporting Document detailing performance QI goals.
24.Participates in Value Partnerships CQI meetings, stays current on other specialty Collaborative Quality Initiatives and happenings, and attends monthly touch point calls/meetings with the Program Manager and BCBSM Project Lead.
25.Is actively involved in the recruitment and upbringing of new CQI sites including site visits, and interactions with site executive and surgeon leadership regarding QI and performance measures. 26.Tracks site-specific QI Initiative projects, including progress and outcomes via QI reporting tools. 27.Tracks specific site deliverables due to the Coordinating Center regarding yearly QI Initiatives and overall performance measures.
28.Tracks and reports monthly site performance on all performance measures.
29.Updates Program Manager regarding low performing/lagging sites including coaching and interventions offered.
30.Keeps and updates a QI log of key activities and site encounters and provide leadership updates regarding site progress, barriers or needs (i.e.: coaching specifics, information regarding top performing sites that may be of assistance, facilitation of a site visit with a top performing site, resources given, etc.) 31.Is responsible for detailed, QI coaching webinars with each site yearly regarding site-specific data, QI potentials, QI status, and site-specific root causes and plans for QI Initiatives. Any needs or assistance from the Coordinating Center are assessed and offered at this time. Additional QI coaching is offered on an as needed or requested basis.
32.Low performing sites receive additional 1:1 coaching and assessment regarding any additional assistance that the Coordinating Center can offer. Root cause analysis are facilitated, corrective action plans are developed, and mentoring relationships with top performing sites are facilitated.
33.Is responsible for all email inquiries that are of a QI or Performance Index nature.
34.Performs site visits or in-depth interviews with top performing sites regarding best practices, processes, and site culture. The gleaned information is then shared with the rest of the collaborative to assist struggling sites.
35.Keeps QI Education modules up to date and provide QI orientation to new abstractors 1:1 (after registry and abstraction education completed) or as a group as needed.
36.Performs ongoing literature review and dissemination regarding best practices and new developments in the clinical care of patients.
37.Works with Program Manager in the completion of each year's BCBSM deliverables.
38.Provides and present the QI content in key BCBSM and CQI Leadership meetings
39.Serves as a back up to the Program Manager for Program Manager calls and meetings.
* Bachelor's degree in Nursing or healthcare related field required. Master's degree in Nursing or a related field preferred.
* Minimum of five (5) years of clinical experience required with two years project management and/or process improvement experience preferred.
* Minimum of three years of experience as a QI/PI lead or facilitator: Broad Business unit and System level, multidisciplinary experience.
* Experience in educational curriculum design and delivery is an asset.
* Experience with clinical quality and patient safety principles/initiatives; demonstrated ability to apply concepts.
* Experience with new program/initiative development, implementation and evaluation.
* Computer skills including knowledge of Microsoft Word, PowerPoint, Microsoft Excel, Care Plus, electronic mail and Internet navigation software.
* Ability to problem solve independently and work with minimal direction. Excellent organizational skills. * Ability to work with senior leaders and large teams with diverse members.
* Demonstrated ability to negotiate and resolve conflicts.
* Ability to adapt, respond and prioritize in a rapidly changing health care environment and ability to successfully manage multiple competing demands.
* Ability to act as a change agent, providing direction to others and gaining their support.
* Basic understanding of the research process and statistical analysis.
* Strong leadership/mentoring skills and customer service skills.
* Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
* Strong base of patient safety knowledge including human factors and Failure Mode and Effects Analysis.
* Strong oral and written communication skills including presentation skills.
* Understanding of health care cultures including medical and nursing cultures.
* Sound decision-making skills and problem-solving skills.
*Experience required with two years project management and/or process improvement experience preferred.
*Experience with clinical quality and patient safety principles/initiatives; demonstrated ability to apply concepts.