DISTINGUISHING FEATURES OF THE CLASS:  This is professional work determining the overall effectiveness and quality of services provided by the Health Department. Work involves development and coordination of the quality improvement plan and accreditation process and activities for the department, including maintenance of the Quality Improvement Performance Management plan, workforce development planning, implementation, and coordination of the quality assurance and utilization review programs of the Putnam County Department of Health. This position is responsible for reviewing the quality of care and the quality of reporting across the department and working with departmental staff to make changes and improve standards of customer service where necessary.  In addition, this position must be knowledgeable with all applicable regulations, standards and clinical standards for all populations served by the Department. Other duties include assisting, planning, and directing the implementation of Quality Improvement initiatives across the department. The incumbent also serves as a liaison between the department, contract agencies and the Quality Improvement Committee. The work is performed under the general supervision of the Commissioner.  Supervision of staff as it relates to compliance with established quality improvement plans and accreditation processes may be a function of this position.

TYPICAL WORK ACTIVITIES:

• Leads and participates in selected program performance reviews to determine appropriateness of service and reporting;
• Leads and participates in the Quality Improvement Performance Management Committee;
• Oversees department policy and procedure annual review and revision;
• Prepares reports on clinic records compliance and submits findings and recommendations for improvement to administrators responsible for those units;
• Assists and participates in committee meetings dealing with compliance, quality improvement and utilization review;
• Develops and coordinates a department-wide quality improvement program that evaluates the quality, outcomes and effectiveness of public health services; analyzes and prepares related reports for administrative review;
• Promotes and ensures department compliance with applicable federal and state regulations and accreditation requirements related to quality improvement, performance improvement and workforce development; coordinates quality improvement and performance improvement plans to reflect department needs, trends, etc.
• Develops and implements organizational initiatives to support accreditation and public health regulations;
• Oversees and revises of the Quality Improvement Performance Management plan;
• Oversees and follows-up on customer service by all department programs;
• Leads department-wide accreditation and Quality Improvement Performance Management  initiatives;
• Oversees project prioritization and timeline management of the Quality Improvement Performance Management and Public Health Accreditation Programs;
• Completes statistical and narrative reports for the Commissioner and discusses findings with the Quality Improvement Performance Management Committee and other administrative staff;
• Collaborates with the Putnam County IT department;
• Assists and coordinates in-service training with Workforce Development Committee for departmental employees on procedures related to quality improvement performance management;
• Identifies needed changes and clarifications on public health regulatory issues and quality improvement programs, including program performance review of activities, and participates in related plans/actions to make necessary changes, including ongoing monitoring of recommended corrective actions to ensure follow up;
• Participates in the design, data collection and analysis of performance measures and quality improvement activities for the department and contract agencies;
• May act as HIPAA consultant to advice staff and assure that policy and procedures are adhered to, and will report breaches to the Commissioner;
• Performs related work as required.

Typical Work Activities are intended only as illustrations of possible types of work that might be appropriately assigned to an incumbent of this title. Work activities that do not appear above are not excluded as appropriate work assignments, as long as they can be reasonably understood to be within the logical limits of the job.

FULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES:  Thorough knowledge of the principles and practices of public health regulations, quality improvement, and performance management including population based health improvements; good knowledge of the factors which contribute to public health; good knowledge of the terminology of the field; good knowledge of clinical quality measures; working knowledge of the services, policies and procedures of public health; good knowledge of statistics; good knowledge of  database management and spreadsheets; ability to coordinate and promote collaborative work of different groups and individuals; ability to work independently; ability to facilitate planning processes, understand how systems work, develop work plans and create timelines for project implementation;  ability to define priorities and resolve problems that may occur; ability to prepare and present ideas clearly and concisely, both orally and in writing; ability to develop and implement new operating procedures, methods, and policies; ability to analyze, prepare, format and present data in a variety of complex statistical reports; ability to describe and apply skills of core competencies within the context of the essential public health services; ability to follow complex verbal and written directions; good judgment, accuracy, integrity, resourcefulness, and tact

MINIMUM QUALIFICATIONS:    Either

1. Graduation from a regionally accredited or New York State registered college or university with a Master’s Degree in Nursing, Public or Business Administration, Business Management, Accounting, Health or Human Service Administration, or a closely related field and one (1) year of experience which must have included quality improvement; or
2. Graduation from a regionally accredited or New York State registered college or university with a Master’s Degree and three (3) years of experience which must have included quality improvement; or
3. Graduation from a regionally accredited or New York State recognized college or university with an Bachelor’s degree in Nursing, Public or Business Administration, Business Management, Accounting, Health or Human Service Administration, or a closely related field and three (3) years of experience which must have included quality improvement; or
4. Graduation from a regionally accredited or New York State registered college or university with a Bachelor’s Degree and five (5) years of experience which must have included quality improvement.

SPECIAL NOTE: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. Secretary of Education.

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Competitive