Director, Ambulatory Practice Transformation and Quality Performance

Job Description

SUMMARY

The Director, Ambulatory Practice Transformation and Quality Performance is responsible for strategic and operational leadership as it relates to ambulatory and specialty value-based care to include the following: quality performance and preventive care; care management, care coordination and transitions;, patient outreach for gap closure, and NCQA to ensure accreditation as a Patient Centered Medical Home (PCMH). Builds a high-performing team which is empowered and accountable to achieve both department and medical group objectives.

The Director, Ambulatory Practice Transformation and Quality Performance reports dually, to the Senior Vice President, VHC Health Medical Services, and the Vice President, Medical Affairs, VHC Medical Group with indirect reporting to the Associate Vice President, Quality and Patient Safety. This position is a member of the Medical Groups Executive and Operations Council, and is accountable for meeting financial and operational population health, practice transformation, quality performance goals and standards, as well as, managing to an operational budget. This leader will participate in, and at times lead, VHC Health and VHC Health Medical Group, committees, councils, initiatives and projects, that advance the objectives of VHC Health’s, mission, vision, and anchors/values.

ESSENTIAL DUTIES AND RESPONSIBILITIES

· Develop and implement strategic goals related to population health and practice transformation, including setting the direction for strategy and development of process- and outcomes-related key performance indicators (KPIs)

· Responsible for tactical planning that support day-to-day operations of all ambulatory population health, quality performance, care coordination and transitions, care management, outreach, and practice transformation initiatives.

· Directly hire and lead staff to develop a high performing team of clinical and non-clinical professionals that will deliver exceptional support for providers and care for the patient population while meeting population health, quality, operational and financial objectives and targets

· Design an outreach plan and led the team responsible for preventative screenings, chronic care testing, and data collection to close gaps as related to preventative measures, at the federal, state and commercial payer program-level.

· Work collaboratively with our CMS and managed care teams and commercial payer leadership to develop and execute upon KPIs related to population health, quality outcomes, and costs of member care.

· Collaborates regularly with leadership within the health system and medical group to ensure population health, practice transformation, operational and financial priorities are aligned with the health systems objectives.

· Partner/ collaborate with clinical and administrative leaders within service lines and departments for the planning and implementation of change management and process improvement

· Responsible for the medical groups regulatory and payer reporting specific to federal, state and commercial payer population health and value-based care reporting. Additionally, reporting information and data as part of our participation in accountable care organizations, and alternative payment models.

· Produce, and analyze dashboards,/scorecards that allow the health system and medical group measure, understand and improve its quality, operations and cost structure, models and outcomes.

· Responsible for member- and provider-based program design and improvement, in collaboration with subject matter experts within the organization, to improve quality and outcomes of care, improve patient experience and reduce avoidable costs

· As an leader, create, embrace and contribute to our culture of service, specifically around process improvement to add value to the organization

EDUCATION and EXPERIENCE

· Bachelor’s Degree required; Preferred: Master’s Degree (MSN, MBA, MPH or related).

· Preferred: Process Improvement Certification (Lean Six Sigma)

· Preferred: 3+ years’ experience in a director level or higher management position overseeing clinical services and/or provider support services in a health plan, clinically integrated network (CIN), management Services organization (MSO), accountable care organization (ACO), risk-bearing IPA or similar organization, or some combination of the above

KNOWLEDGE, SKILLS and ABILITIES

· Thorough understanding of best practices for population health management, quality, care transitions and management, outreach, and provider practice support

· Exceptional leadership qualities with strong clinical understanding, business acumen, critical thinking, and sound decision-making

· Ability to communicate effectively, verbally and in writing.

· Demonstrated ability to

o Review data analytics reports,

o Develop and implement measurable actions for improvement,

o Review progress towards data-driven performance goals and

o Adjust as needed to meet performance goals

· Demonstrated ability to work with and through others to accomplish specific goals.

· Advanced in use of Office 365, Microsoft Word, Excel, Outlook, etc. Proficiency with care management and/or analytics platforms strongly preferred

· Proficiency with EPIC

WHY CHOOSE VHC?

Virginia Hospital Center (VHC) is a nationally recognized Hospital and teaching facility that has been delivering the highest quality care to the Washington, DC metropolitan area for over 70 years.

Received Commission on Cancer (COC) Accreditation and National Outstanding Achievement Award from the American College of Surgeons’ Commission on Cancer — 2017-2020.

Named a Top Hospital for Patient Experience by Healthgrades — 2013-2017.

Received 2016 Leapfrog Top Teaching Hospital Award, one of only 115 Top Hospitals recognized nationwide, and the only Top Teaching Hospital in the Washington, DC metropolitan area — 12.07.2016; earned Safety Grade of A for the 11th consecutive grading period — 11.07.2017.

Granted the National Accreditation Program for Breast Centers (NAPBC) designation administered by the American College of Surgeons (ACS) — 2015-2018.

Achieved a Comprehensive Center accreditation granted by the American College of Surgeons (ACS) Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), in partnership with the American Society for Metabolic and Bariatric Surgery (ASMBS) — 2015-2018.

Named Health Care's Most Wired Winner — 2016-2017.

Accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) International for both the Inpatient Rehab Hospital Program and the Rehab Stroke Specialty Program — 2013-2018.

Received the Stroke Gold Plus Quality Achievement Award with Target: StrokeSMHonor Roll from Get With The Guidelines® Stroke by the American Heart Association and American Stroke Association for Primary Stroke Program — 2016-2017.

The Joint Commission has granted the Hospital:

Gold of Seal Approval™ for Primary Stroke Program.

Gold Seal of Approval™ for Total Joint Replacement (Hip and Knee) Program — 2016-2018.

Advanced Certification for Palliative Care Program — 2015-2017.

Advanced Certification for Inpatient Diabetes Program — 2014-2016.

The Pathology Department at Virginia Hospital Center earned the American Association of Blood Banks (AABB) accreditation for Transfusion Services — 2014-2016.

Received 2016 VHQC Quality Innovation Award — 09.22.2016.

Named one of America’s 100 Top Hospitals by Truven Health Analytics, the Nation’s leading independent organization that evaluates nearly 3,000 U.S. hospitals. The only hospital in the Virginia/Washington DC/Baltimore region to be included in 2015. — 2013-2015.

Named one of the Nation’s 50 Top Cardiovascular Hospitals by Truven Health Analytics. The only hospital in the Washington, DC Metropolitan region and the state of Virginia. — 2014-2015.

Received Magnet® Recognition granted by the American Nurses Credentialing Center (ANCC). The ANCC’s Magnet Recognition Program® is the highest level of acknowledgment of a healthcare organization’s quality patient care, nursing excellence and innovations in professional nursing practice. — 03.10.2014.

Recognized as one of America’s Top 100 “Best Value” Hospitals — Hospital Value Index™.

Cardiac Specialty Designations:

Aetna Institute of Quality® for Cardiac Care.

CareFirst BlueCross BlueShield’s Blue Distinction Center for Cardiac Care®.

UnitedHealthcare Premium® Cardiac Specialty Center. Premium programs offer “quality, cost-effective cardiac procedures and cardiac care services.”

American College of Radiology Center of Excellence for Breast Imaging (Mammography, Stereotactic Breast Biopsy, Breast Ultrasound & Ultrasound-Guided Breast Biopsy); CT & Ultrasound.

Undersea & Hyperbaric Medical Society (UHMS) Clinical Hyperbaric Facility Accreditation.

NICU achieved Level III B status.

Arlington Pediatric Center received certification as a Level III Patient-Centered Medical Home by the National Committee for Quality Assurance (NCQA).

Recognized as an Emergency Center of Excellence, a national designation that has only been awarded to eight hospitals in the Nation.

Senior Health Department received the Philips Lifeline Certificate of Achievement award, as well as, the “Elderly Services Award” from the Board of Directors at Culpeper Gardens.

Named by the Washington Business Journal/United Healthcare as one of Greater Washington's Healthiest Employers.

Respiratory Care awarded “Quality Respiratory Care Recognition Status” for meeting strict safety and quality standards.

We offer a highly competitive compensation package.

We promote a healthy work-life balance to include flexible working hours and offer a generous benefit package including health insurance, life, disability, 401K match, up to $5K annually in tuition reimbursement for those who qualify, and more.

OUR COMMUNITY

Arlington is home to the Pentagon and the Arlington National Cemetery.

Fairfax and Arlington Counties continues to attract families who enjoy living near D.C. but desire a suburban lifestyle.

Fairfax County has some of the highest ranking schools in the nation according to U.S. News and World Reports.

Arlington County also offers outstanding schools - about 91 percent of all graduating high school seniors in Arlington go on to attend college.

Northern Virginia has many recreational and community amenities including: over 89 miles of biking/jogging trails, 167 public parks, approximately 14 community centers, 7 live stage theaters, 8 libraries, and 652 restaurants.

Whether you choose to live in Arlington County, Fairfax County, or in any of the other great areas in the DC area, you will have little problem in finding a location that is right for you.

We look forward to hearing from qualified candidates interested in joining us in a highly collegial environment where the patient is at the center of what we do.

HOW TO APPLY?

Please emails CVs to Ana Bunger, Physician Recruiter, at and/ or apply to our Careers website directly.

Company Description

If you're ready to join a team that values your unique contributions and empowers you to achieve greatness, VHC Health is your place. We believe in the power of collaboration and together are making healthcare exceptional. Discover your potential with us and move healthcare forward.

Full-time