Quality Improvement Performance

Clarence Hutton JR.

Director of Quality Improvement

****************@*****.*** • 717-***-****

LinkedIn • Havre de Grace, MD 21078

Versatile and process-driven professional with extensive expertise managing multidisciplinary teams, driving transformative healthcare initiatives, and overseeing end-to-end quality improvement processes. Adept in acute, post-acute, and outpatient care, with deep knowledge of clinical and operational quality standards. Proficient in leveraging cutting-edge information systems like EPIC, Cerner, and Nextgen to optimize compliance tracking and performance metrics. Skilled in regulatory compliance with agencies like AHRQ, The Joint Commission, CMS, and NCQA. Proven track record in implementing data-driven strategies, concurrent reviews, and Lean Six Sigma methodologies to achieve exceptional clinical outcomes, patient safety, and organizational efficiency.

Areas of Expertise

Quality Improvement Strategy

Performance Metrics Reporting

Program Development

Multidisciplinary Team Leadership

Risk Management & Utilization Review

Clinical Outcomes Improvement

Training & Development Programs

High-Risk Indicator Monitoring

Root Cause Analysis

Professional Experience

Centurion Health – Baltimore, MD May 2019 – August 2024

Director, Continuous Quality Improvement

Designed, implemented, and evaluated CQI programs, policies, and procedures to ensure compliance with client standards and identify opportunities for improvement. Collected, analyzed, and reported performance metrics, high-risk indicators, and grievance data, recommending corrective actions to enhance clinical outcomes. Led preparation for regulatory audits (e.g., NCCHC, ACA) and oversaw corrective action plans to maintain compliance with client and industry standards. Provided staff training on CQI processes, compliance requirements, and clinical policies to foster continuous improvement and professional development. Managed daily activities of CQI, Scheduling, and Reconciliation departments, ensuring effective coordination across teams and with external vendors.

Achieved substantial compliance (90% or better) with mental health settlement agreement with ACLU by restructuring the Quality Improvement team and methods.

Increased timely and accurate reporting to 100% compliance by introducing, training, and mentoring non-experienced staff to implement and perform Quality Methods.

Ensured sustained compliance of 100% in intake process by performing root cause analysis and overseeing effectiveness of corrective actions.

Enhanced leadership and stakeholder decision-making by restructuring reporting templates, leading to improved interpretation and usability.

WellSpan Health – York, PA 2015 – 2018

Manager, Quality/Clinical Improvement

Managed team of 13 clinical and non-clinical professionals, ensuring seamless operations, efficient workflows, and achievement of departmental goals. Led collection, analysis, and reporting of system-wide clinical data for compliance with regulatory requirements and external benchmarks, including CMS, TJC, and other registries. Implemented quality improvement initiatives for high-risk programs, streamlined review processes, and standardized data reporting formats to enhance clinical outcomes. Delivered actionable recommendations to organizational leaders by analyzing key performance metrics, focusing on clinical outcomes, patient safety, and operational efficiency.

Achieved timely reporting and sustained compliance throughout WellSpan Health System by executing concurrent review and weekly reporting.

Assured consistent and timely oversight of improvement efforts and enhanced communication of barriers and milestones by implementing Quality Subcommittees at each facility.

Enabled easy observation of trends and tracking of compliance rates by creating quality dashboards at department level for NICU, Behavioral Health, and Cardiovascular Services.

MedStar Health – Baltimore, MD 2013 – 2015

Lead Performance Improvement Manager

Directed databases, ensured data accuracy and quality, and generated reports and dashboards to support leadership decision-making. Conducted data analysis to identify trends, address systematic issues, and implement solutions in collaboration with leadership. Led clinical performance improvement efforts by managing projects and facilitating initiatives focused on quality metrics and patient safety outcomes. Trained staff on data systems and reporting tools while working with cross-functional teams to achieve organizational quality and safety objectives.

Delivered system-level quality improvement dashboard, enhancing executive decision-making at both facility and system levels, leading to improved quality oversight and faster response times in meetings.

Trained facility-level analysts on building reports within CareScience application, ensuring system-wide consistency in quality data reporting and improving reporting accuracy across the organization.

Nextgen, Baltimore, MD 2012 – 2013

Project Manager

Partnered with cross-functional teams to perform practice audits, identifying opportunities to maximize client revenue and operational efficiency. Collaborated across departments to develop and execute process improvement initiatives, ensuring alignment with key performance indicators and organizational goals.

Identified and implemented front-end and back-end billing improvements to optimize revenue generation and ensure timely payments through trend and data analysis.

monitored client performance, improved business insights, and supported client education by designing and maintaining tools and reports.

Additional Experience

Corporate Data Quality Manager, University of Maryland Medical System, Baltimore, MD

Education & Credentials

Master Degree in Project Management Bachelor of Science in Information Systems

Strayer University, Baltimore, MD

Certifications

Six Sigma Green Belt Certified

Technical Skills

Advanced Microsoft Office Suite, Tableau, SQL, EPIC, Cerner, Crystal Reporting, Premier (CareScience)

Statistical Databases: NSQIP, NDNQI, NHSN, RL6

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