Operation Samahan Mission

Building healthier, happier communities together     

The Organization

Operation Samahan Inc. (OSI) is a multimillion-dollar and multi-site Federally Qualified Health Center (FQHC) that was founded in 1973. Built on a foundation of social justice, the agency serves the medically indigent population of San Diego County through clinics in areas with a high-density population of diverse families and individuals that live at poverty levels that are 200% to 400% below the Federal Poverty Line.

The Quality Assurance Coordinator is responsible for ensuring that OSI’s quality program is aligned with the organization’s vision, mission, values, and goals. S/he assists in planning, designing, implementing, and evaluating organizational and clinical quality programs and processes including providing support for OSI’s transformation to a Patient-Centered Medical Home care delivery model; risk management; compliance; and patient satisfaction. S/he works collaboratively with the informaticist to ensure availability of data for measurement of quality metrics for various performance outcomes on an ongoing basis.

·         Supports quality improvement throughout the organization to achieve the Triple Aim objectives of improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing costs by advancing a culture of quality using Lean and Six Sigma methodologies.

·         Supports clinical transformation to the Patient-Centered Medical Home (PCMH) model under guidance from the Director, Clinical Quality Improvement and executive sponsor and in collaboration with key stakeholders.

·         Participates in process improvement activities that provide more efficient and streamlined workflows in the clinics. Evaluates results of improvement efforts and ongoing performance measures of clinical processes to senior management

·         Provides support for operational reviews of clinical performance measures including MU, P4P, UDS, and ACE. Collaborates with department managers in implementation of identified corrective actions.

·         Assists with core measures management, reporting, and analysis; oversight of all publically reported surveys and data and abstraction; and compilation of quality data as needed for various performance outcomes on an ongoing basis.

·         Conducts monthly site and patient chart audits to proactively identify deviations from established performance standards; develops corrective action plans; and, conducts follow up audits to ensure corrective actions have been operationalized.

·         Serves as the point of contact for patient safety and ensures crash carts and other medical supplies, including oxygen tanks, are readily available.

·         Tracks, reports on, and works collaboratively with key stakeholders on all risk management issues related to patient safety, health plan grievances, patient complaints, and case management and claims as a routine risk mitigation strategy. Responsible for the final investigation of reported incidents and adverse events to determine the root cause(s) of the error or incident, and work with involved stakeholders to develop corrective action plans.

·         Responsible for setting up new hire and annual safety and risk management training programs.

·         Works with Director, Clinical Quality Improvement to plan, design, implement, and evaluate Operation Samahan, Inc.’s emergency preparedness capacity and procedures, including carrying out safety drills and exercises routinely.

·         Provides support in the areas of quality assurance, risk management, health plan compliance audits, as well as other essential administrative services.

·         Provides support for the formulation or modification of health center’s policies relating to administrative and clinical practices/procedures.

·         Assists with clinical peer review process including record selection, results tracking, and identifying trends.

·         Work closely with the Chief Compliance & Risk Management Officer to inform of any HIPAA/Privacy breaches.

·         Assists with the design, implementation, tracking, and reporting on patient satisfaction programs, including the use of Press Ganey.

·         Uses process analyses to identify issues and/or policies that have the potential to negatively impact clinical outcomes and/or the delivery of quality improvement efforts.

·         Participates in special projects and other duties as assigned.

·         Clinically trained with exceptional applied knowledge of key quality improvement methodologies OR a combination of a master’s degree in a relevant healthcare discipline.

·         Minimum 3 years’ clinical experience OR experience in a clinical environment.

·         Ability to manage multiple high visibility and complex projects with strict and competing deadlines.

·         Demonstrated analytical ability in identifying problems, developing solutions and implementing effective courses of action.

·         Strong communication skills required, including the abilities to effectively communicate verbally and in writing, internally and externally, and at different levels as necessary.

·         Demonstrated ability to work effectively and productively with varied levels of personnel, with professionals and business organizations.

·         Applied knowledge in a business healthcare setting of Quality Improvement theory, research design and statistics. Extensive knowledge of regulatory requirements.

·         Strong knowledge of Press Ganey, healthcare informatics, and electronic health records.

·         Strong knowledge MS Office, including Visio and Project Management tools.

·         Excellent organizational and interpersonal skills with exceptional professional work ethic.

·         Exceptionally strong critical thinking and problem-solving skills.

·         Experience in an FQHC environment strongly preferred.

Contribute to team effort; and comply with all facility policies and procedures including but not limited to those addressing HIPAA and Compliance and performs other duties as assigned.

Attendance Standards

Consistently at work and communicate appropriately any attendance issues with supervisor per company policy. Consistently at work station at the appropriately scheduled time and does not abuse breaks and/or departure times.

Language Skills

Has the ability to read and comprehend simple instructions, short correspondence, and memos. Has the ability to write complex correspondence. Has the ability to effectively present information in one-on-one and small group situations to patients, visitors, and other employees of the organization.

Mathematical and Statistical Skills

Has the ability to add, subtract, multiply, divide, and calculate figures. Has the ability to analyze complex data sets.

Reasoning Ability

Has the ability to solve practical complex problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, stand, walk, stoop, kneel, or crouch. The employee frequently is required to reach with hands and arms; use hands to handle or feel; and talk or hear. The employee may be required to lift and/or move up to 15 lbs. and occasionally lift and/or move up to 25 lbs. Specific vision abilities required by this job include close vision, peripheral vision, and ability to adjust focus.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Reports to: Director, Clinical Quality Improvement

Direct Reports: None

FLSA Status: Exempt