Quality Improvement Coordinator

General Overview

Under the direction of the Manager of Evidence Based Practice and Outcomes, this position serves a key role in ensuring that programs to meet standards of continuous improvement across the system of care. The position supports planning, coordination and evaluation efforts to measure the effectiveness of behavioral health programs and services designed to address prevention, alcohol and substance use disorders, mental health and recovery. Collaborates with ADM Board staff to accomplish departmental goals and objectives. The position also monitors relative community trends to help inform targeted behavioral health strategies.

Essential Duties and Responsibilities

To perform this job successfully, an individual must perform essential duties to expected performance standards. The County of Summit Alcohol, Drug Addiction and Mental Health Services (ADM) Board is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act (ADA), the ADM Board will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and incumbent employees to discuss potential accommodations with the employer.

• Data Analytics & Reporting
• •Develops data collection procedures and reporting necessary for implementing evaluation and quality improvement efforts, ensuring all procedures and reporting adhere to strict HIPAA and 42-CFR standards
• •Develops advanced dashboards and data visualizations for staff, leadership and Board level reporting
• •Monitors overdose and suicide deaths, evaluating and establishing trends for the purpose of ADM coordinating efforts to address deaths of despair
• •Ensures data integrity across all systems and reporting platforms
• •Provides analytic insights to drive strategic decision making
• •Coordinates with ADM Board staff to access and analyze data, preparing and providing accurate data and reports for various projects
• •Creates, or assists in the creation of, presentations regarding data trends and presents to varies community groups, which may include presenting to staff, provider, board, community and stakeholders

• Compliance Oversight
• •Oversees reporting and quality improvements efforts of contracted agencies to ensure they are in compliance with contractual obligations, as well as local, state, and federal guidance
• •Under the direction of the MEBP&O, coordinates with staff and stakeholders the board’s Community Assessment & Plan (CAP) efforts, and required board documents, with an emphasis on reporting and evaluation efforts

• Quality Improvement
• •Leads systemwide quality initiatives, which includes collaboration with other data and quality improvement staff throughout the system of care
• •Monitors and provides technical assistance to contract agencies in conjunction with Board staff in the area of gaps analysis, quality improvement activities, satisfaction/outcome measures, budget reviews, and other areas
• •Researches and evaluates clinical standards, program design, evaluation tools and demographic analysis
• •Conducts evaluation of clinical programs to determine cost and clinical effectiveness

• Other
• •Works assigned schedule, exhibits regular and predictable attendance and works overtime as required to meet workload demands
• •Represents ADM in committees and community events at local and state levels
• •Reviews evidence-based practices for program evaluation
• •Consults with other government entities, stakeholders, planning organizations, task forces and workgroups for the purpose of data collection, monitoring and reporting, quality improvement, and program evaluation
• •Effectively oversees assigned projects and ensures project management tools and practices are utilized

• Other Duties and Responsibilities
• The listing of duties and requirements listed in this description should in no manner imply that these are the only responsibilities to be performed by the employee who fills this position. Duties, responsibilities and activities may change any time, with or without notice. The outline of responsibilities above may vary without materially changing either the job classification or pay grade.

• Scope of Supervision
• This position has no supervisory responsibilities.

• Equipment Operated
• Computer; copier; printer; telephone and other standard office equipment/software.

• Contacts with Others
• Community, State, County and ADM Board Service Providers’ representatives, vendors, auditors
• clients, general public.

• Confidential Data
• Maintains confidentiality of sensitive records and treatment information, client files and protected health information in compliance with Health Insurance Portability and Accountability Act (HIPAA), 42 CFR Part 2 and established procedures.

• Working Conditions
• Work is performed in a typical office environment with minimal exposure to dirt and dust and occasional exposure to outdoor temperatures. The noise level in the work environment is usually
• quiet and occasionally moderate with typical office sounds and conversations of others able to be heard throughout the office area.

• Physical Demands / Work Environment
• While performing the duties of this job the employee frequently exhibits manual dexterity when working on the computer, and frequently talks and hears when working with job contacts. The employee frequently sits for extended periods of time and occasionally stands and walks. Vision demands include close, relatively detailed vision, with the ability to adjust focus when typing and reading a computer screen and documents.
• o Ability to safely and successfully perform the position’s essential duties and responsibilities consistent with ADA, Family Medical Leave Act (FMLA), and other federal, state and local standards, including meeting qualitative and quantitative productive standards.
• o Ability to maintain regular, punctual attendance consistent with ADA, FMLA and other federal, state and local standards.
• o Must be able to occasionally lift and carry up to 15 pounds.
• o Must be able to listen and speak clearly on the telephone.

• Knowledge, Skills and Abilities
• Knowledge of generally accepted statistical principles; data collection practices, performance measurement, quality improvement principles; professional ethics; program evaluation; standards related to HIPAA and 42 CFR as it relates to behavioral health.

• Preferred : behavioral health system and regulatory requirements; Ohio behavioral health laws;
• community and agency resources available to individuals with mental illness or substance abuse.

Ability to perform detailed work with numerical data; collect data, establish facts and draw valid conclusions; set work priorities, respond to issues on a proactive basis and recommend viable solutions; organize work projects and manage multiple tasks simultaneously; accomplish short and long range objectives and goals; maintain accurate and complete work records and files; exhibit flexibility in work schedule and job assignments; develop and maintain effective working relationships with job contacts; actively listen to provide feedback; maintain confidential and sensitive information.

• Skill in verbal and written communications; preparing written reports; application of Microsoft Office
• software and other job-related software, with a proficiency in Excel and Power BI preferred; operation of standard office equipment. Has intermediate to advanced computing skills with a focus on data management and database design and works primarily with electronic records. Must be able to analyze and relate disparate datasets; strong critical thinking skills. Must have skill in accurately translating data into understandable reports. Strong attention to detail, accuracy and organization.

• Qualifications
• An appropriate combination of education, training, course work and experience may demonstrate
• qualifications of the required knowledge, skills, and abilities. An example of an acceptable qualification is:
• o Master’s Degree in statistics, business, public administration,