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Position Description

Arkansas Blue Cross and Blue Shield - EXEMPT POSITION DESCRIPTION

Position:  QI Facilitator
Reports To: 
Division:  Strategic Services (0203)
Company:  ABCBS
Location:  Label
Job Code:  050106
Min Salary:   59000
Date Posted:  9/3/2013

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Position Specific Requirements: No Position specific requirements.

Job Summary
The Quality Improvement Facilitator (QIF) manages a caseload of practices involved in improvement activity.  The QIF utilizes an evidence-based approach to facilitating multi-discipline quality improvement work both directly in the practices and within this organization, applying new foundational principles as the knowledge base for quality improvement coaching in healthcare evolves. The QIF maintains accountability for the facilitation of practice measure reporting as well as individual assessment of practice progress toward desired transformational change.  This position is responsible for working with practices to facilitate redesign efforts, supporting their achievement of improved patient outcomes, increased patient, provider and health care team satisfaction, and efficiency within the practice.

Nature & Scope

• Requires a working knowledge of the workflow within provider offices, both hospital and physician.
• Requires skills to assess current clinic process for improvements:  ability to identify research and analyze problems and assist practices in development of viable solutions.
• Ability to coach individuals and give constructive feedback.
• Requires an understanding of electronic health record systems and practice management systems and how they are used by providers.
• Ability to work with all levels of staff in a primary care clinic to develop a team and ensure all team members are practicing to the top of their license.
• Requires a complete understanding of HIPAA and similar regulations governing the privacy and security of health records.
• Knowledge of the healthcare system and quality improvement initiatives.
• Requires proficient interpersonal skills, including public speaking ability in order to make presentations to providers, provider office staff as well as throughout the Enterprise.
• Ability to work independently.
• Proficient analytical skills and methodologies.
• Ability to effectively and efficiently communicate on a professional and technical level, both written and verbal communications, as well as stand up presentations.
• Superior planning and coordinating skills.
• Excellent computer skills particularly related to Microsoft applications including Word, Access, Excel, PowerPoint and Outlook. Comfortable with exploring and learning to use new or unfamiliar applications or databases.  
• Ability to teach practices how to maximize technology.
• Ability to organize and coordinate workloads for maximum efficiency.

Minimum Job Requirements

Educational Requirements and Experience:

1) Meet one of the following:

  • Bachelor's degree, in business or healthcare management related field. Graduate degree preferred.
  • Clinic management or clinic leadership, including quality improvement experience and extensive problem-solving abilities.

2) Experience in a managed care environment. Additional experience in the health care field, particularly in a clinical environment, with experience in program development and utilization management is desirable.

3) Experience quality improvement activities demonstrating measurable outcomes.

4) Communicates well verbally and in writing; creates accurate and punctual reports; delivers presentations; shares information and ideas with others; has good listening skills.

  • a. Compose and submit with the application, a document describing the incumbent's understanding of a Patient-Centered Medical Home.
  • b. Prepare to demonstrate meeting facilitation ability during the interview process.

5) Experience in leading team efforts and meetings ( agenda, project plans etc)

6) Patient-Centered Medical Home experience preferred.

7) Experience working with electronic health record and electronic practice management system preferred.

8) Proficient working knowledge of PC and office software applications. (Attach resume with a list of software applications used and examples of work product.)

9) Ability to travel. Valid Arkansas driver's license and meet company requirements. MVR verification.

Security Requirements
This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.

Segregation of Duties
Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

• Serve as the primary liaison, teacher, coach, and facilitator for practices in sponsored practice transformation activity.
• Establish and maintain a supportive, collegial role with practices engaged in improvement activity, particularly including assigned practices and their individual improvement team members.
• Participate in baseline information gathering and assessment of practices.
• Introduce and educate incoming practices to the program, key principles related to implementation, foundational concepts for improvement, and accountabilities.
• Support the practice in establishing its overall improvement aim and tests of change.
• Assist the practice in maximizing use of available health information technology resources in order to accomplish improved patient outcomes and increased office efficiency focusing on such areas as:

Population management and registry use/incorporation of registry functionality
Planned care
Coordination of care
Goal setting and action planning with patients
Reporting of measures
Patient safety

• Assess and document practice progression throughout transformation process.
• Review data monthly with individual practice improvement teams.
• Prepare practices for transition to next level of participation as warranted by situation.
• Facilitate efficient, effective improvement team meetings.  Role model these skills in order that improvement team leaders will also be able to effectively manage improvement team meetings with increasing independence over the course of time.
• Regularly maintain databases directly associated with role.
• Link practice to available external resources, such as consultants and group learning opportunities to meet specific needs which extend beyond those that are met by the QI Facilitator role.
• Participate in the planning and hosting of meetings and learning collaboratives.
• Assist and support the Practice Transformation Team in summarizing and disseminating experience-related learning by way of team updates, written reports/articles, and/or presentations as called for by directors.
• Responsible for status reporting on an ongoing basis to appropriate supervisory and management staff.
• Coordinating provider education and training meetings.
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