Practice Transformation Spec

Basic Function:

The Practice Transformation Specialist (PTS) is responsible for educating healthcare providers, practices and health systems on evidence-based interventions to improve patient health outcomes. Understanding healthcare provider workflows, data capture for clinical quality measures and integration of evidence-based interventions is key to improving health outcomes and patient experiences. Success as a PTS requires the ability to maximize care teams, provide comprehensive care management, communication and coordination, manage population health, and efficiently use health information technology (HIT) to support patient-centered, value-based care delivery. There are a range of services supporting healthcare providers, practices and health systems to improve the knowledge and skills required to provide high-value, patient-centered value-based care. The PTS may utilize:

• Quality improvement methodology, such as Associates in Process Improvement’s (API) Model for Improvement including workflow assessment, goal setting, data collection, workflow redesign, and Plan-Do-Study-Act (PDSA) cycles
• Patient-Centered Medical Home (PCMH) model of care
• Electronic health record (EHR) data capture
• Data abstraction skills with multiple EHRs
• Patient-centered communication skills, including Motivational Interviewing and Behavioral Activation
• Teamwork and team-based care including Agency for Healthcare Research and Quality (AHRQ) TeamSTEPPS
• Strategies promoting interventions to assess and address Social Determinants of Health (SDOH) including referral platforms.
• Tools to identify and reduce health disparities within the practice setting.
• Evidence-based medical management guidelines
• Experience with accountable care organizations, managed care organizations and/or value-based care.

The PTS utilizes a variety of information technology tools/applications within healthcare providers, practices and health systems to improve workflow and implementation for quality improvement. PTS acts as a consultant to healthcare providers, practices and health systems assisting them in streamlining clinical and business workflows to optimize the implementation of evidence-based interventions and HIT in these offices. Coordinates task-related efforts by creating, joining and/or leading supporting partnerships and facilitating ongoing discussions and initiatives with the appropriate stakeholders in the state and elsewhere who are working on comparable improvement efforts. Includes the coordination and sharing of information and resources (data, communications, and marketing), avoiding duplication of efforts and resources, minimizing inconsistencies, reducing burden on the participants, and developing and deploying strategies that are cost effective and improve HIT utilization and efficiencies, cultural competencies and other related measures. Requires working knowledge of EHRs, Clinical Decision Support, patient portals, clinical quality measures, ICD-10, CPT, HCPCS, LOINC, and EHR data and reporting modules for quality improvement. Requires excellent troubleshooting and decision-making skills, effective navigation of challenging conversations, self-motivation and the use of sound judgment and discretion.

Organizational Relationships:

Reports to Practice Engagement Manager

Role and Responsibilities:

• Recruit health systems, FQHC’s, practice facilities and community-based organizations from priority areas (defined by project) to engage in projects.
• Actively involves with and promotes the convening of local stakeholder organizations that seek to use electronic clinical information and healthcare information exchanges necessary for improving clinical performance.
• Leads the collaboration efforts and works closely with vendors and organizations to:
• Conduct environmental scan to assess provider practices’ current electronic clinical information and health records status (use or lack of- performance results, interests, needs, etc.). Provides technical assistance to practice sites to expand their use of discrete data entry and reporting.
• Promote production, integration and use of electronic clinical information.
• Promote electronic clinical information sharing in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards (including the Privacy and Security Rules) and confidentiality requirements, as applicable.
• Ability to navigate and facilitate collaborative initiatives across various health initiatives.
• Serves as project coordinator for implementation of assigned project activities. Assists the practice sites with workflow and technology assessments to identify quality improvement opportunities and options.
• Works with practices on assessing, measuring and quality improvement clinical performance results for HIT initiatives and cultural competency as required.
• Works with internal teams- Communications, Media, Privacy and Security, Information Technology, Analytics to promote improved healthcare through reporting and improvement of clinical quality measures.
• Maintains current knowledge of technological developments in the field. Participates in training and testing as required under the terms and conditions of the contract.
• Collects, maintains, manages, utilizes and reports task-related data as necessary. Practices good work habits in all interactions at all levels internally and externally. Ensure compliance with all applicable local, state, and federal confidentiality policies and procedures protecting health care information. Documents all activities and technical assistance for reporting purposes.
• Works with practice sites on practice transformation and quality improvement activities pertinent to the contract and deliverables.
• Manage or participate in other quality improvement projects and activities as required.
• Other duties as assigned.

Supervisory Responsibilities:

None

Skills / Professional Competencies Required:

• Excellent interpersonal, oral and written communication skills to establish and maintain effective collaborative working relationships within the organization and with a diverse socio-economic audience of appropriate resources and stakeholders throughout the state and to respond to all stakeholder and participant inquiries and needs professionally and appropriately.
• Exceptional attention to detail and organizational skills with the ability to manage competing priorities, tasks and responsibilities to provide effective support for the workflow management for multiple project management efforts and contract compliance requirements.
• Flexible with excellent critical thinking and problem-solving skills and the ability to perform effectively in fast paced, multi-tasking environment, including the ability to prioritize work and resources to meet multiple competing deadlines, utilize resources effectively, identify problems, and propose sound solutions/alternatives. Must be able to implement and manage effective solutions as required.
• Computer proficiency, which includes knowledge of all Microsoft Office products- Outlook, Word, Excel, OneNote, PowerPoint, Visio, project management tools- Smartsheet, calendar management, contact management, querying and generating reports, fast and accurate data entry with the ability to collect and maintain routine and/or complex records (paper and electronic) and prepare reports from these records.
• Knowledge of office procedures and methods with the ability to operate the common types of office equipment incidental to the job including but not limited to computers, laptops, projectors, copiers, fax machines, audio-visual equipment, and teleconference equipment.
• Strong and engaging virtual and in-person presentation skills, particularly with healthcare providers, practices and health systems with the ability to function effectively in a public relations role and demonstrate a commitment to exemplary customer service with customer-centric perspective.
• Knowledge of federal and state statues, regulations, and program standards in relation to assigned contracts.
• Ability to travel to practice on-site visits, meetings, conferences, training, etc.
• Ability to travel for on-site meetings, educational events, stakeholder engagement activities, and project implementation support.

Minimum Education/Training Required:

A bachelor’s degree in MIS, computer science, engineering, or a healthcare discipline from an accredited four-year college or university. Relevant master’s degree preferred.

Minimum Experience Required:

A minimum of five years’ experience in medical information systems, health system workflow, HIT project management or related consulting healthcare experience. Previous health system/practice administrator, EHR, Managed Care Organization, or quality improvement expertise preferred. Working with healthcare providers, health systems, FQHCs, community organizations, state agencies, or academic institutions.

Substitution(s):

Five years of relevant EHR, healthcare quality improvement, population health, and/or practice administrator experience may substitute for bachelor’s degree.

Licensure/Certification Requirements:

N/A

Security Level:

Low The cash compensation range for new hires in this role is between $81,000 and $149,965.00. The salary ranges are determined by role, level, and location. The range displayed on this job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Your recruiter can share more about the specific salary range for your preferred location during the hiring process.