Basic Function The Practice Transformation Specialist (PTS) serves as a consultant and quality improvement advisor, partnering with healthcare organizations, physician practices, emergency medical services, post-acute providers, and community stakeholders to improve clinical outcomes, patient experience, care coordination, and population health. A primary focus of this role is supporting stroke systems of care and the prevention and management of stroke risk factors, particularly hypertension, through evidence-based quality improvement strategies, practice transformation, health information technology (HIT) optimization, and team-based care models. The PTS works with clinical and operational teams to improve performance on stroke-related quality measures, identify gaps in care, address health disparities, strengthen care transitions, and enhance coordination across the continuum of care. The PTS utilizes expertise in quality improvement methodology, workflow redesign, clinical performance measurement, population health management, electronic health records (EHRs), patient-centered care, and care coordination to support healthcare organizations in achieving measurable improvements in outcomes and quality performance.
Key areas of support include:
- Quality improvement methodology, including workflow assessment and redesign
- Stroke prevention, treatment, recovery, and secondary prevention initiatives
- Management of hypertension and other modifiable stroke risk factors
- Clinical quality measure improvement and performance monitoring
- Population health management and care coordination
- Team-based care implementation
- Electronic Health Record (EHR) optimization and reporting
- Care transitions and cross-setting care coordination
- Health equity and reduction of disparities in stroke care and outcomes
The PTS leverages data, technology, and stakeholder collaboration to drive sustainable improvement efforts, optimize clinical workflows, strengthen reporting capabilities, and improve patient outcomes throughout the continuum of care. Organizational Relationships Reports to Practice Engagement Manager Role and Responsibilities
- Provide practice transformation, quality improvement, and technical assistance services to healthcare providers and organizations participating in stroke, cardiovascular, population health, and healthcare quality initiatives.
- Support organizations in improving performance on stroke-related and other clinical quality measures through data-driven quality improvement strategies.
- Conduct workflow assessments and facilitate workflow redesign to improve care delivery, documentation, quality reporting, care coordination, and patient outcomes.
- Assist healthcare organizations with identifying and addressing gaps in stroke prevention, treatment, recovery, and secondary prevention practices.
- Collaborate with interdisciplinary care teams to implement evidence-based strategies addressing hypertension control, cardiovascular risk reduction, care transitions, and management of modifiable stroke risk factors.
- Analyze clinical performance data, quality measures, and EHR-generated reports to identify opportunities for improvement and monitor progress toward performance goals.
- Facilitate quality improvement initiatives utilizing established methodologies, including Plan-Do-Study-Act (PDSA) cycles, root cause analysis, process mapping, and performance monitoring.
- Promote team-based care approaches and integration of clinical and community-based services to improve outcomes and reduce barriers to care.
- Support organizations in addressing social determinants of health, health equity, and healthcare disparities that contribute to stroke risk and outcomes.
- Facilitate collaborative learning activities, stakeholder meetings, communities of practice, and quality improvement learning networks.
- Develop and deliver training, educational resources, academic detailing, coaching, and technical assistance to clinicians, leadership teams, and practice staff in both virtual and in-person settings.
- Collaborate with health systems, physician practices, EMS agencies, community organizations, and other stakeholders to strengthen stroke systems of care and improve care coordination across the continuum.
- Support implementation and optimization of EHR functionality, clinical decision support tools, registries, and quality reporting systems.
- Promote appropriate use of electronic clinical information, interoperability, health information exchange, and data-sharing strategies consistent with regulatory requirements.
- Maintain current knowledge of stroke quality measures, evidence-based stroke care guidelines, healthcare quality initiatives, regulatory requirements, and emerging best practices.
- Collect, analyze, manage, and report project-related data while ensuring compliance with all applicable confidentiality, privacy, and security requirements.
- Participate in contract activities, training programs, conferences, and organizational initiatives as required.
- Perform other duties as assigned.
Skills and Professional Competencies Required
- Strong knowledge of healthcare quality improvement methodologies, performance measurement, and practice transformation strategies.
- Knowledge of stroke systems of care, evidence-based stroke prevention and management practices, and stroke-related quality measures.
- Knowledge of hypertension management, cardiovascular risk reduction, care coordination, population health, and chronic disease management.
- Experience using clinical quality measure data, registries, dashboards, and EHR reporting tools to drive performance improvement.
- Working knowledge of EHR systems, clinical decision support tools, health information exchange, and healthcare information technology.
- Understanding of care transitions, care management, team-based care, and interdisciplinary care models.
- Experience facilitating quality improvement projects, collaborative learning initiatives, and stakeholder engagement activities.
- Strong relationship-building skills and the ability to establish productive partnerships with physicians, healthcare leaders, clinical staff, community organizations, and other stakeholders.
- Excellent written, verbal, presentation, facilitation, and interpersonal communication skills.
- Ability to effectively deliver education, coaching, technical assistance, and training in virtual and in-person environments.
- Exceptional project management, organizational, and time-management skills with the ability to manage multiple priorities and deadlines.
- Strong critical thinking, problem-solving, analytical, and decision-making abilities.
- Ability to interpret clinical performance data and translate findings into actionable improvement strategies.
- Proficiency with Microsoft Office applications and data management systems.
- Knowledge of federal and state healthcare regulations, quality reporting requirements, and applicable program standards.
- Ability to travel as required.
Minimum Education/Training Required Bachelor's degree in Nursing, Public Health, Health Administration, Healthcare Informatics, Health Sciences, Quality Improvement, or a related healthcare field. Master's degree and/or clinical licensure (RN, BSN, MSN, LPN, MPH, or equivalent) preferred. Minimum Experience Required
- Minimum of five years of experience in healthcare quality improvement, clinical operations, population health management, practice transformation, healthcare consulting, care management, or a related field.
- Experience working with clinical quality measures, quality improvement programs, healthcare performance improvement initiatives, or stroke-related programs preferred.
- Experience working directly with healthcare organizations, physician practices, hospitals, or health systems preferred.
- Experience facilitating quality improvement collaboratives, educational programming, or stakeholder engagement initiatives preferred.
Preferred Qualifications
- Clinical experience strongly preferred.
- Experience with stroke care, cardiovascular health, hypertension management, emergency care, care transitions, rehabilitation, or population health initiatives preferred.
- Experience with practice transformation, EHR optimization, clinical quality reporting, and healthcare data analytics preferred.
- Demonstrated success building collaborative relationships and facilitating improvement efforts in both virtual and in-person environments.
Working Conditions and Physical Requirements:
The physical demands marked below are representative of those that will be required to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Requirement Yes/No
Lifting (lbs.)
If yes, Specify Range:
Up to 25 pounds Yes
Carrying (lbs.)
If yes, Specify Range:
Up to 25 pounds Yes
Stooping, Bending Yes
Kneeling, Squatting Yes
Walking Yes
Standing Yes
Sitting Yes
Climbing, Balancing (e.g., climbing and working from ladder) No
Use of Hands to Finger, Handle, or Feel Yes
Physical Coordination (sequential or simultaneous use of hands, arms, feet, and legs) Yes
Eye-Hand Coordination No
Close Vision (clear vision at 20" or less) Yes
Distance Vision (clear vision at 20' or more) No
Color Vision (ability to identify and distinguish colors) No
Depth Perception (ability to judge distance spatial relationships) No
Hearing in person Yes
Hearing on telephone Yes
Speaking in person Yes
Speaking on telephone Yes
The environmental conditions marked below are common to this job:
Condition Yes/No
Outdoor Weather Conditions No
Wet, Humid Conditions (non-weather) No
Work Near Moving Mechanical Parts No
Work in High, Precarious Places No
Fumes or Dust No
Toxic or Caustic Chemicals No
Extreme Heat (non-weather over 90 deg. F.) No
Low Noise (e.g. business office) Yes
Moderate Noise (e.g., light motorized equipment such as lawn mowers) No
Loud Noise (e.g., jackhammer, heavy motorized equipment) No