The Director, Clinical Effectiveness Program will establish and supervise processes (e.g., performance improvement, clinical documentation, etc.) to achieve the optimal degree of excellence in the services rendered to every patient. Evaluation of practice operates within the parameters of patient outcome, cost-benefit in care provision, and patient access to the health care delivery system. The Director provides for internal strategic planning efforts and the implementation of continuous quality improvement programs. Specifically, this leader will work with providers to develop and implement clinical pathways and evidenced-based care designs.

The Director will spearhead the launch of and management of the clinical effectiveness program. This program will work with our clinical services to increase standardization in care, resulting in better outcomes for our patients and decreased length of stay. In addition, the Clinical Effectiveness Program Manager and their direct reports will be involved in assessing organizational and strategic issues and providing guidance through organizational development solutions such as facilitating assessments, strategic planning, culture change, and process-oriented approaches to enhance institutional performance for appropriate clinical operations throughout the health system. The Director and team will consult with leaders, departments, and committees to address root causes of organizational effectiveness issues using a systematic approach. Analyzes current organizational purpose, structure, relationships, policies, systems and data as necessary. Recommends and oversees improvements ensuring alignment and organizational strategy.

The Director will lead and drive change using lean methodology both within team and throughout organization. This leader will help establish goals and objectives across the health system and will function with significant autonomy. They will manage the departmental accountability and stewardship of human, financial, and other resources in order to achieve departmental and organizational objectives. Position reports to the Sr. Director of Quality and Patient Safety.

Key Responsibilities:

• Manages the development, implementation, and monitoring of clinical QI programs specifically in developing and implementing clinical pathways and evidenced-based care.
• Generates budgets, timelines, and work plans and executes them through subordinate team members.
• Manages the development and utilization of advanced metrics and analytics for use in QI processes.
• Implements operational processes that contribute to cooperative, effective, and efficient results across all departments and/or facilities.
• Responsible for employee recruitment, performance evaluation and management, and staff development. Develops a strong culture of teamwork to ensure the quality of daily operations, effective interdepartmental collaborations, and the timely achievement of objectives.
• Advises and influences senior management on regulatory changes and state-of-the-art advances in systems, technologies, data management, methodologies, the latest industry trends, developments, and best practices.
• Develops relationships with clinical departments and provides training to facilitate the integration of quality and safety to benefit the overall clinical enterprise.
• Works with IT managers to promote and support patient safety and quality interests in organization-wide information technology initiatives, including business intelligence and the electronic medical record system.
• Implements and monitors the incident reporting processes, response, and performance improvement activities.
• Works with colleagues across the medical center to ensure compliance with accreditation and licensure requirements in the clinical services environment, including JCAHO, CMS, and the State of California.
• Performs other duties as assigned.

• Bachelor's Degree in nursing or other healthcare profession; or a combination of comparable clinical education and/or experience.

• Seven or more years of relevant healthcare experience leading Lean initiatives.

• Experience developing and implementing clinical pathways and evidence-based standard of care.

• Demonstrated leadership in driving improvements in patient outcomes

• Experience and proven success with in-depth knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.

• Demonstrated hospital management skills, with progressive expertise in quality and process improvement methodologies, statistical analysis, and data base management.

• Proven ability to organize, manage multiple priorities, meet deadlines, and assign work efficiently.

• Demonstrated leadership, fiscal and operations management skills, with the ability to collaborate effectively with physicians, management and staff at all levels, and external agencies.

• Strong critical-thinking and problem solving skills, with the ability to quickly identify problems and implement solutions.

• Demonstrated knowledge of relevant healthcare information technology and clinical QI workflows and processes.

• Demonstrated knowledge of relevant regulatory requirements, as well as related legislative, accreditation, licensing and compliance environments.

• Advanced degree in a relevant field.

• Ten or more years of lean experience, including working with physician teams on standard of care/ pathway development and deployment.

• Experience leading a team of five or more.

• Experience within a large, complex health system.

• Experience at UC San Diego Health and/or experience in academic medicine.

• Lean six sigma black belt (or similar) certification.

• Must be able to work various hours and locations based on business needs.

• Employment is subject to a criminal background check and pre-employment physical.