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The Quality Improvement (QI) Advisor is responsible for leading improvement work within the UCSF Benioff Children's Hospitals (BCH) in Oakland and San Francisco across all care settings. The QI Advisor works in close partnership with physician, nursing and administrative leadership to improve quality and safety, which includes: the development of short and long-term quality and safety goals; managing a large portfolio of quality and safety initiatives; analyzing data from multiple sources; and educating faculty and staff on quality improvement methods and tools. This role works independently and in collaboration with Quality & Safety, Continuous Improvement and other UCSF and BCH departments, and is jointly accountable for the quality and safety performance on the projects they are assigned.

The QI Advisor will oversee all aspects of quality improvement projects, including the assess, plan, improve and sustain phases of the work. This requires existing knowledge, skills and abilities to evaluate processes and outcomes, using qualitative and quantitative data and effective analytical methods like statistical process control (SPC). It also requires excellent communication skills with clinical and non-clinical stakeholder groups, and the ability to develop collateral-tools, documents, sustainability data methods, presentations, etc.-that enables the success of the work. The QI Advisor must also be a positive driver to further the culture of safety and continuous improvement and hold others accountable for their role in improving quality performance.

The QI Advisor reports to the Director of Quality Improvement for Benioff Children's Hospitals (BCH).

Department Overview

The Benioff Children's Hospital (BCH) Quality Improvement department provides improvement, program development, quality data, and external reporting expertise to the pediatric inpatient and outpatient enterprises. The team is made up of individuals with clinical and non-clinical backgrounds, with skillsets in clinical quality improvement project facilitation, program and project management, data analysis and interpretation, and data abstraction, and collaborates with individuals across many parts of the broader UCSF organization.

REQUIRED QUALIFICATIONS

• Bachelor's degree in nursing or other healthcare profession, or a combination of comparable education and / or experience.
• Minimum 3 years of project management, process improvement, quality improvement or similar experience
• Able to build and maintain positive working relationships with key stakeholders inside and outside of the Department of Quality & Safety
• Proven track record in improving outcomes and processes, with quantitative data to show for it.
• Highly proficient in all MS Office Suite (Word, Excel, PowerPoint, Access)
• Strong critical thinking and problem solving skills to manage multiple levels of information and responsibilities, to quickly assess complex problems, and to develop and implement timely and effective solutions.
• Excellent communication skills (oral, electronic, written)
• Thorough knowledge of QI models, measurement tools, and techniques, including collection, aggregation, abstraction, validation, analysis, and reporting of data.
• Strong interpersonal skills for collaborating effectively with a broad range of clinical and technical staff and representatives of external regulatory agencies and for mentoring lower-level QI staff.
• Strong skills required to effectively convey complex clinical and technical information both verbally and in writing and to produce high quality reports and documentation.
• Strong skills to influence staff, management, and clinicians at all levels and across departments.
• Thorough knowledge of business intelligence functions, analytics, industry standards and best practices.
• Advanced organizational and project management skills, with the ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Strong initiative and ability to work independently as well as in a team environment.
• Detail oriented, with ability to manage time and organize competing priorities.
• Discretion, confidentiality, tact, and ability to deal with sensitive data involving patient health information.

PREFERRED QUALIFICATIONS

• Master's degree in public health, healthcare administration, business, or related area, and / or equivalent combination of experience / training
• Formal training in Quality Improvement with familiarity with specific tactics such as Lean, IHI Model for Improvement, statistical control process charts, interpretation of improvement data and trends over time, A3 thinking, driver diagrams, cycle of improvement, etc.
• Experience leading improvement work focused on reducing hospital-acquired conditions
• Experience in business intelligence reporting, data mining, data analysis, and/or statistical analysis
• RN or other clinical licensure
• Certified by reputable organization in QI, Process Improvement or Lean (CPHQ, IHI IA, Lean Six Sigma Belt, etc.)
• Project Management Professional (PMP) certification

 

DUTIES & ESSENTIAL JOB FUNCTIONS

%  

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

60

YesQI Facilitation
Defines, develops and implements strategic quality initiatives to meet organizational goals
Consults with improvement teams to define quality objectives and data needs for complex, quality and safety improvement initiatives
Supports efforts to identify issues, gather existing knowledge, formulate hypotheses that provide insight and encourage creative problem solving and decision-making
Charters project teams and facilitates quality improvement efforts using A3 thinking and a plan, do, study, act approach; sometimes multiple efforts at once
Develops standard work based on new practices identified during improvement efforts
Deploys new standards and monitors adherence to standards to ensure consistent practice
Represents projects

20

YesProject Management
Sets clear expectations - explains project goals, responsibilities and time commitment
Manages project timelines, delegates tasks, and escalates proactively when deadlines/milestones may not be achieved
Facilitates effective meetings with clear agendas, objectives, meeting minutes and action items
Develops meeting materials in support of assigned projects
Holds others accountable for tasks to keep on track with timelines and deliverables

10

YesData & Reporting
Provides data expertise to peers, clinical and non-clinical staff and leaders
Communicates data effectively to stakeholders, and helps others understand data definitions and constraints
Translates data to information that drives decision-making
Navigates data landscape to pull supplemental data in support of improvement work
Maintains reliable data & reporting methods to ensure integrity of the work
Seeks out opportunities to automate data in partnership with other teams

5

YesQI Team
Shares improvement ideas internally and externally to the BCH QI team
Contributes to internal team improvement efforts
Shares best practices and failures for teammates to learn from
Attends huddles, staff meetings, team engagement events and other forums as required by BCH Quality & Safety leadership

5

YesProfessional Development
Maintains competencies in professional field and stays up-to-date on latest literature
Makes progress toward achievement of QI competency expectations
Attends conferences, training, or other learning opportunities as identified in individual development plan

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(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)