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County of Santa Clara

Director, Data Analytics and Quality Improvement

County of Santa Clara, Los Angeles, California, United States


Under administrative direction, to provide leadership and direction for management and oversight of quality and safety data and analytics for Santa Clara Valley Healthcare (SCVH) to ensure compliance with regulatory and legal requirements and integration of valid and reliable data with a robust program of quality and performance improvement that delivers care and services which achieve targets and objectives, supports excellence, standardizes approaches, and sustains a culture of safety and high reliability.

Better Health for All!

The County of Santa Clara owns and operates a Hospitals and Clinics Delivery System that includes Santa Clara Valley Medical Center, O'Connor Hospital, and St. Louise Regional Hospital. Custody Health Services (CHS)

- CHS provides medical, mental health, and dental services to patients in custody at the 3 County Jail facilities: Main Jail, Elmwood and Juvenile Detention facilities. CHS provides on-site routine and urgent/emergent medical services at both Main Jail and Elmwood adult detention facilities in Santa Clara County. Santa Clara Valley Medical Center

- 731 bed tertiary level acute care hospital provides the highest level of adult and pediatric emergency medical and trauma services, a regional high risk Neonatal Intensive Care Unit, an ACS-verified Burn Trauma Center, a Primary Stroke Center, a CARF-accredited Rehabilitation Center, emergency and acute inpatient psychiatric services, as well as a range of other specialized services – in some cases the only such treatment in the region. O'Connor Hospital

- 358 bed acute care facility offering a full range of inpatient and outpatient medical, surgical and specialty programs to more than 1 million residents of San Jose. St. Louise Regional Hospital

- 93 bed acute care facility, affectionately known as South County's community hospital, is a Designated Primary Stroke Center, and is the only acute care hospital in the area. Learn more about Santa Clara Health System at:

scvmc.org ,

Home | O'Connor Hospital | Santa Clara Valley Healthcare, County of Santa Clara, CA ,

slrh.sccgov.org The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed. Evaluates and oversees management of SCVH quality data and analytics; Directs, plans, and evaluates quality and safety improvement initiatives; Provides facilitation and support for quality improvement initiatives upon request; Oversees, promotes, and assists in monitoring compliance with federal, state and The Joint Commission (TJC) standards; Plans/executes programs designed to enhance physician, nursing, and support staff knowledge of quality improvement and risk management; Directs the planning, preparing, and compiling of reports for federal and state regulatory agencies; Participates in and may chair or coordinate hospital, agency, or departmental committees related to quality; Prepares and/or reviews quality assessment/performance improvement reports, surveys, and written responses for leadership, medical staff, regulatory agencies, and others; Collaborates with quality and safety managers to ensure coordination of activities, enhances efficiency through centralization of data management functions, and sharing of expertise and resources to support performance improvement initiatives; Develops, recommends, implements, translates, and maintains critical clinical and business performance questions into concise and user-friendly reporting and analytics tools that lead to clear and actionable external and internal insight; Coordinates staff to build, understand, and conceptualize data derived from current application and platform to support the development and delivery of user-friendly reporting wizards, dashboards, and reports that meet the needs of internal stakeholders and customers; Consults with stakeholders to ensure issues are well understood and articulated and can be translated into effective reporting; Translates SCVH needs into user friendly and customer ready reporting and tools that create clear and actionable insights; Anticipates future requirements and proactively builds toward future needs; Defines the right tools to compliment or replace existing tools and infrastructure, evaluating the merits of various options and approaches; Leads a team of data analysts and report writers, who will extract data from core systems, to enable fast and facile response; Collaborates with medical staff quality leaders; Oversees the development and implementation of Quality Improvement policies and procedures; Selects, trains, supervises, coordinates, and evaluates the work of subordinate professional and clerical staff; Maintains current knowledge of organizational structure and operations; Maintains competence and knowledge of current trends in quality, performance improvement, and safety; Manages contracts and performance of external vendors who provide support for data collection and reporting; Participates in continuing education activities for professional growth, licensure and certification requirements; May initiate and/or participate in research related to standards, quality improvement, and patient safety; Communicates, coordinates, and acts as liaison with personnel throughout SCVH, other health agency divisions, regulatory agencies, relevant professional associations, County Counsel, and other County agencies; May be assigned as a Disaster Service Worker (DSW), as required; Performs other related duties, as required. Sufficient education, training, and experience to demonstrate the ability to perform the above tasks, plus the possession and direct application of the following knowledge and abilities: Training and Experience Note:

The required knowledge and abilities are attained through possession of a Bachelor’s Degree in Nursing, Health Care, Psychology, Social Work, Psychiatric Nursing, Business Administration, Health Care Administration, Public Health Administration, or a closely related field; and Five (5) years of full-time experience in Quality Improvement, including data modeling, data analytics, and/or reporting in a healthcare setting; and Two (2) years of full-time Quality Improvement experience in a supervisory, management, and/or director capacity. Special Requirements Possession of an active certification as a Certified Professional in Healthcare Quality (CPHQ), for the duration of employment in this classification. Ability to travel to alternate locations in the course of work. If driving, possession of a valid California driver’s license prior to appointment and the ability to qualify for and maintain a County driver authorization. *As a condition of employment, all County of Santa Clara employees are designated Disaster Service Workers (DSWs), including extra help. Knowledge of: Regulatory requirements, including The Joint Commission, Centers for Medicare and Medicaid Services (CMS); Principles and practices of patient safety, quality assessment/performance improvement, and management of data and analytics in an acute care hospital setting; Current trends, issues, and research in treatment, prevention, and education, as they relate to quality in a large health care delivery system; Standardized methodology and approaches for quality and performance improvement: Model for Improvement, Plan-Do-Study-Act (PDSA), Failure Mode Effects Analysis (FMECA), Root Cause Analysis (RCA); Program management in an acute care hospital setting, including planning, implementation, evaluation, and reporting as required by laws, codes, and regulations; County, state, and federal legislation applicable to contemporary acute care hospital operations and patient care issues; Organization and functioning of an acute care hospital/hospital system; organizational, personnel, and fiscal management within a health care facility/agency; Methods, regulations, and procedures for research within an acute care hospital setting; English usage, style, grammar, punctuation, and spelling; Common computer systems and applications. Ability to: Organize, direct, coordinate and evaluate services to ensure quality patient care and patient outcomes, and conformity with prescribed laws, regulations, and standards; Work cooperatively with administrators, medical personnel, nursing staff, and others to obtain and evaluate information and implement change; Effectively train staff in quality and safety principles and practices; Prepare complex and detailed written reports and procedures; Develop and analyze data and maintain accurate records; Maintain up-to-date knowledge of clinical care and practices, quality improvement trends/practices, and current legislation; Read and understand material safety data sheets and other safety communications; Communicate effectively, both orally and in writing, with people of diverse backgrounds and cultures; Establish and maintain effective working relationships with those contacted in the course of work, at all levels, including colleagues, the public, and representatives of other agencies.

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