Position Title: Primary Function: Reports To: Direct Reports: Functional Relationships: Primary Location: Hours: Nature of position: Clinical Quality Manager The Clinical Quality Manager is responsible for the delivery of high quality Clinical facilitation and services to General Practices which are safe, effective, grounded in best practice and resource efficient. The role will work closely with the Clinical Director, Medical Director, Clinical Services Manager and Clinical Quality Board to deliver on the organisations Quality Plan. General Manager Practice Development Immunisation Coordinators Diabetes Nurse Educators COPD Facilitator Clinical Practice Facilitators Clinical Advisory Pharmacists Service Improvement Leader Practice Liaison Team Compass Health Providers Other Primary Care Providers Compass Health Executive Team Compass Health staff Capital & Coast DHB and Service Integration & Development Unit Māori Health Team Compass Health Board Clinical Quality Board Clinical and allied health professionals and the primary health care sector leadership generally Based in the Compass Health Wellington office with travel required to locality offices in Kapiti, Porirua and Wairarapa 40 hours per week (1.0 FTE) Permanent Full-Time position (with flexibility) Background: As an organisation and as individuals we value: Compass Health is a not-for-profit Trust registered with the Charities Commission and governed by a Board consisting of 11 Trustees. Compass Health provides quality primary health care services to an enrolled population of 286,669 people across the Wellington, Porirua, Wairarapa and Kapiti areas. We work in two health alliances: with Wairarapa DHB; and with Well Health, Cosine, Ora Toa and CCDHB. We employ almost 100 people and contract with 59 medical practices. We also provide corporate services to Central PHO and a number of general practices. Trust: Respect: Unity: Accountability: Courage: Maintaining open and honest relationships Embracing diversity, uniqueness and ideas Valuing strengths and skills Working in a transparent and responsible manner Participating with confidence and enjoyment Clinical Quality Manager JD July 2014 1
Key Responsibility Activities Clinical Quality Oversee the delivery of Compass Health s quality plan including: Quality and Performance Improvement (IPIF) Quality assurance Cornerstone accreditation Foundation standards for General Practice Clinical Facilitation Team Management Support Clinical Facilitators to promote a professional and positive culture within the team with regular engagement on the organisation vision, mission and values Develop a Clinical Facilitation Work Plan that aligns with organisational goals and strategic plan Provide and assist Compass Health staff working with General Practices to be effective in their roles and to seek out relevant support so that all work is delivered according to: Best practice Evidence based approaches Contractual standards Good Health and Safety practices Work with Clinical Facilitators to ensure workloads are managed effectively while maintaining sound health and safety practices Provide regular feedback and performance guidance to team and carry out annual performance development plans Quality plan is delivered successfully and on time Positive feedback from the Clinical Quality Board 100% of Practices are Cornerstone accredited, on pathway of meet foundations standards Positive feedback from General Practice Staff feel valued and express satisfaction in their work environment, leadership, culture, and the achievement of their workplace goals Work programme is documented and delivered successfully and on time Audits show service delivery standards have been met Staff meet their own performance development objectives Team work is completed within agreed timeframes All staff feel they are being supported to meet their agreed goals Best practice guidelines are developed in collaboration with the Clinical Quality Board and Clinical Services Manager Case and workloads are reviewed, and work priorities established according to agreed protocols Performance Development plans are completed Professional supervision is available to staff as required Performance related issue are dealt with in a timely and appropriate way Manage staff leave Staff leave is managed to meet the delivery requirements of the service and the organisation and the need for staff to have appropriate rest and relaxation Review Team Job Descriptions and assist with recruitment processes as required Clinical Leadership All position descriptions are current Staff are employed with the skills, knowledge and attributes in line with the organisations Vision, Mission and Values, and contribute positively to the achievement of organisation goals and culture of the organisation Work closely with the ICT team to ensure that development of software and management of services has synergy with practice processes Accuracy and standardisation of clinical coding across practices Ability to understand basic functioning and configuration of key tools, such as CarePAd, IQE, Bold Promise, Best Practice Tools and Clinical Quality Manager JD July 2014 2
Work with Clinical Facilitators to develop and implement clinical practice frameworks, guidelines and protocols which support best practice. Improve Health Outcomes of Maori Build an effective culturally competent and responsive workforce Ensure the workforce reflects the diverse nature of our community Service Development and Delivery Assist the Executive Leadership Team and Clinical Quality Board to implement strategies and contractual requirements Build and maintain trusted relationships with providers, practices and Compass Health staff Involve clinicians, Compass Health staff, contracted providers and other stakeholder groups as widely as possible in the development of new service models Service Improvement Advanced Forms Online Portal as well as any other decisions support tool used in General Practice Demonstrate knowledge of key Compass processes, such as register management and PHO Performance Programme Professional practice is safe, legal, effective, and responsive to the holistic and changing needs of the patient New models of care agreed by the Clinical Quality Board are implemented consistently A district wide framework is in place and consistently implemented through wide staff and General Practice Teams buy in Audits reports a high quality service Key stakeholders within the community are positive about new and existing service developments Evidence of a wide range of networks that assist the practitioner in their everyday practice The practitioner has evidence to support their ability to work in a culturally competent manner Evidenced within staff performance development plans CEO and staff report high satisfaction with the support received Clinical Quality Board deliver on their work program and receive reports within agreed time frames Business initiatives are delivered according to the Project Plans and best practice guidelines Milestones are achieved on time Internal staff and general practice providers understand the Compass Programs and uptake of them is consistent with targets or goals Robust guidance is evident on evaluation and QA monitoring processes New models of care are implemented as per project plans Providers, practices, and staff express high levels of satisfaction with the support and facilitation provided Service development outcomes reflect excellent collaborative efforts across stakeholders Assist the Service Improvement Leader to develop, implement and evaluate the Quality Plan for the organisation Quality standards are met and agreed guidelines and clinical pathways are embedded in team practice Uptake of initiatives within the Quality plan is consistent across all practices and PHO Clinical Quality Manager JD July 2014 3
Risk Management Issues are raised with and solutions presented to the relevant agencies Accesses other staff, particularly HR for assistance with employment related legal compliance Maintain a detailed understanding of the requirements of the HPCA and Health and Safety legislation Actively contribute to identification and mitigation of risk Health and Safety services Improvement opportunities are identified and communicated Advice provided on the evaluation of the Quality Plan effectiveness Internal and External audits of clinical services consistently report excellent compliance with Best Practice and with contractual compliance Risks are identified and documented in Remedy Risk minimisation plans are implemented, reviewed and updated as appropriate Ensure that work is done in a safe environment Report and work to eliminate, isolate or minimise any hazards Participate in health and safety management practices for all employees Apply the organisation s health and safety policies and procedures The organisation complies with its responsibilities under the Health and Safety in Employment Act 1992 and any subsequent amendments or replacements legislation PERSON SPECIFICATION: Essential skills, knowledge and experience Desirable skills, knowledge and experience Demonstrates a highly credible track record as a primary care clinician, including excellence in clinical skills and showing strong leadership in the field Has successful experience teaching and mentoring others, and line managing staff with sound understanding of General Practice Passionate about providing health services that meets the needs of the community and are of high quality Understands the health needs of the different communities and approaches to health care within these communities Experienced in the care and management of long terms conditions and co-morbidity (especially diabetes, respiratory and cardiovascular disease) in a primary care setting Has comprehensive understanding of quality and change management frameworks Demonstrates excellent interpersonal and communication skills and is able to work with a wide range of people in a variety of settings Ability and experience in project planning Clear ability to articulate the aspirations of nurses and primary care doctors Understands trends in health, relevant policy and operational areas Understands the importance of budget monitoring and contractual compliance Background in health education and health promotion arenas Clinical Quality Manager JD July 2014 4
Is organised in work approach and applies attention to detail Understands the relevance and impact of culturally appropriate care and how culture influences behaviour Is innovative and pragmatic when problem solving Understands the relevance and impact of culturally appropriate service provision and how culture influences behaviour both internal and external to the organisation Experience of developing and implementing culturally responsive strategies across all levels of the organisation Experience of working with diverse populations. Is outcome focused and is able to prioritise, set goals and achieve results Has established community networks within CCDHB district QUALIFICATIONS: Relevant tertiary qualification in nursing, allied health, pharmacy or related field. Current New Zealand Practicing Certificate (where relevant) Full current Drivers Licence Current CPR certificate EMPLOYEE ACCEPTANCE: This Job Description has been agreed between: Management Representative (print then sign) and Employee (print then sign) Date: / / Clinical Quality Manager JD July 2014 5