SMARTCare Site Job Descriptions Site Physician Lead (Champion) Educational Requirements: Local (Site) Physician Champion Cardiovascular Fellow of the American College of Cardiology The Local Physician Champion must be a practicing cardiovascular physician who is a Fellow of the American College of Cardiology for the duration of participation in the grant program. The time commitment is expected to represent one-tenth of an FTE, or one half day of work a week. The Physician Champion is expected to represent locally the SMARTCare Leadership and directly supervise implementation and execution of all local activities associated with SMARTCare, including site protocols, toolsets, registries, patient enrollment and the activity of the local Program Manager and Quality Improvement Program (QIP) Manager. The Physician Champion is responsible for the site participation in SMARTCare and will report directly to the State Implementation and Program Directors, and the National Steering Committee. The site Physician Champion will work with the local QIP Manager and Program Manager on all other matters relevant to the project and the grant. This physician will also coordinate the implementation of assessment tools and processes utilized during the project with other state and national sites. The Physician Champion will assist in coordinating local workflow and toolset implementation, and monitor and create mechanisms to improve capture of eligible patients in the overall service care continuum. Physician Champion duties include, but are not limited to: Participate in all SMARTCare leadership and project conference calls or webinars Coordinate the process of implementation of all project toolsets, registries and surveys along all points of patient interaction or decision making in the care continuum encompassed by SMARTCare Develop local processes in collaboration with the local PM and QI Manager necessary to identify all patients who meet criteria for participation in the program regardless of the patient s participation status Supervise and cosign all reports generated by the local QI Manager and Project Manager Assist in the implementation and troubleshooting of all surveys and other related evaluation tools along the care pathway and document barriers encountered and solutions required Resolve local implementation and inclusion discrepancies in collaboration with the National Steering Committee Assist in system or practice group education and understanding of service delivery indicators and outcome measures in order to evaluate effectiveness of applied tools and practice Updated 2/12/2015 1
Participate in QI team meetings and specialty training sessions Review QI findings, and implement, with the assistance of the site Program Manager, any recommendations to improve the quality of local system, group, or individual performance of care Work collaboratively with the site Program Manager and QI Manager to engage all providers in the development and completion of individual provider quality improvement activities to address any aspect of their style of care and to create sustained improvement which is relevant to their field of practice and patient population Updated 2/12/2015 2
Program Manager Site Program Manager Educational Requirements (preferred): Local (Site) Program Manager Degree in Public Health, Social Work, Medicine, Nursing or related field The local Program Manager will be employed or contracted by each participating clinical site, located in Florida (five sites) or Wisconsin (five sites) for the duration of the grant. The Program Manager position is expected to represent one Full Time Equivalent (FTE) dedicated to implementation and execution of all local activities associated with SMARTCare site protocols, toolsets, registries and patient enrollment. This position is responsible for the overall coordination of activities involved in the project and is directly supervised by the Physician Site Champion. The local Program Manager will work collaboratively with the local Quality Improvement Program Manager and Physician Champion on all matters relevant to the grant. This position will coordinate the implementation of assessment tools and processes utilized during the project with other state and national sites. The Program Manager will assist in coordinating local workflow and toolset implementation and will monitor and create mechanisms to improve capture of eligible patients in the overall service care continuum. Program Manager duties include, but are not limited to: Participate in all SMARTCare leadership and project conference calls or webinars Coordinate the process of implementation of all project toolsets, registries, and surveys, along all points of patient interaction or decision making in the care continuum encompassed by SMARTCare to affect care delivered in patients with known or suspected stable ischemic heart disease Develop local processes in collaboration with the Physician Champion and QI Manager to be able to identify all patients who meet criteria for participation in the program regardless of participation status Identify and report all billing (CPT, E&M, hospital DRGs, and diagnosis) codes associated with each participant for data collection and the analysis of data by internal staff and outside consultants Assist in the implementation and troubleshooting of all surveys and other related evaluation tools along the care pathway and document barriers encountered and solutions required Assist in system or practice group education and understanding of service delivery indicators and outcome measures in order to evaluate effectiveness of applied tools and practice Participate in QI team meetings and specialty training sessions Updated 2/12/2015 3
Review QI findings, and implement, with the assistance of the Physician Champion, recommendations to improve the quality of local system, group, and individual performance of care Work collaboratively with the local Physician Champion and QI Manager to engage all providers in developing and completing individual provider quality improvement activities to address any aspect of their style of care to create sustained improvement that is relevant to their field of practice and patient population Complete reporting as outlined by National Project Management Updated 2/12/2015 4
Quality Manager Site Quality Improvement Manager Educational Requirements (preferred): Quality Improvement Manager Degree in Public Health, Social Work, Nursing or related field The Quality Improvement Manager will be employed or contracted by each participating clinical site, located in Florida (five sites) or Wisconsin (five sites) for the duration of the Grant. The coordinator position is expected to represent one Full Time Equivalent (FTE) dedicated to monitoring and documentation of the local Quality Improvement Program (QIP) and will participate in various activities which evaluate and document the compliance of SMARTCare sites in their adherence to various protocols, toolsets, registries, and patient enrollment in SMARTCare. This position is responsible for the overall coordination of activities involved in QIP, and is directly supervised by the Physician Site Champion. The QI Manager will work collaboratively with the local Program Manager and Physician Champion on all other matters relevant to the grant. This position will coordinate the implementation of assessment tools and processes to be utilized during QIP reviews; and will conduct technical assistance workshops to address required changes to local workflow and participate in the implementation of comprehensive initiatives that address improvements in the overall service care continuum. Quality Improvement Program Manager duties include, but are not limited to: Participate in QIP reviews at various service facilities associated with their local system or practice group to assess compliance of service providers with SMARTCare protocol tool sets, registries and completeness of all documentation Coordinate the process of data collection and the analysis of data by internal staff and outside consultants Assist in the implementation and completion of surveys and other related evaluation tools Assist in provider education and understanding of service delivery indicators and outcome measures in order to evaluate effectiveness of applied tools and practice Write reports that document necessary adjustments in utilized protocols and tool set use to attain the actual findings and change recommendations by individual providers and practice group Participate in QIP team meetings and specialty training sessions Review QIP findings, and formulate recommendations to improve the quality of local performance of care Working collaboratively with the local Physician Champion and Project Manager to engage all providers in developing and completing individual provider quality Updated 2/12/2015 5
improvement activities to address any aspect of their style of care to create sustained improvement which is relevant to their field of practice and patient population Work with the Program Manager to ensure data integrity and quality in project reporting Updated 2/12/2015 6
IT Manager Site Information Technology Manager Educational Requirements (preferred): Local (Site) Information Technology Manager Systems Engineer with proficiency in database architecture and electronic health records (EHR) interface design and construction The Information Technology (IT) Manager is expected to represent a 0.5 Full Time Equivalent position for the first half of the first year of a site s participation in SMARTCare. The individual must have knowledge of the EHR database structure, and network structure in order to assist in the implementation and integration activities for all toolsets, registries, and surveys associated with the project to completely automate data acquisition and transmission to central data storage. The individual should have detailed knowledge of and experience with HL7 interfaces and the ability to adjust the interface in order to maximize the accuracy of data submission and transmission. The IT Manager will report to the Local Physician Champion for the SMARTCare activities, as well as to their local system or practice group supervisor. The individual is responsible for confirmation of accurate interface implementation and settings prior to the live patient enrollment and participation date. Local (Site) Information Technology Manager will assist in developing a means to monitor and improve capture of eligible patients anywhere along the overall service care continuum. Local (Site) Information Technology Manager duties include, but are not limited to: Participate in all SMARTCare Technical and implementation conference calls and webinars Coordinate and assist consultants or other vendor technical personnel in the implementation of all project toolsets, registries, and surveys, along all points of patient interaction and decision making encompassed by SMARTCare Help resolve local implementation and integration problems as related to the local EHR and IT infrastructure Assist the local Program Manager in documenting all required adjustments to the standard toolset implementation guidelines Verify the accuracy of and monitor the stability of all interfaces and data collection methods to ensure optimal performance prior to live patient enrollment and then periodically for the next six months Assist in troubleshooting all breakdowns in toolset, survey, registry and dataset acquisition and transmission Updated 2/12/2015 7