Job Function Summary:

Involves the establishment and supervision of 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. Provides for internal strategic planning efforts and implementing continuous quality improvement programs.

Generic Scope

Professional who applies acquired job skills, policies, and procedures to complete substantive assignments / projects / tasks of moderate scope and complexity; exercises judgment within defined guidelines and practices to determine appropriate action.

Custom Scope

Works on assignments that are of moderate diversity in scope. Exercises judgment within generally defined practices and policies in selecting methods and techniques for obtaining solutions. The Quality Improvement Health Specialist will support quality improvement initiatives, program evaluation, and operational effectiveness for the ACT and V4V programs. This position will assist with identifying opportunities to improve workflows, supporting the development and monitoring of quality improvement measures, evaluating program performance, and translating data into actionable recommendations. The role involves collaborating with interdisciplinary teams to assess operational challenges, strengthen care coordination, improve program processes, and support evidence-based decision-making. Responsibilities also include assisting with the development and maintenance of reporting systems, monitoring outcomes, supporting improvement initiatives, and contributing to program planning and implementation to enhance the quality, efficiency, and effectiveness of clinical and community-based services.

Department Overview

The Addiction Care Team (ACT) at Zuckerberg San Francisco General (ZSFG) is a consult service for emergency department and hospitalized patients at ZSFG with unhealthy alcohol, drug, and tobacco use. The consult service works with hospital-based medical teams to initiate evidenced-based medication services for addiction, help diagnose use disorders, provide motivational interviewing and safe supply education to patients, and assist in care coordination that is tailored to patient needs. The service is staffed by an attending physician, patient navigators, licensed vocational nurses, a nurse practitioner, and addiction medicine fellows.

The Vouchers 4 Veggies (V4V) is a community-based healthy food and produce prescription initiative founded in 2015 at the University of California, San Francisco (UCSF). V4V healthy food voucher program embedded in underserved neighborhoods and communities that allows low-income individuals to purchase fruits and vegetables at partnering retailers, including large grocers, corner stores, and farmers markets. Participants of the program obtain $20 or $40 vouchers through community organizations and clinics, including the UCSF Osher Center and the Diabetes and Newcomers Clinics at ZSFG. Residents receive vouchers from people and places they are already familiar with and trust, working with their doctors, case managers, and social workers to address their healthy food needs. Since 2015, V4V, in partnership with the San Francisco Department of Public Health, has infused more than $1.5 million in produce purchases into low-income neighborhoods. By supporting the ability of local retailers to stock fresh fruit and vegetables, V4V reduces food deserts, contributing to a more healthy and vibrant community.

RESPONSIBILITIES

Key Responsibilities

List key functions and the estimated percentage of time spent performing each of the responsibilities. Indicate which responsibilities are considered "Essential" to the successful performance of the job as defined by the EEOC: “Essential functions are the basic job duties that an employee must be able to perform. You should carefully examine each job to determine which functions or tasks are essential to performance.”

Example:

25% Essential Performs basic design, development, modification and debugging of software. Evaluates basic software for functional areas. Analyzes existing software or works to formulate logic for basic systems, prepares basic specifications and performs coding.

% of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

20

Utilizes internal and external sources to collect, verify, and abstract moderately complex data related to quality of patient care. Assists with the development of appropriate data reporting structures to support quality reviews for new initiatives.

• Assist with data collection, tracking, and reporting processes to support program monitoring, identify trends and improvement opportunities, and support quality improvement, and operational decision-making.
• Monitors data quality, accuracy and integrity; identifies and resolves data issues and researches and apply best practices to improve data collection, monitoring, and quality improvement processes.

5

Analyzes and interprets data of moderate complexity and summarizes statistical findings. Develops corresponding reports, dashboards, and presentations. Assists with developing action plans.

• Assists with developing action plans and provides recommendations to leadership regarding workflow improvements, operational efficiency, and program development.
• Coordinates data management processes and reporting timelines to support quality improvement initiatives, ensure information is accurate, accessible, and useful to internal teams and external stakeholders.

20

Applies acquired skills and experience to identify statistical trends and issues in patient care and services. Contributes to moderately-complex projects in assigned clinical areas to assist with investigation of problems, and the development and monitoring of corrective actions.

• Collaborates with clinical, administrative, and interdisciplinary teams to identify improvement opportunities and enhance care coordination, efficiency, and delivery of patient care and services.
• Assist with program improvement initiatives, tracks project timelines and deliverables, and support follow-up activities to evaluate effectiveness and promote continued improvement.

5

Works on incident reports and QI reviews of moderately-complex cases as assigned, including mortalities, sentinel events, and readmissions. Flags cases that may require immediate review and response and develops or participates in development of appropriate actions.

• Collaborate with clinical and administrative teams to investigate identified issues, coordinate follow-up activities, and monitor corrective actions to support patient safety and quality of care.

10

Assists in preparing reports of patient care and safety data to appropriate internal departments and outside agencies.

• Prepares and distributes program reports, presentations, and updates for internal departments, external partners, funders, and other stakeholders.
• Coordinates reporting schedules, required documentation, and timely submission of quality and program data.
• Communicates program progress, operational needs, and improvement opportunities to leadership and project teams.
• Ensure program activities and documentation align with UCSF policies, applicable regulations, grant requirements, and established standards.

20

Works with clinical and technical staff on projects of limited scope, applying moderately-complex QI models and techniques to improve clinical care and patient safety, and identify opportunities for continued quality improvement.

• Serves as a liaison between departments and stakeholders to facilitate communication, resolve operational issues, and support project implementation.
• Coordinates contract execution processes through UCSF, manages subawards, and facilitates communication with external partners.

20

Under general supervision, coordinates the management of data and documents between Quality and other departments. Assists in researching best practices and in developing proposals for improvements in the data collection processes.

• Assist team members promoting collaboration and consistency in program and quality improvement activities.

100% (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%.)

QUALIFICATIONS

Knowledge Skills and Abilities (KSAs)

Required qualifications must be possessed by any candidate to be considered for the position. These qualifications will be included in the job posting/advertisement and will be used to screen applicants. Note: Only objective, specific and quantifiable (KSAs) will be used when screening (i.e. 6 months of event planning experience vs. prior event planning experience). Preferred qualifications are those skills or abilities that an ideal candidate possesses, but are not required in order for a candidate to be considered for the position.

Please list:

• Knowledge, Skills and Abilities
• Req / Pref
• Working knowledge of QI standards, clinical chart review and abstraction, and regulatory requirements.
• Req
• Working knowledge of QI models, tools, and techniques, including collection, aggregation, abstraction, analysis, and reporting of data.
• Req
• Detail oriented, with demonstrated organizational skills and the ability to complete projects and tasks on a timely basis.
• Req
• Demonstrated problem solving skills to assess problems quickly and develop multiple options for effective and timely resolution.
• Req
• Demonstrated interpersonal skills for collaborating effectively with a range of clinical and technical staff and representatives of external regulatory agencies.
• Req
• Demonstrated ability to effectively convey complex clinical and technical information both verbally and in writing, and to produce reports, presentations and documentation.
• Req
• Working knowledge of various administrative and business software packages, and of the specialized applications for quality data management.
• Req
• One or more years of relevant experience
• Req

Education, Licenses and Certifications:

List Education, Licenses and Certifications a candidate must possess or meet to be considered for the position. You may also select any of these attributes as being preferred. These will be included in the job posting/advertisement and will be used to screen applicants.

Education

Req / Pref

Bachelor's degree in nursing or other healthcare profession, or a combination of comparable clinical education and / or experience.