The Program Director, supports Regulatory and Clinical Analytics Operations for CHRISTUS Health quality mission of 'Zero Harm' through the development of reporting and analytic programs using expertise with analytic and application tools, such as Midas+ Care Management, Epic, Meditech, Microstrategy, and NextGen. Responsible for supporting system and region stakeholders in understanding national imperatives from agencies and programs, such as CMS (Medicare), National Quality Forum (NQF), National Healthcare Safety Network (NHSN), The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), and more. Proactively performs impact analysis of emerging or new quality agencies and program regulations. Provides analytics to support CHRISTUS Health response to national calls for comment. Working in partnership with the Program Director of Data Science and Clinical Analytics, provides statistically & methodologically sound analytics to ensure validity regarding hypothesis evaluation, study design/methodology development and findings in order to drive improvements in clinical, operational, and economic outcomes for CHRISTUS Health. This function includes the development, implementation, maintenance, governance, and assessment of value based imperatives, including oversight in development, and management of system analytic and healthcare application tools, such as Midas+. The program director will have a global view of the organization and is expected to bring high-reliability processes and information governance strategies to the performance of job responsibilities. The incumbent must be a proactive and decisive person who adapts well to and initiates changes in analytic, application tools and program reporting needs. These activities will decrease exposure to risks, increase quality patient care and steward financial and human resources and perform duties and responsibilities in a manner consistent with CHRISTUS Health Mission, Values, and Service Standards.
Value Based Imperatives
A. Responsible for development of value based imperatives reporting and analytic strategy in working with the System Health Outcomes & Analytics Leader.
B. Drives value based initiative integration, reporting, and taskforce needs of CHRISTUS Health, including Joint Commission Standards, CMS Regulations and State Regulations to provide consistent processes across the CHRISTUS Health Ministries.
Leads, directs and organizes multidisciplinary teams for value based initiative awareness and reporting.
Foster alignment and engagement across the CHRISTUS Health system quality leaders.
Supports development of reports in collaboration with subject matter experts.
Maintains a crosswalk of value based initiative metrics and requirements (NHSN, NDNQI, CMS: IQR, IPPS, VBP, RRP, HAC, etc.), update routinely and when regulatory requirements change, structured communication to key stakeholders.
C. Proactively monitors national regulatory initiatives and develops impact analysis for CHRISTUS Health, including close collaboration with Information Management teams to enhance or develop new tools for stakeholders in addressing initiatives.
D. Oversees and coordinates the data and profile development processes for regulatory accreditation including support data for hospital staff for a constant state of readiness, compliance with standards, and promoting a culture of safety.
E. Develops, implements and maintains analytic programs and reporting systems ensuring CHRISTUS Health value based initiative reporting programs are accurate, accessible, and consistent with public reporting and requirements.
F. Provides system-wide advice on National Imperatives, including pay for performance measures and public reporting of metrics for CHRISTUS Health hospitals and providers to guide necessity, impact for modification and/or development of process improvement efforts.
G. Conduct statistical inference analysis and testing to develop & evaluate data driven hypotheses and results, including analysis for leadership team to identify critical issues/questions around clinical improvements related to value based imperatives.
A. Serves as internal and external stakeholder point of contact for regulatory related initiatives and ad hoc analyses to address inquiries & resolve anomalies.
B. Communicate to key stakeholders via a comprehensive, standardized format detailing the methods, analysis and conclusions, and recommended next steps.
C. Develops and maintains relationships with stakeholders and team members.
D. Determines stakeholder needs and recommends solutions from knowledge of current state of regulations and available data.
E. With minimal direction, develops reports to effectively convey regulatory updates from appropriate data sources and systems, including national benchmarks and public ranking data.
A. Demonstrates a commitment to self-improvement as a leader by actively developing the Leadership, Professional and Technical competencies assigned.
B. Has effective development plans for a growing team of associates.
C. Continuously evaluates and maintains chosen application tool(s) for alignment with regulations within the CHRISTUS Health System Office:
Alignment with value based imperative metrics
Consistency with data governance definitions and processes
Collaborates with CHRISTUS Health tool Administrator/stakeholders, as needed for software upgrades and other changes to the tool environment to meet the needs of CHRISTUS Health users
Serves as a resource for tool management
Modifies or removes inappropriate or inaccurate tool content
Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties. Carries out other duties as assigned from time to time by the System Director Health Outcomes & Analytics.
MBA, MHA, or Advanced degree (Masters or higher) preferred in applied math, statistics, computer science, or related field.
Demonstrated competency in value based initiatives and healthcare application tools, such as Midas, Premier, required
Strong working knowledge of regulatory standards for acute and ambulatory care settings (NHSN, NDNQI, CMS: IQR, IPPS, VBP, RRP, HAC, etc.)
Computer literacy (Microsoft Office, healthcare analytic applications, such as MIDAS+, and communications tools, such as SharePoint)
Ability to develop effective presentations and reports for leaders
5-7 years of experience managing large disparate data sets, including CMS data and using quantitative and qualitative analysis to draw meaningful and valid insights, including 3 years of programming experience using SAS/SQL/Python/R.
Previous experience facilitating teams or leading projects
Strong communication skills (both oral and written).
Excellent prioritization, organizational and program management skills
Must be able to present results to senior leadership and region stakeholders.
Must be a team player and be willing to collaborate and assist with members of the team as necessary.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.