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Job Description

The Performance Improvement Director has the responsibility for strategic oversight of the portfolio of

Performance Improvement resources and projects. This includes the strategic assessment and evaluation of

requests for resources to include a deep understanding of the problem, the needs of the business owners, the

scale, complexity, history, context, leadership and data availability to assist in problem solving technique

assessment as well as potential resourcing in the broader context of organizational priorities. The Director's

oversight includes leading change across various Performance Improvement portfolios working across Cedars-

Sinai as well as department operations, human resource and budgetary functions. The position will oversee and

direct teams of professionals with broad and varying expertise required to organize, drive, execute, achieve and

sustain Health System strategic goals for care and systems across multiple Cedars-Sinai entities and facilities.

The role requires rigorous and explicit goal planning for complex, multi-year goals and as such, involves the

guidance and oversight of sophisticated data analysis and projections, incorporating external and internal health

care improvement trends, broad subject matter expertise in a myriad of performance improvement

methodologies and statistical analysis with a continuous willingness to learn and broaden expertise. They are

responsible for the successful achievement of quality, efficiency, safety and operational goals and is accountable

to Senior Executives across Cedars-Sinai to whom services are provided. This requires knowledge and

experience of health care delivery and operating models.

The Director is responsible for guiding and broadly influencing leaders across Cedars-Sinai to assure that

improvement work 1) is driven by an understanding of the problem through detailed data analysis, 2) the vision

and goals of the project are explicit, 3) measurable goals are set and are specifically linked to desired outcomes,

4) interventions are tested for proven efficacy and 5) change management is accomplished through the support,

respect and empowerment of local leadership to own, measure and monitor ongoing improvement that is

sustained over time. The Director is responsible for a robust professional development program for

Departmental management and staff to assure continuous and intensive learning opportunities across Cedars-

Sinai and the development of competencies in the evolving and dynamic health care landscape. Responsible for

overseeing and assuring seamless staff project transitions and anticipating, planning, strategizing and adapting

the portfolio of projects to meet organizational demand, priorities and goals.

+ Responsible for the oversight of all operations of the Performance Improvement Department including theachievement of goals and objectives; develops and implements short and long-range goals and objectiveswhich are realistic, objectively measurable, and aligned to support to the strategic plan. Demonstrates andencourages prudent risk taking. Collaborates with peers and executives to develop accountability systems;oversees the development of policies and procedures; monitors the efficiency and effectiveness of themanagement of the department; fosters continuous improvement of systems and processes; ensuresemployee compliance with HIPAA and confidentiality policies, legal and regulatory standards, internal policies and procedures, moral and ethical codes.

•Oversees and provides strategic direction of the Department to define the direction and vision of performance improvement efforts across multiple Cedars-Sinai facilities and settings through the entire lifecycle (goal identification through sustainment). Oversees and executes processes to achieve performance improvement goals (quality, operational and safety), which includes, but not limited to: directing department resources, review/approval of project design (goal, scope, etc.), feedback for status reports and updates, providing expert guidance and facilitation to resolve issues, ensuring appropriate coordination and navigating stakeholder approval of efforts and assuring communication with Executive and Medical Staff Leadership to ensure projects are successful and new processes are sustainable.

•Provide strategic oversight and guidance to the Manager, Performance Improvement, ensuring alignment of departmental operations with organizational goals and objectives. This includes supporting the manager in the planning and organization of daily business operations, contributing to the strategic planning, design,development, implementation, and financial management of department objectives, procedures, processes,and standards, and ensuring effective supervision of staff for efficient and productive departmentmanagement.

•Provides oversight of manager acting as the Strategic Advisor to the CMO, through the planning, design,development and implementation of the Quality Strategy for the Office of the Chief Medical Officer. Theseactivities include but are not limited to oversight, data and project management infrastructure and counsel indecision-making for the development and advancement of key Quality, Safety, and Efficiency Priorities ofCedars-Sinai Medical Center. Works with the ACMO and CMO to assure alignment of Medical StaffDepartmental Performance Improvement Committee (PIC) annual goal planning efforts with broader strategic goal planning for CSMC.

•In conjunction with CMS CoP, State of California and TJC requirements, participates in establishing,maintaining and assuring the quality of data and information necessary for performance improvementprocesses. Provides guidance and direction to the performance improvement staff in establishing andassuring measurement systems, data measurement plans and dashboards, using appropriate statistics andcalculations. Works across departments to establish and maintain appropriate dashboards for monitoringsystem-level clinical quality performance metrics.

•Initiates and leads discussion to reduce barriers and achievement of CS goals relative to performanceimprovement and operations strategic alignment. Utilizing advanced executive judgment and politicalacumen, routinely meets with both senior executives and Medical Staff leadership across Cedars-Sinaientities. Engages in collaborative efforts to assure clear problem identification, articulation and solutiondesign through an open flow of dialogue with peers and executives to provide recommendations acrossboundaries and facilities. Effectively communicates, manages and resolves issues that are presented through the chain of command.

•Applies the theory and practice of PDSA, Human Centered Design/Design Thinking, Lean and Six Sigma, as appropriate to drive and advocate for performance and process improvement initiatives across the healthsystem; oversees the performance improvement curriculum for different audiences including the PI staff; isan expert in the TJC standards and CMS CoP; is a teaching resource for the organization and perceived to be a subject matter expert in performance improvement.

•Responsible for maintaining department policies and procedures, including the organization's PerformanceImprovement Plan; maintains expert knowledge of performance improvement-related accreditationrequirements and regulatory conditions of participation; oversees and executes PI-related sessions withsurveyors; serves as an organizational resource for addressing PI standards and requirements.

•Responsible for the oversight, and control of both the operational, FTE and capital equipment expenses and budget.

•Responsible for managing any special and ongoing projects as assigned by leadership.

Qualifications

Education:

minimum - Bachelor's Degree Business Administration, Health Care Management or related

preferred - Master's Degree Business Administration, Health Care Management or related

Work Experience (minimum requirements):

10 years Performance/Quality Improvement experience with progressive knowledge managing complex and broad portfolio of projects

5 years Leadership / management of department, service line or multiple teams

About Us

Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents.

About the Team

Cedars-Sinai is one of the largest nonprofit academic medical centers in the U.S., with 886 licensed beds, 2,100 physicians, 2,800 nurses and thousands of other healthcare professionals and staff. Choose this if you want to work in a fast-paced environment that offers the highest level of care to people in the Los Angeles that need our care the most.

**Req ID** : 12283

**Working Title** : Director, Performance Improvement

**Department** : Performance Improvement

**Business Entity** : Cedars-Sinai Medical Center

**Job Category** : Compliance / Quality

**Job Specialty** : Performance Improvement

**Overtime Status** : EXEMPT

**Primary Shift** : Day

**Shift Duration** : 8 hour

**Base Pay** : $74.36 - $133.85

Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.