Director for Quality, Clinical Documentation and Analytics

The Director for Quality, Clinical Documentation and Analytics will report to the EVP and Chief of Hospital Operations and to the Chief Medical Officer with respect to responsibilities pertaining to hospital operations for medical staff and professional matters in accordance with NY State requirements and Medical Staff Bylaws. The Director will provide all administrative and supervisory services required of a Director including, but not limited to, oversight across the hospital on the day to day quality standards of all clinical care units, as well as oversight of unit-based training programs involving quality care, throughput efficiency, and performance improvement such as:

a)     Program development and process improvement implementation;

b)     Oversight of audit and query process;

c)     Regular reporting of performance metrics to senior hospital leadership;

d)     Education and liaising to Service Chiefs, Unit Dyads and Department Chairs;

e)     Review of all high-risk cases for appropriate coding;

f)      Identify opportunities for enhanced documentation to promote improved communication and enhance coding where appropriate.

In addition, the Director will have an established track record of leading quality initiatives related to patient care, clinical documentation and coding, and Value Based Medicine (VBM) focused projects to improve performance as measured by external benchmarks, financial performance, and clinical outcomes.  The successful candidate will demonstrate strong communication skills that will lead to effective collaboration across all clinical departments within the hospital and across the health system.

Responsibilities include but are not limited to:

• Working with clinical and coding leadership to maximize the translation of acuity and severity of care into documentation, external benchmarking, and billing. Serving as the key interface between finance, clinical operations, and information technology (MCIT) for projects regarding documentation improvement initiatives.
• Collaborating with Service Chiefs, Unit Dyads, and Department Chairs to ensure timely and accurate documentation by attendings, house staff, and Advance Practice Providers. Serving as a subject matter expert and advisor for clinical, quality, and operational committees.
• Working on quality initiatives, as directed, to improve the measurement and delivery of care as evaluated by external reporting agencies including but not limited to US News World Report, Vizient, CMS, and Leapfrog.
• The Director will also have a specific focus on the following responsibilities:
  • Develop strategies with the hospital leadership that increase the efficiency of operations while improving the quality of patient care and satisfaction in the hospital;
  • Work with teams to develop and implement innovative approaches; using metrics and working with the Chief Medical Officer to improve throughput and reduce Emergency Department holds through strategic changes to rounding processes and patient progression;
  • Facilitate the resolution of variability in executing the value-based standards in the hospital (e.g., documentation, communication, resource utilization, and protocol adherence);
  • Provide overall direction for safety and quality across the hospital, including operationalizing key initiatives (e.g., pain management, sepsis protocols, and HAC avoidance);
  • Ensure high quality value-based services for all patients cared for by the hospital’s staff and to assess continuously and improve ongoing quality assurance and improvement programs;
  • Monitor in real time and actively engage in the achievement of hospital center, departmental, unit-based, as well as publicly reported metrics (e.g., timely discharge, infection rates, length of stay HAHPS, and 30-day readmissions);
  • Optimize the hospital’s clinical documentation strategy including but not limited to the following areas of focus:

• • • • Review of risk factor documentation on mortality cases;
      • Review of risk factor documentation on Hospital-Acquired Condition (HAC) cases;
      • Review of risk factor documentation on long stay cases;
      • Review of al AHRQ PSI’s with guidance provided to clinicians reviewing for documentation,
      • Review of provider templates for best Clinical Documentation Improvement (CDI) capture;
      • Strategic alignment with CDI on chart review process;
      • H&P, Discharge Narrative, and Progress Note table audits;
      • Enhancement of provider billing practices;
      • Implementation of AI and NLP-based strategies for improving documentation;
  • Proactively identify and communicate trends and opportunities to advance Clinical Documentation Excellence and Externally Reported metrics;
  • Participate and lead monthly meetings with hospital and clinical leadership to evaluate quality and externally measured performance;
  • Proactively communicate and escalate changes in coding, risk models, and reimbursement guidelines that may put the institutional performance at risk;
  • Support and implement other responsibilities related to goal-directed unit function and efficiency as indicated by the Executive Vice President and the Chief of Hospital Operations and Chief Medical Officer.
  • Provide enhance understanding of performance in external benchmarking including, but not limited to, Vizient, USNWR, and Leapfrog.

Measures of Performance:

• Ensure the optimum utilization of hospital resources to ensure patient quality and safety across the hospital;
• Identify key areas of opportunity to improve our hospital-wide metrics related to efficiency, quality, and safety over the course of the fiscal year;
• Implement with leaders in various departments across the hospital any interventions needed to address key areas of opportunity to improve our hospital-wide metrics;
• Ensure compliance and accuracy of our provider’s clinical documentation;
• Improve our process for mortality and HAC case reviews to ensure optimal coding and documentation;
• Performance reviews will be conducted at recurring intervals by the Executive Vice President and Chief of Hospital Operations and the Chief Medical Officer to assess if responsibilities and performance goals are being met.

Qualifications

Required

·         MD or DO degree from an accredited institution

·         Board certification in Internal Medicine and/or a relevant subspecialty

·         Meet eligibility requirements for academic appointment at the rank of Assistant / Associate / Full Professor or Clinical Professor of Medicine at NYUGSM

·         Active New York State medical licensure (or eligibility)

·         Demonstrated progressive leadership experience in academic medicine, including prior experience as a Section Chief, Vice Chair, Division Director, or equivalent

·         Strong track record in inpatient clinical operations, quality improvement, and performance metrics management

·         Experience with physician leadership, faculty development, and mentoring in an academic environment

·         Excellent interpersonal and communication skills with the ability to lead diverse, high-performing teams

Preferred

·      Experience navigating complex academic medical center environments with dual clinical and academic reporting lines

·     Track record of successful collaboration with hospital administration, nursing leadership, and inter-professional teams

·      Demonstrated commitment to health equity and care for diverse, underserved patient populations

Salary Range

NYU Langone Health provides a salary range in compliance with New York State Salary Transparency laws. The salary range is $350,000 – $400,000 per year. Compensation is determined based on several factors, including experience, specialty, education, and institutional needs. Academic rank will be commensurate with experience and the requirements of NYU Grossman School of Medicine. NYULH provides a generous suite of faculty benefits.

Equal Employment Opportunity Statement

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration.

NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration.