Health System Specialist

Job Title

Health System Specialist

Job Description

Program Responsibilities Provide access related consultative services, working in collaboration with facility service lines to review and develop guidance and policies that will facilitate standardized processes with the facility and applicable CBOCs. Review and provide input on regulations and policies for local interpretation, utilizing local group practice management and communication strategies. Works as part of an in-house team to ensure a wide range of local factors are considered in the application of national policies and procedures. Reviews and evaluates assigned processes and procedures to determine areas of effectiveness, efficiency, and improvement for proposal through local GPM group and supervisor. Reports to supervisor and access leadership in the facility. Proposes improvements to supervisor regarding national training curriculum for onboarding and sustainment activities. Veteran Experience Responsibilities Works with the Veteran Experience Officers with the local facility to evaluate patient and family concerns regarding access to services needed. Aligns efforts with national and local requirements. Assist the supervisor in coordinating efforts to ensure patient concerns are received, evaluated, and addressed in a timely and effective manner by the appropriate subject matter experts. Provides accurate date to ensure that processes and procedures developed are appropriately supported. Aligns local processes with planning and policies at higher levels. Project Administration Utilize advance principles and strategies for access improvement to review and provide recommendations to Clinical Leads, including strategies to reduce backlog. Monitors existing or emerging workflow issues; monitors consult management issues and provide guidance to Clinical Leads and Administrative Leads. Works with local personnel to integrate data analytics and measures with continuous process improvement utilizing Lean, Six Sigma and other improvement methodologies to meet and sustain ambulatory care goals and objectives. Collects and analyzes/reports trended data sets; makes recommendations to assist in the allocation of resources. Assist clinic managers in identifying casual interrelationships between the various aspects of ambulatory care and its impact on clinical operations to achieve and sustain quality, safe, efficient, and effective ambulatory care. Incorporates process improvement based upon knowledge of Veteran Health Administration and local organization philosophy, policies and management principles. Performs data analyses of performance related to existing internal and/or external requirements. Budget Guidance Assist clinic manager in forecasting the impact of staff changes and developing countermeasures to mitigate the effect of staff shortages on access to care. Makes recommendations to managers regarding allocation of resources, including potential use of community care options. Monitors and makes recommendations to adjust plans to effectively and cost-efficiently accomplish the mission within budgetary constraints. Performs cost analysis and cost effectiveness studies to determine make/buy decisions to address gaps. Works closely with clinic managers to formulate budget recommendations for all outpatient services to allocate all available resources to achieve optimal outcomes in access to care and the Veteran Experience. Office Program Planning Work Provides administrative program advice for ambulatory care clinical support services. Evaluates and monitors administrative activities and make substantive recommendations for program improvements. Performs demand/capacity analysis, templating and scheduling. Provides guidance on effective use of office staff and recommends desirable changes to enhance central support services. Implements established action plans that will enable clinical grids to accurately reflect supply. Monitors profile indicators to help eliminate issues with backlogs (such as recall delinquency, past due return to clinic order and open consults). Liaison and Communications Acts as a liaison or point person for communications with persons and/or groups internal or external to the facility, representing Group Practice Management on clinical access issues. Promotes effective communication and optimal information flow within the clinics. Follows the established communication plan regarding reporting procedures for CPM access. Identifies modes of communication and reporting templates. Utilizes or creates standardized templates for Access Reporting.

Work Schedule: Monday - Friday; 7:00am - 3:30pm

Telework: Ad-hoc. This position may be authorized for telework.

Virtual: This is not a virtual position.

Position Description/PD#: Health System Specialist / PD99865S

Relocation/Recruitment Incentives: Not Authorized

Critical Skills Incentive (CSI): Not Approved

Permanent Change of Station (PCS): Not Authorized