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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 the
  achievement of goals and objectives; develops and implements short and long-range goals and objectives
  which are realistic, objectively measurable, and aligned to support to the strategic plan. Demonstrates and
  encourages 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 the
  management of the department; fosters continuous improvement of systems and processes; ensures
  employee 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 department
  management.
  • 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. These
  activities include but are not limited to oversight, data and project management infrastructure and counsel in
  decision-making for the development and advancement of key Quality, Safety, and Efficiency Priorities of
  Cedars-Sinai Medical Center. Works with the ACMO and CMO to assure alignment of Medical Staff
  Departmental 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 improvement
  processes. Provides guidance and direction to the performance improvement staff in establishing and
  assuring measurement systems, data measurement plans and dashboards, using appropriate statistics and
  calculations. Works across departments to establish and maintain appropriate dashboards for monitoring
  system-level clinical quality performance metrics.
  • Initiates and leads discussion to reduce barriers and achievement of CS goals relative to performance
  improvement and operations strategic alignment. Utilizing advanced executive judgment and political
  acumen, routinely meets with both senior executives and Medical Staff leadership across Cedars-Sinai
  entities. Engages in collaborative efforts to assure clear problem identification, articulation and solution
  design through an open flow of dialogue with peers and executives to provide recommendations across
  boundaries 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 health
  system; oversees the performance improvement curriculum for different audiences including the PI staff; is
  an 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 Performance
  Improvement Plan; maintains expert knowledge of performance improvement-related accreditation
  requirements and regulatory conditions of participation; oversees and executes PI-related sessions with
  surveyors; 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.

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