Director of Performance Improvement (0931 Manager III)

The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. 

• Application Opening – September 20, 2024

• Application Deadline – Application filing will close on or after October 4, 2024

• Salary: 0931 Manager III (Range A Salary between $150,540 and $192,140)

• Appointment Type: Permanent Civil Service

• Recruitment ID: PBT-0931-150768

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. 

The Director of Performance Improvement at Zuckerberg San Francisco General Hospital & Trauma Center, under the general direction of the Chief Quality Officer, serves as the primary knowledge expert for performance improvement strategy and regulatory data compliance for the organization. The position supervises the development, coordination, implementation, and evaluation of all Performance Improvement activities coordinated by the Quality Management Department and the Quality Data Center. This oversight includes submission of publicly reported and regulatory required data.

The Director of Performance Improvement (0931 Manager III) performs the following essential functions:

1. Coordinates, manages, and monitors crucial external quality data reporting requirements, including, but not limited to the submission of Joint Commission eCQM, and Centers for Medicare and Medicaid Services (CMS) quality measures, California Quality Improvement Program (QIP) and other regulatory and publicly reported data sets.

2. Maintains experience and expertise in the use of Clinical databases and other quality data programs.

3. Directs and supervises Performance Improvement and Quality Data Center staff in areas including, but not limited to data collection, analytics, dissemination (internal), submission of reports (external), and facilitating follow-up and development of action plans.

4. Provides strategic planning and coaching for hospital leadership in performance improvement concepts and practical assistance with implementing performance improvement strategies (e.g., PDSA: Plan, Do, Study, Act).

5. Works with hospital departments and the medical staff to develop, manage, and monitor complex performance improvement programs 5 including conducting detailed studies and preparing reports with recommendations for new systems and procedures that impact multiple departments.

6. Negotiates and resolves issues related to the implementation and evaluation of performance improvement projects.

7. Analyzes Joint Commission and other external regulations related to performance improvement for departments and committees.

8. Monitors and analyzes reports and presents results to hospital executive committees and the governing body.

9. Represents the Quality Management Department on hospital and medical staff committees; represents ZSFG and the Department of Public Health (DPH) at external meetings.

10. Collaborates with San Francisco Health Network (SFHN) quality leaders to promote alignment with performance improvement strategic priorities.

The Director of Performance Improvement (0931 Manager III) may perform other duties as assigned or required.

REQUIRED MINIMUM QUALIFICATIONS 

1. EDUCATION: Bachelor's degree from an accredited college or university. AND
2. EXPERIENCE: Five (5) years of professional performance improvement and/or quality management experience, three (3) of which must include supervising professionals.

EDUCATION SUBSTITUTION: Additional qualifying experience may substitute for the required education on a year-for-year basis up to a maximum of two (2) years. One year is equivalent to thirty (30) semester or forty-five (45) quarter units.

Applicants must meet the minimum qualification requirements by the final filing date unless otherwise noted.

One year of full-time employment is equivalent to 2,000 hours of qualifying work experience (one year if performed full-time at 40 hours per week).

DESIRABLE QUALIFICATIONS:
The stated desirable qualifications may be used to identify job finalists at the end of the selection process when candidates are referred for hiring.

• Possession of a master’s degree from an accredited college or university
• Knowledge of regulations and requirements related to: Title XXII, The Joint Commission, CMS Conditions of Participation, and other healthcare quality organizations
• Verifiable work experience in hospital-based Performance Improvement
• LEAN Certification or an in-depth knowledge of A3 Thinking.
• Advanced level skills with the Microsoft Office suite: Word, Excel, Access, and PowerPoint
• Intermediate level skills with Power BI and Tableau data management programs
• Understanding of hospital quality data and regulatory reporting and management of complex computer data systems.

Important Note: Please make sure it is clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.

Selection Procedures:

After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.

Supplemental Questionnaire (SQ) Examination (Weight: 100%): Candidates who qualify will be invited to participate in a Supplemental Questionnaire (SQ) Examination that is designed to measure the knowledge, skills, and abilities in job-related areas which may include but not be limited to: Knowledge of theories, principles, and techniques related to performance improvement applicable to healthcare settings, ability to develop and present complex metrics to stakeholders, Experience in health systems quality improvement and program implementation, and ability to manage and direct staff.

The SQ will be emailed to the address listed on the candidate’s online application. Candidates will be required to respond to the SQ in the time frame indicated and must submit the completed questionnaire as directed in order to have it evaluated. Responses cannot be changed once submitted. Candidates will be evaluated based on their SQ responses.

Candidates must achieve a passing score on the Supplemental Questionnaire exam in order to continue in the selection process. Candidates will be placed on the confidential eligible list/score report in rank order according to their final score.

Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.

Certification
The certification rule for the eligible list resulting from this examination will be the Rule of the List.

Eligible List/Score Report:

Once you pass the exam, you will be placed onto an eligible list and given a score and a rank. For more information, visit understanding the hiring process.

The duration of the eligible list resulting from this examination process will be six (6) months and may be extended with the approval of the Human Resources Director.

How to Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process.

Our e-mail communications may come from more than one department so please make sure your email is set to accept messages using this link.

Applicants may be contacted by email about this recruitment therefore, it is their responsibility to contact the Analyst if they update their email address.

Applicants will receive a confirmation email that their online application has been received for every announcement they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.

Terms of Announcement and Appeal Rights:
This is a Position Based Test (PBT) administered in accordance with Civil Service Rule 111A.

Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date. 

DPH Health Critical Requirements and Information: Please review the following policies regarding DPH employment requirements that safeguard yourself and others.

• COVID-19 Policies 

• Personal Protective Equipment (PPE)

• Medical Examination Prior to Hiring

• Electronic Health Record (EHR)

• Licensure/Certification/Registration

• Note on ICARE 

Additional information regarding Employment with the City and County of San Francisco:

• Information about the Hiring Process 

• Conviction History 

• Employee Benefits Overview 

• Equal Employment Opportunity 

• Disaster Service Workers

• Reasonable Accommodation

• Right to Work

• Copies of Application Documents

• Diversity Statement

• Veterans Preference

• Seniority Credit in Promotional Exams

If you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at [email protected] or 628-271-6828

We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.