Director of Clinical Quality

Your Day to Day:

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Clinical Quality Audits
• Develop, update, manage, and monitor clinical quality audits in partnership with the Director of Clinical Services, CMO, Lead Clinicians, and RN Managers.
• Assign audit responsibilities to licensed staff and managers.
• Analyze audit results to identify areas of non‑compliance and develop system‑based corrective action plans.
• Present audit findings at Clinical Quality & Infection Prevention Committee, Risk Quality Management, and All Clinicians meetings.
• Oversee execution and monitoring of corrective action plans.
Incident Reporting
• Oversee clinical incident reporting to ensure compliance with PPLM protocols.
• Develop trend reports for health center leadership.
• Analyze incident data and recommend system‑based solutions to improve compliance.
• Present findings at Clinical Quality, Risk Quality Management, and All Clinicians/Staff meetings and ensure follow‑through on corrective actions.
Clinical Quality Reporting
• Partner with Business Intelligence to develop data‑driven reports that improve clinical quality.
• Oversee performance of population health reporting, lab reconciliation, Rh reports, and similar quality metrics.
• Serve as clinical liaison to MA DPH for required reporting and oversee DPH access to PPLM’s EHR system.
• Communicate report outcomes across sites to ensure continuous monitoring and improvement.
Clinical Standards
• Collaborate with clinical leadership to review, update, and maintain medical protocols.
• Evaluate relevant regulatory correspondence and initiate policy changes.
• Oversee clinical QA components of DPH SRH workplans.
• Co‑lead accreditation preparation with Clinical Services leadership.
Compliance
• Chair PPLM’s Clinical Quality & Infection Prevention Committee.
• Serve on the Risk Quality Management Committee and support the development of clinical QA workplan items.
• Conduct root cause analyses as needed.
• Oversee accreditation preparation and annual clinical emergency drills.
• Lead review and updates of clinical quality assurance and improvement policies.
• Maintain and revise clinical manuals (Emergency Care, Infection Prevention, Exposure Control) to ensure regulatory compliance.
• Update prescribing formulary, standing orders, and medical abbreviations as needed.
Systems & Process Improvement
• Partner with the Director of Clinical Services to advance EHR‑related clinical workflows.
• Participate in Quality & Risk Board Subcommittee meetings.
• Support clinical and operational process improvement initiatives.
• Serve as a clinical liaison for staff training, employee health clearance, vaccination programs, and workers’ compensation follow‑up.
• Perform additional special projects as assigned.
Clinical Care & Operations
• Provide clinical care (approximately 20%) as an Advanced Practice Clinician; maintain all required licensure and certifications.
• Contribute to PPLM productivity goals.
• Perform other duties as assigned.

Qualifications:

• 3–5 years of experience in an OB/GYN setting; family planning experience strongly preferred.
• BA/BS and Advanced Practice Clinician certification (NP, CNM, or PA) required; must hold a valid Massachusetts license.
• Extensive knowledge of women’s health and family‑planning care.
• Strong understanding of quality assurance and risk‑management principles.
• Ability to work collaboratively across administrative and clinical teams.
• Valid driver’s license and access to a vehicle for statewide travel
• Knowledge of OSHA and CLIA guidelines required.
• Familiarity with PPFA, ARMS, DPH, DEA, CDC, and Title X standards preferred.
• Ability to respond effectively to sensitive inquiries or complaints.
• Strong communication, organizational, and project‑management skills.
• Commitment to reproductive health care and alignment with PPLM’s mission and values.