JOB DESCRIPTION
The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.
TITLE: Performance Improvement Coordinator
JOB OVERVIEW: The Performance Improvement Coordinator will work closely with leaders and teams across Valley Medical Center (VMC), including but not limited to, Quality, Safety and Performance Improvement teams, licensed providers, hospital units, and clinics to identify opportunities for improvements, and implement solutions to enhance the organization''s processes and practices. This role will also educate VMC staff and providers on improvement tools and methods and oversee the organization''s compliance with national certification programs as assigned.
DEPARTMENT: Department of Quality
WORK HOURS: Monday - Friday, 7:30a - 4:00p or as needed to meet department needs.
REPORTS TO: Director, Quality & Patient Safety
PREREQUISITES:
Bachelor''s degree in healthcare, performance improvement or related field required.
Minimum three years of experience in healthcare settings to include subject matter expertise and understanding of operational processes, workflows, and business needs.
Certified Professional in Healthcare Quality certification (CPHQ) preferred.
Experienced in quality, safety and the use of performance improvement models such as the IHI''s Model of Improvement (PDSA) or the Lean Six Sigma Model.
QUALIFICATIONS:
Demonstrates leadership skills with an emphasis on project and change management.
Demonstrates skills for problem solving and decision making.
Demonstrates accurate and efficient data entry skills such as typing with an eye for detail and familiarity with spreadsheets and online forms. Resolve discrepancies in information and proactively obtain further information for incomplete documents or online fields.
Demonstrates professionalism, has excellent interpersonal skills, and can work collaboratively with a wide range of disciplines in the health care team to plan and implement effective process improvement strategies.
Demonstrates flexibility and ability to prioritize and manage multiple demands.
Possesses the knowledge of systems thinking, change management, and performance improvement. Able to assess a situation from a variety of perspectives, consider several alternatives, and identify the appropriate course of action for the situation.
Proficient in applying performance improvement tools and methodologies.
Proficient in MS Office suite of products.
Able to accept responsibility, work independently, and take initiative.
Effective verbal and written communication skills. Should be able to adapt communication style to suit different audiences. Able to prepare written reports as well as presentations to various groups including leaders and staff.
UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS:
See Generic Job Description/Administrative Partner
PERFORMANCE RESPONSIBILITIES:
Generic Job Functions: See Generic Job Description for Administrative Partner
Essential Responsibilities and Competencies:
Apply structured improvement methodologies (e.g., Lean, Six Sigma, PDSA cycles) to drive and successfully implement measurable outcomes.
Monitor key performance indicators (KPIs), dashboards, and scorecards across designated departments and patient areas of VMC and report findings to leadership and stakeholders.
Conduct meetings to facilitate implementation of improvement activities and initiatives with clinic or department leaders, IT, training teams, policy owners, and relevant committees. Ensure process changes are rolled out in a systematic and comprehensive way and that related processes impacted by the changes are incorporated into the implementation plan.
Conduct meetings in collaboration with hospital leaders to ensure the Patient-Centered Medical Home (PCMH) certification requirements are met. Collect and submit data into databases for Patient-Centered Medical Home and other certifications, including validation to ensure the accuracy of the data.
Oversee the medical center''s eligibility for various national recognition certifications and award programs as assigned. Continuously monitor compliance with program standards and collaborate with stakeholders to maintain compliance or implement new workflows and enhancement to ensure future compliance.
Maintain and review Patient Experience survey results, create and edit reports as needed, and update accounts for access to data. Analyze data and identify opportunities for improvements.
Assist with Leapfrog submissions - tracking answers, supporting meetings, and partnering on submission.
Develop and own annual workplan for assigned VMC areas with strategies, tasks, and timelines.
Contribute to the evaluation of the Quality & Safety Program and partner with Quality & Safety staff as it relates to change management and training leaders and staff
Lead Improvement initiatives and workgroups for projects as assigned. Organize meetings, track tasks, and create timelines for projects. Facilitate completion by coordinating across departments, clinics, and/or units.
Assist clinical leaders and Quality staff with performance improvement work as it relates to certifications and strategic priorities.
Maintain a list and update leaders about current process improvement projects status including those requested, in process, or completed.
Collaborate with key stakeholders across the health system to align ongoing performance and process improvement initiatives, methodologies, and programs with organizational goals.
Participate in the development, implementation, review and revision of policies and procedures as they relate to performance improvement initiatives.
Assist with maintaining quality/safety/PI SharePoint site and pages.
Create training and education materials as needed to implement ongoing quality improvement initiatives.
Develop curriculum and lead trainings to provide education on quality improvement tools, methodologies, and best practices.
Perform other duties as assigned.
Revised:5/2026
Grade: NC-09
FLSA: E
Cost Center: 8714
Job Qualifications:
PREREQUISITES:
Bachelor''s degree in healthcare, performance improvement or related field required.
Minimum three years of experience in healthcare settings to include subject matter expertise and understanding of operational processes, workflows, and business needs.
Certified Professional in Healthcare Quality certification (CPHQ) preferred.
Experienced in quality, safety and the use of performance improvement models such as the IHI''s Model of Improvement (PDSA) or the Lean Six Sigma Model.