Professional Practice Evaluation Program Coordinator - Quality Improvement

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Category: Quality
Job Type: Full-Time
Shift: Days
Location:  Palo Alto CA 94034
Req: 18312
FTE: 1


1.0 FTE, 8 Hour Day Shift 

At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

Job Summary

This paragraph summarizes the general nature, level and purpose of the job. 

The Professional Practice Evaluation (PPE) Program Coordinator has accountability for supporting the Professional Practice Evaluation Program to ensure thorough and timely follow through of day to day departmental administrative operations, performance improvement activities, management of information and basic data input, manipulation and analysis as it relates to the PPE Program.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. 

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. 

Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital(s).

I. Professional Practice Evaluation (PPE) Coordination & Follow-up

  • Performs day to day departmental administrative/operational duties..

  • Assists with general coordination of PPE committees including meeting scheduling, slide preparation, membership tracking, inviting of guests and management of confidentiality forms, distributing minutes, and any additional required follow-up.

  • Primary coordinator of quality and safety opportunities identified through PPE Committees (PPEC), Care Improvement Committee (CIC), PPE Oversight Committee (PPEOC), and Professional Conduct iCare follow up.

  • Contributes to policy creation, review and revisions. Complies with department policies.

  • Manages Exemplary Care recognition process

II. Professional Conducts, Complaints and Grievances

  • Reviews professional conduct iCare and routes to appropriate leadership.

  • Ensures completion of professional conduct documentation by physician leaders.

  • Documents and tracks physician related complaints & grievances.

  • Manages PIP tracker and report out at PPEOC.

  • Escalates egregious events and providers who meet threshold to PPE team.

  • Partners with CPMV departments to ensure facilitation of referrals to the medical staff related to complaints, grievances, or safety events.

  • Coordinates Professionalism Review Committee (PRC) meetings.

III. Information Management

  • Independently manages standard process for Professional Conduct iCare and patient complaints and grievances.

  • Develops reports, conducts data analysis, and distributes information to quality and medical staff committees including but not limited to the PPEOC, CIC, PPECs, and the Performance Review committee. 

IV. OPPE/FPPE/External Review Coordination

  • Manages the OPPE/FPPE process including data collection and reporting consistent with the Joint Commission requirements.

  • Supports facilitation of external review of physician or service by coordinating with key stakeholders to ensure timely case or service review.

  • Assists with tracking and monitoring improvements related to opportunities identified in OPPE/FPPE/External reviews

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Bachelor's Degree in a work related field from an accredited university/college

Experience: Three (3) years of directly related project/program coordination work experience, with at least one (1) year of relevant healthcare experience.

License/Certification: None required.

Knowledge, Skills, & Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

  • Ability to manage workload and projects with excellent orientation to detail and organization

  • Ability to analyze data and critical thinking skills

  • Ability to communicate effectively, both orally and in writing

  • Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation

  • Ability to plan, organize, prioritize, work independently and meet deadlines

  • Knowledge of health information systems and databases

  • Ability to use computer to accomplish data input, manipulation and analysis

  • Ability to work with a diverse population as part of a team


 Physical Requirements and Working Conditions


The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. 

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (1.0 FTE): $79,456.00 to $105,300.00

Equal Opportunity Employer

Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.