Asma Ahmad

Manager Quality Improvement 

At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

Position Summary

This position requires the full understanding and active participation in fulfilling MemorialCare Saddleback Medical Center’s mission. The employee is expected to demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion, and Synergy, and role model customer service attributes. The employee shall support MemorialCare Saddleback Medical Center’s strategic plan and participate in and advocate performance improvement and patient safety activities.  

The Manager of Quality Improvement will work collaboratively with the Executive Director of Quality to oversee all clinical quality and performance improvement initiatives for Saddleback Medical Center. The manager provides leadership for quality data and performance improvement in developing, implementing, measuring, and monitoring strategic initiatives that ensure that clinical quality outcomes are being met.  This position provides day-to-day departmental leadership for the Quality Assurance and Patient Relations departments.  The focus of this position is on achieving excellent patient care outcomes, decreasing patient harm and adverse events, and identifying performance improvement opportunities to optimize patient care. The manager is responsible for the patient experience, including oversight of patient and family grievances and complaints and the patient experience improvement initiatives.  The manager will oversee the development, initiation, and sustainment of performance improvement
initiatives in quality, patient safety, and patient experience.

Essential Responsibilities:

SFHN Chief Quality Officer (0943 Manager VIII)

Under general administrative direction, The SFHN Chief Quality Officer has oversight and responsibility for all Quality Management related activities throughout the SFHN. The SFHN includes Zuckerberg San Francisco General Hospital & Trauma Center, Laguna Honda Hospital & Rehabilitation Center and Ambulatory Care that includes Primary Care, Whole Person Integrated Care, Jail Health Services, Maternal Child and Adolescent and HIV Health Services. The SFHN CQO works with clinical and non-clinical staff and administrators to improve overall patient/resident safety and SFHN systems-level outcomes. They also support, promote, and encourage a culture of safety throughout the SFHN. 

Essential Responsibilities:

Clinical Quality Director (1285206)

In addition to the responsibilities listed above, this position is also responsible for consulting with the Board of Directors and providing strategic direction on the oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care; alleviating or resolving issues in quality improvement systems; aligning and directing others on resolving issues related to the organization meeting the standards established by regulatory agencies and accreditation organizations and meeting public expectations; communicating and championing best practices for maintaining the integrity of systems related to the selection, credentialing and competence of physicians and other health care practitioners; driving the implementation of systems for granting or terminating clinical privileges, professional staff or medical staff or clinical staff membership, proctoring and continuing education; championing the use of standardized and established processes for reviewing and approving medical staff or provider staff Bylaws, Rules and Regulations and amendments; and serving as a liaison for the oversight of systems of all contracted entities including but not limited to the Permanente Medical Groups. This role is also responsible for championing the peer review process, committees, and forums to evaluate and ensure hospital or health system performance; developing strategic insights and guidance based on preliminary and comprehensive feedback; and defining and driving a strategic development plan to address needs and solve problems.

Essential Responsibilities:

Area Quality Leader

In addition to the responsibilities listed below, this position is also responsible for providing strategic oversight and guidance to large-sized service areas (i.e., facilities with more than 300 licensed beds) by leading the development and implementation of broad, complex quality programs and initiatives; serving as a leader and expert on clinical quality management programs and initiatives; proactively monitoring performance metrics and performance improvement activities across large, complex services lines and facilities; championing and overseeing the use of evidence-based guidelines and criteria to optimize clinical outcomes; directing accreditation, licensing, and regulatory activities and ensuring compliance in all applicable settings, including compliance with administrative, legal, and regulatory requirements; partnering with and directing medical staff in large service areas to support peer review, practitioner performance review, and oversight processes across broad, complex services lines and facilities; and developing, evaluating, and managing ongoing improvement systems to reduce care delivery risk and medical errors across broad, complex services lines and facilities.

Essential Responsibilities:

Health Plan Quality & Performance Improvement Director

Focused on government programs, Medicaid, Medicare quality. Contributes to strategic planning for a broad range of administrative, facilitation, and technical support functions in the area of Quality and Safety Improvement to support Quality and Safety programs and initiatives. Oversees and directs the development, implementation, monitoring, and continuous improvement of Quality and Safety programs and initiatives. Directs teams by defining the standards to develop and monitor performance indicators and metrics, synthesizes data from multiple reporting systems and sources to identify opportunities to improve quality and safety, decrease risk, and maintain the KP safety culture. Develops and coordinates across the organization to define the standards to identify priority issues related to quality and safety.

Essential Responsibilities:

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