The Quality Improvement (QI) Coach is responsible for providing direct coaching to clinical sites with the goal of building capacity for QI methodology and quality management of site staff with the goal of improving health outcomes of people living with HIV (PLWH), especially viral load suppression and retention in care rates. The QI Coach will also provide coaching related to large scale improvement strategies as directed by MSPP, and will participate in one of two Departmental Quality Improvement Learning Networks to be conducted. The QI Coach will be engaged for this work as an independent contractor of the University of California San Francisco through its subcontract with CHARESS funded through its Prime Award, 5 NU2GGH002226. The QI coach will work as a part-time clinical mentor assisting the CHARESS clinical mentor’s team in supporting institutions in the monitoring and evaluation of their performance indicators, organizing training sessions on HIV, TB, Hepatitis, malaria, and diarrhea, conducting morbidity and mortality reviews, and other training activities. The QI coach will also assist the information system team in the development of new functionalities on iSantéPlus, OpenELIS and TranSMART. The position is responsible for all deliverables to the University of California San Francisco. The expected contract start date is February 1, 2024, and termination date is September 29, 2024, with expected continuation after that date, contingent upon successful performance review and continued funding. This is a hybrid position, working both virtually and in-person as safety permits, however the QI Coach must reside physically in-person in Haiti for the duration of the contract. Preference is given to qualified candidates who live in Nord, Nord Est, or Centre Departments, or who are willing to travel there on a regular basis, safety permitting.

Contracted Duties and Responsibilities:

1. Conduct facility-level organizational assessments (OA) per facility to identify QI training and quality management capacity building needs, QI culture and facility expectations.
2. Identify site level leads and QI champions and the inclusion of a civil society QI team member per facility.
3. In collaboration with facility QI team, review finding of OA and assist staff in the development of a facility level quality management plan.
4. In collaboration with facility QI team, identify key indicators that will be tracked (e.g., viral load coverage, TLD transition, TPT initiation, PrEP, retention strategies), aligned with PEPFAR and MSPP priorities.
5. In collaboration with facility QI team, develop interventions focused on the key indicators.
6. In collaboration with facility QI team, develop a coaching plan for each facility.
7. Conduct facility wide training on QI methods and approaches (PDSA, root cause analysis, others), and effective documentation (based on MSPP guidance/approval and a harmonized/standardized approach).
8. Coach facility staff and QI Teams on:
a) the use of analysis of performance data to identify and develop intervention strategies towards improving outcomes;
b) the completion of a demonstration QI process cycle and present outcomes to all stakeholders to build momentum, enhanced buy-in and QI team and staff confidence; and,
c) monitoring the implementation progress, intermittently evaluating and making readjustments as necessary;
d) documentation of successful QI interventions for further spread to other healthcare facilities to support sustainability and replication;
e) the use of standardized assessment tools; and,
f) incorporating QI performance data for National QI program efforts.

9. Participate in the QI Learning Network to be conducted in Centre, providing QILN-specific coaching to sites as needed. Specific duties to be determined based on Department needs.
10. Maintain regular communication with Department QI lead, USG partners, and other stakeholders.
11. Assist the CHARESS team in developing, editing, and disseminating clinical program projects, including training programs, video-based projects, job aids and other innovative clinical training tools.
12. Develop and facilitate interactive and engaging sessions on care and treatment for HIV, TB, malaria, Hepatitis B and C, and diarrhea
13. Collaborate with the Information System (IS) team to develop new functionalities and revise the care and service indicators on iSantéPlus, OpenElis and on Transmart
14. Provide progress reports and updates, upon request.
15. Conduct mortality and morbidity reviews on a regular basis in the health institutions.

1. Broad knowledge of QI methodology and experience with QI implementation is required.
2. Strong experience working in a health care or program delivery setting with various levels of professionals.
3. HIV knowledge and experience is required.
4. Broad knowledge of the health system in Haiti.
5. Evidence of strong coaching or practice facilitation skills.
6. Excellent oral and written communication skills in French and English.
7. Computer skills to include Microsoft Word, Excel, and PowerPoint.
8. Must be well organized, detail oriented, work independently, set priorities, and complete multiple tasks and projects efficiently.
9. Must be willing to travel to sites and other locations, as required and as safety permits.
10. Skill in report writing, data analysis and interpretation.
11. In-person, physical residence in Haiti. Preference is given to qualified candidates who live in Nord, Nord Est, or Centre Departments, or who are willing to travel there on a regular basis, safety permitting.

Cover letter and CV

2024-01-05