Matthew W.
Director of Quality and Process Improvement
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About
Accomplished Director of Quality and Process Improvement with over a decade of progressive experience advancing clinical excellence and operational efficiency within a Federally Qualified Health Center (FQHC). A proven leader who has risen through the ranks by redesigning core processes and authoring foundational quality management plans. Commands successful HRSA operational site visits and ensures FTCA compliance.
Combines a data-driven approach using population health systems with a talent for launching innovative clinical programs, such as a multidisciplinary diabetes initiative that improved A1c levels for 85% of participants. Holds an MBA in Healthcare Management.
Experience
Chief Administrative Officer - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2025-10)
Director of Quality and Risk - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2026-08 - 2025-10)
Director of Quality and Process Improvement - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2024-02 - 2025-08)
- Authored and implemented the foundational Quality Management Plan, establishing the strategic framework, objectives, and key performance indicators for the entire organization's quality program.
- Commanded all aspects of the quality program for the 2024 HRSA Operational Site Visit, from documentation and staff preparation to direct interaction with surveyors, contributing to a successful, finding-free review.
- Directs the complete policy lifecycle, from authoring new organizational policies to overseeing the annual review and revision process to ensure ongoing compliance and operational clarity.
- Spearheaded the design and launch of a multidisciplinary Comprehensive Diabetes Visit program, integrating primary care, clinical pharmacy, and behavioral health into a single, streamlined appointment.
- Drove significant clinical success, where 85% of program participants achieved a reduction in their A1c levels; this cohort also outperformed the general patient population across all related UDS metrics.
- Chairs the quarterly Quality Committee and the Board Quality Assurance Committee, facilitating high-level review of performance metrics to steer strategic decisions on process improvement initiatives.
- Co-authored the annual Federal Tort Claims Act (FTCA) redeeming application, successfully securing federal medical malpractice coverage for the health center and its 20+ providers.
- Co-leads a mission-critical EHR migration to a new hosting environment, overseeing clinical workflow validation and data integrity to ensure a seamless transition for all clinical operations.
Director of Quality and Risk - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2023-08 - 2024-02)
Quality Improvement Manager, Interim - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2019-09 - 2021-04)
- Provided consultative leadership to clinical and operational teams on quality best practices, contributing to improved alignment with AAAHC PCMH accrediting standards.
- Served as a primary resource for quality improvement activities, providing oversight, technical support, and guidance for multiple ongoing projects.
Care Logistics Coordinator - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2019-01 - 2019-08)
- Overhauled the entire patient referral department, designing and implementing a new closed-loop tracking system that enhanced provider communication and continuity of care.
Quality Management Specialist - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2016-12 - 2018-12)
- Contributed to the organizational policy committee, participating in annual reviews and co-authoring key policy revisions to ensure compliance.
- Analyzed and aggregated clinical quality data from population health systems to support departmental improvement projects and leadership reporting.
Recovery Support Specialist/Recovery Coach II - DESERT SENITA COMMUNITY HEALTH CENTER - Ajo, AZ
(2015-01 - 2016-12)
- Provided direct peer support and coaching to patients with behavioral health needs, fostering recovery and facilitating connection to clinical care.
United States Marine Corps
(1997-05 - 2005-06)
Honorably discharged.
Education
Master of Business Administration - Healthcare Management - University of Phoenix (2021-06)
Bachelor of Science - Information Technology – Information System Security - University of Phoenix (2009-05)