JACINDA MITCHELL
Austin,TX
Summary
Enterprise and clinical quality informatics leader with over 30 years of progressive experience in digital quality reporting, regulatory compliance, and healthcare informatics. Proficient in translating complex CMS, QPP/MIPS, ACO, and Joint Commission standards into actionable EHR-based workflows and structured reporting strategies. Proven track record in leading cross-functional teams of analysts, informaticists, IT partners, and operational leaders to enhance electronic clinical quality measure (eCQM) reporting, data extraction, and regulatory dashboard development. Instrumental in driving over $240 million in value-based and quality incentive revenue through strategic regulatory alignment and performance optimization.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Director of Quality & Patient Safety
Ascension Medical Group Texas
01.2025 - Current
- Lead enterprise quality reporting strategy and regulatory performance oversight across a multi-site medical group.
- Direct system-wide quality reporting aligned with CMS and commercial regulatory standards.
- Chair the Safety Event Review Team (SERT) and oversee structured event review processes.
- Partner with analytics and informatics teams to ensure accurate digital quality data capture.
- Monitor clinician performance metrics, care gap closure, and audit response readiness.
- Develop executive dashboards communicating regulatory and performance outcomes.
- Represent organization in payer and regulatory quality governance forums.
Clinical Quality & Patient Safety Manager
Ascension Medical Group
01.2021 - 01.2025
- Managed digital quality reporting and regulatory compliance programs across ambulatory operations.
- Operationalized MIPS/QPP and ACO specifications into structured workflows.
- Led cross-functional teams responsible for data submission and regulatory audit response.
- Collaborated with IT and EHR teams to improve structured documentation and measure performance.
- Provided executive-level regulatory updates and performance analysis.
Clinical Quality & Patient Safety Coordinator
Ascension Medical Group
01.2016 - 01.2021
- Directed participation in MIPS, Meaningful Use, HEDIS, and regulatory quality programs.
- Managed quality reporting and compliance gap analysis.
- Translated regulatory requirements into operational workflow enhancements.
- Delivered clinician education on digital measure specifications.
Clinical Systems Analyst
Ascension Information Services
01.2012 - 01.2016
- Supported enterprise EHR systems and structured clinical data reporting initiatives.
- Coordinated EHR implementations and enhancements supporting regulatory reporting.
- Developed structured reporting tools improving performance transparency.
- Embedded regulatory specifications into clinical documentation workflows.
Education
MBA - Health Services Management
Keller Graduate School of Management
BS - Technology Management
DeVry University
AAS - Allied Health Sciences
Community College of the Air Force
Skills
- CMS IQR, QPP/MIPS & Federal Reporting Programs
- Enterprise Clinical Informatics & EHR Optimization
- Structured Data Capture & Reporting Workflows
- Cross-Functional Leadership (Clinical, IT, Analytics)
- Advanced Performance Dashboards & Executive Reporting
- Regulatory Audit Readiness & Compliance Infrastructure
- High Reliability Organization (HRO) Leadership
- Quality risk assessment
- Quality assurance techniques
- Corrective and preventive actions
- Operational excellence
Certification
Certified Professional in Healthcare Quality (CPHQ) – Planned 2026
Timeline
Director of Quality & Patient Safety
Ascension Medical Group Texas
01.2025 - Current
Clinical Quality & Patient Safety Manager
Ascension Medical Group
01.2021 - 01.2025
Clinical Quality & Patient Safety Coordinator
Ascension Medical Group
01.2016 - 01.2021
Clinical Systems Analyst
Ascension Information Services
01.2012 - 01.2016
BS - Technology Management
DeVry University
AAS - Allied Health Sciences
Community College of the Air Force
MBA - Health Services Management
Keller Graduate School of Management