Pregnancy Related Services Coordinator h. Quality Improvement Director who is an Ohio-licensed registered nurse, physician or physician's assistant or is a CPHQ and/or a CHCQM by the American Board of Quality Assurance and Utilization Review Providers. The Quality Improvement Director must have experience in quality management and quality improvement as specified in 42 CFR §438.200 – 438.242. The primary functions of the Quality Improvement Director position are: