The Quality Assurance & Performance Improvement (QAPI) Specialist is an individual that will be assisting with agency efforts toward the process of improving clinical documentation and outcomes by taking a systematic, comprehensive, and data-drive approach to maintaining and improving safety and quality. The QAPI Specialist compiles trends and reports quality data in patient care, safety, risk management, infection control, outcomes and customer satisfaction and performs and uses audit results to lead development of Performance Improvement Plans. The QAPI Specialist has a variety of responsibilities including development of process improvement plans, record reviews, data tracking and analysis, and serves as a regulatory resource for clinical staff. To be successful in this role, you must have a passion for quality clinical care and enjoy sharing knowledge with others.
Promotes broad understanding, communication, and collaboration with team members to ensure appropriate communication, integration, and utilization of best practices.
Participates in the development, implementation, and evaluation of Clinical Quality improvement action plans to improve quality.
Participates in Agency's QAPI activities, including but not limited to, patient incidents, employee incidents, infection tracking, and quality indicators such as OASIS (Outcome and Assessment Information Set) and patient satisfaction.
Continually assesses clinical staff compliance as required by internal policies and external standards of performance.
Assists and coordinates with comprehensive quality improvement, data analysis and reporting
Prospectively reviews OASIS assessments to ensure appropriateness, completeness and compliance with federal and state regulations and organization policy.
Ensures appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidity.
Develop interventions to impact quality scores
Participates in delegated groups and providers on improving quality scores
Reviews corporate indicators data and other comparative data.
Promotes performance improvement plans that are consistent with cultural diversity, healthcare literacy issues and language.
Performs clinical record audits and provides educational feedback to staff.
Facilitates the use of evidence-based guidelines, criteria, and other clinical tools to reduce variation in clinical practice and to optimize clinical outcomes.
Assists agency meeting all requirements, ensuring compliance in all applicable settings, and managing reliable processes for timely and accurate submissions of required data to the proper payors and regulatory bodies.
Qualifications:
Associate of Science Degree-required
Bachelor's degree in nursing, PT, OT, SLP, MSW, Health Administration, Management, or related discipline-preferred
Experience
3 years of certified home health experience required
Value Based Purchasing, PDGM, CAHPS-preferred
Licensure, Certification, Registration
CT Licensure in field of specialty
Licensure, Certification, Registration
• Experience in providing data analysis and statistical processes in quality reporting
• Ability to design and develop performance measures
• Experience in providing education
• Experience in facilitation of PI teams using quality improvement methodology
• Ability to effectively communicate both verbally and in writing
• Ability and willingness to travel to branches (regions) as needed
• Travel within the Unites States may be necessary
• Knowledge of federal and state regulatory requirements
• Excellent written and verbal communication skills
• Adherence to Hartford Healthcare Leadership Behaviors and Core Values
