This position provides comprehensive planning, implementation, and evaluation of the Quality Assurance and Process Improvement (QAPI) and clinical compliance activities for AHAH. The Quality Improvement Coordinator serves as an internal expert for a wide range of activities including patient/family satisfaction, clinical benchmarking data (QAPI, Home Care Compare), infection surveillance, referral source satisfaction, and other quality initiatives. In addition, the Quality Improvement Coordinator will coordinate a comprehensive record review program. This position collaborates with service line area directors to maximize AHAH’s utilization of quality data and assumes primary responsibility for overall data management.
Essential Duties and Responsibilities:
- In collaboration with clinical leadership will identify quality assurance and process improvement activities and priorities for the HH and HO service line
- Assures completion and submission of qualityreports and projects including:
- Quality Outcome Report
- Patient incident/complaint trending
- Clinical outcome data as needed (include but not limited to: infection control data, falls reduction program)
- Audit and Appeals data
- Maintain knowledge base of contemporary quality improvement, conditions of participation and home care regulations.
- Working knowledge of statistical and data analysis
- Coordinates all regulatory driven audit and appeal requests for AHAH’s home health and hospice service line.
- Coordinate a comprehensive program to assure appropriate risk management and compliance activities that promote an environment of compliance and safety.
- Identification of potential high risk compliance issues
- Participate in the development of appropriate process and policy to manage risk
- Assure processes and policies are in alignment with all applicable regulations and standards
- Monitor patient incidents/complaints via the appropriate software, evaluating trends escalating areas of risk
- Assure appropriate structure of a quality assurance/process improvement program
- Provide level appropriate analysis of clinical, quality, and patient experience outcomes.
- Assist agency leadership in the development of improvement plans
- Assure evaluation (verification/validation) is a key component of all improvement plans
- Adhere to all company policies and procedures
- Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.
Non-Essential Duties and Responsibilities:
- Perform other duties as assigned.
- Master’s Degree in Nursing or equivalent. Candidates without a MSN but with extensive related work experience may be considered
- CurrentRNlicense in state of practice
- A minimum of three (3) to five (5) years of recent home care experience.
- Experience in quality improvement alsorequired
Knowledge and Skills:
- Computer literacy
- Working knowledge of business office solutions (Word, Excel, etc.), with keyboarding skills sufficient for efficient performance of these activities
- High level of problem solving ability and analytical skills.
- Ability to work collaboratively in large quality initiatives while being independent in core functions.
- Working knowledge and understanding of process and system improvement.
- Well-developed communication and interpersonal skills.
- Ability to interact with customers in a supportive and user-friendly manner.
- Ability to perform a variety of duties characterized by frequent change.
- Familiarity with operational and clinical activities in home care is preferred.