Director of Clinical Quality

Hospice and Palliative Care of the Piedmont, Inc.•Greenwood, SC

22d

About The Position

Summary: The Director of Clinical Quality oversees the development, implementation and maintenance of quality management program for Hospice and Palliative Care. Develops a Quality Assurance/Performance Improvement (QAPI) Plan for Hospice consistent with regulatory requirements, industry standards and patient needs Keeps senior leadership abreast of trends within healthcare quality, the impact on hospice, advises and recommends strategic quality initiatives Reports on key quality indicators to Senior Leadership Collaborates with leadership and hospice staff to develop clinical performance indicators, manage related analysis and benchmarking and disseminate information. Ensures quality and performance improvement data is used for statistical data and performance improvement. Facilitate data collection and analysis, identify trends and partner with management to develop corrective action plans Collaborates with clinical and operational departments to ensure implementation of interventions Works collaboratively with the CEO in the development and evaluation of the Q1 program and evaluation in accordance with the organization's mission and goals and federal and state regulations Works to ensure data reporting needs are met Ensures effective analysis of performance metrics in comparison to internal/external benchmarks and goals Identifies opportunities for improvement and ensures appropriate interventions are implemented and evaluated Ensures consistent development, implementation and accountability of performance improvement initiatives to enhance processes that support the provision of high-quality care and ensures effectiveness or performance improvement projects Maintains knowledge of current trends and developments in areas of responsibility through membership in appropriate professional organizations, attend in-services and continuing education to maintain current knowledge of expertise, maintain up to date knowledge of the laws regulation and payor requirements that affect policy and procedure Oversee CMS Hospice Quality Reporting Program (CAHPS and HIS) to ensure compliance with regulatory mandates Assist in maintaining survey readiness, including mock surveys, chart reviews, and compliance follow-up Utilizes data to implement Performance Improvement Projects in order to improve practice and service Review performance data, identify trends and partner with management to develop corrective actions plan

Requirements

RN degree required
Two years' previous managerial experience preferred, experience in Hospice/Home Health service industry, is required
Strong communication skills and collaboration skills
Familiarity with state and federal guidelines and regulations
Valid driver's license and automobile liability insurance coverage
Unencumbered and active RN license in state of residence required if RN
Intermediate Excel skills
Basic PowerPoint skills
Experience in reviewing data in electronic systems required
Experience with Hospice/Home Care required
Subject to a post employment background check and drug screening as a condition of employment.

Nice To Haves

bachelor's degree in nursing preferred

Responsibilities

Develops a Quality Assurance/Performance Improvement (QAPI) Plan for Hospice consistent with regulatory requirements, industry standards and patient needs
Keeps senior leadership abreast of trends within healthcare quality, the impact on hospice, advises and recommends strategic quality initiatives
Reports on key quality indicators to Senior Leadership
Collaborates with leadership and hospice staff to develop clinical performance indicators, manage related analysis and benchmarking and disseminate information.
Ensures quality and performance improvement data is used for statistical data and performance improvement.
Facilitate data collection and analysis, identify trends and partner with management to develop corrective action plans
Collaborates with clinical and operational departments to ensure implementation of interventions
Works collaboratively with the CEO in the development and evaluation of the Q1 program and evaluation in accordance with the organization's mission and goals and federal and state regulations
Works to ensure data reporting needs are met
Ensures effective analysis of performance metrics in comparison to internal/external benchmarks and goals
Identifies opportunities for improvement and ensures appropriate interventions are implemented and evaluated
Ensures consistent development, implementation and accountability of performance improvement initiatives to enhance processes that support the provision of high-quality care and ensures effectiveness or performance improvement projects
Maintains knowledge of current trends and developments in areas of responsibility through membership in appropriate professional organizations, attend in-services and continuing education to maintain current knowledge of expertise, maintain up to date knowledge of the laws regulation and payor requirements that affect policy and procedure
Oversee CMS Hospice Quality Reporting Program (CAHPS and HIS) to ensure compliance with regulatory mandates
Assist in maintaining survey readiness, including mock surveys, chart reviews, and compliance follow-up
Utilizes data to implement Performance Improvement Projects in order to improve practice and service
Review performance data, identify trends and partner with management to develop corrective actions plan