Quality Director

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Job description

Purpose: Responsible for directing, supervising, and coordinating various patient care areas and departments. Interfaces with clinic services, support staff, and community groups. Functions as the coordinator of quality improvement program for the Center. This includes being chair of the quality committee, working with the quality committee of the Board of Directors. The position facilitates the collection of data and creation and distribution of reports necessary to monitor quality service delivery. These activities will be conducted within accepted guidelines and the outcomes must meet standards established by applicable laws, regulations, and Center policies and procedures. The position is responsible for using the PDSA (Plan, Do, Study, and Act) approach to solve problems, monitor and evaluate systems and outcomes to achieve optimum levels of quality programming. Facilitates the productivity of the relationship between providers and MA's. Is responsible for the professional management of a comprehensive health and safety/risk management program and, in particular, for the introduction and/or implementation of measures to ensure the clinics obligations under prevailing health and safety legislation, and the relevant HRSA regulations and standards of operation. Insures proper credentialing and privileging policies are maintained and implemented. PART I: ESSENTIAL POSITION FUNCTION AND DUTIES Coordinates flow of patients through direct medical and health services to ensure efficiency and minimize cycle time. Responsible for collaborating with health staff, providers, and staff to maintain smooth productivity within the practice setting. Oversees the implementation of the risk management and quality improvement plans for the Centers. Performs assessments of completeness of care; work cooperatively with providers and health staff to ensure completeness of care. Assures quality of care and maximizes the effectiveness of services in improving and maintaining health status and patient satisfaction. Develop and implement patient assessment and treatment programs Works collaboratively with all site providers, clinical support, and allied health staff in order to meet the needs of the patient population and the objectives of programs offered at WWFHC, such as primary care, OBGYN, pediatrics, HIV and WIC, dental, BCCCP, etc. Supervises day-to-day operation of WWFHC clinical department(s) implementing objectives, policies, and procedures. Ensures all appropriate staff training and education is completed, evaluated, and up to date. Oversees the direct selection, training, and orientation of Medical Assistant and WIC personnel. Collects data, prepares reports, answers correspondence, and complies statistics for administrative and regulatory purposes. Performs medical records and quality improvement audits as required. Participates in the development and implementation of organizational rules, regulations, policies and procedures of WWFHC. Establish appropriate structures and processes in relation to risk reporting, incident management and Health and Safety within the Hospital. Review the Centers Safety Statement and related policies/procedures/guidelines, in consultation with relevant personnel and with due regard to prevailing legislation, and make recommendations to the Chief Executive Officer as considered necessary. Coordinate the development and review of relevant/required risk and incident management policies, procedures and guidelines. In conjunction with appropriate staff, assist in identification of potential risk through risk assessment, analysis of accidents/incidents and near miss incidents, periodic safety inspections and/or audits. Make recommendations to reduce, prevent or eliminate risks identified. Maintain a risk audit database and liaise with department heads in relation to issues arising. Enter all accidents/incidents/near miss incidents into the incident log and reports details to the IQIC committee. Coordinate the claims management function. Provide quarterly and ad hoc reports to the Chief Executive Officer highlighting trends in relation to accidents/incidents. Make arrangements for health and safety training as required. Maintain records of all health and safety training. Participate on the Hospitals Health, Safety and Security Committee and Major Emergency Planning Committee. Be familiar with all aspects of implementation of the Centers Risk Management Plan assisting senior management in developing long-range plans involving new products, services, and human resources. Based on the results of quality improvement activities, facilitates the development of operational plans and budgets, including reporting and interpreting monthly and annual data. Responsible for monitoring compliance to HIPAA privacy regulations in the clinic with quarterly reports to the Chief Executive Officer and Quality Committee. Ensures quality assurance (QA) meetings are held monthly and each team completes projects at the designated times or upon evaluation determines changes in interventions. Prepares monthly reports on Productivity Studies and QA to Chief Executive Officer, or more frequently if requested. Coordinate and ensure compliance with applicable Federal and State regulations. Analyzes patient data for facility planning, quality of patient care, risk management, and utilization management and reports it to Chief Executive Officer on a monthly basis. Other duties as required by the Chief Executive Officer. PART II: CLINIC WIDE RESPONSIBILITIES Customer Relations: Treats guests, patients, physicians, and other employees with care, courtesy, and respect. Responds quickly and appropriately to customer request. Looks for and suggests ways to better meet customer needs. Answers clinic communications systems promptly and with courtesy and respect. Teamwork: Works cooperatively within own department and other areas. Willingly accepts additional responsibility - tries to make others job easier. Responds quickly to request for assistance. Required to work closely with patients and associates. Interacts with other departments on problem issues. Accepts feedback from patients, visitors, clinic employees, physicians and general public. Continuous Improvement: Continuously looks for and suggests ways to improve. Effectively completes assignment to achieve the greatest benefits at acceptable cost. Implements improvements as appropriate. Demonstrates interest in own growth and development by: Periodically evaluating own performance. Demonstrating an awareness of personal abilities and limitations. Independently seeking means to make improvements. Attends and participates in in-services and continuing education programs Attends departmental meetings. Communications: Keeps appropriate people informed. Speaks and writes clearly, concisely, and appropriately for need. Listens carefully. Communicates tactfully. Understands that all confidentiality and privacy considerations are respected and fostered at work and off duty. Self -Management: Presents a positive image of Western Wayne Family Health Center at all times. Carries out assignments with little need for direction. Timeliness. Maintains confidentiality. Provides proper notification of absence and tardiness. Works weekends and shifts when necessary. Qualifications PART III: EDUCATION, EXPERIENCE Bachelor's Degree in health sciences business or five (5) years experience in relevant fields. PART IV: KNOWLEDGE, SKILLS AND ABILITIES Ability to maintain composure under stressful conditions Ability to maintain accurate records and prepare reports and correspondence related to the work Minimum of two years of administrative experience, including on year experience in a health care organization. Knowledge of organization policies and procedures. Knowledge of fiscal management practices and human resource management techniques. Knowledge of health care administration systems. Knowledge of governmental regulations and reimbursement requirements. Knowledge of computer, systems, and applications. Skilled in planning, organizing and supervising. Skilled in exercising initiative, judgment, problem-solving, decision making. Skilled in developing and maintaining effective relationships with medical and administrative staff and with patients and the public. Working Conditions Jobs are located in federally qualified health facility. Exposure to diseases and illnesses may be inherent in the work Physical Requirements None.

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