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Director - Quality

Company: Grace Hospice
Location: Troy
Posted on: May 3, 2021

Job Description:

Director - Quality

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).

Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on We are Unified in our Work through our Continuum of Services We can Find Comfort that We are Making a Difference for our Patients & We make a Broader Positive Impact on Society, allows USMM to be poised for a phenomenal future.

We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Benefits We Have to Offer:

* Health, Dental, Vision, Disability & Life Insurance * 401K Retirement Plan * Paid Holidays * PTO * Flexible Spending Account * Tuition Reimbursement

Position Description

The Director - Quality is responsible for the planned, ongoing, and systematic gathering and assimilation of data relating to the delivery of quality patient care that is measured and validated.

Essential Duties and Responsibilities

* Assists with review of medical records and clinical notes to evaluate compliance * Assesses the quality and appropriateness of all levels of care provided by the hospice care program, including respite, GIP, continuous care, routine care, and care provided under contract or arrangement * Assists with Clinical Record Review data collection, reports, as requested * Reports findings to Governing Body, SVP, Regional Quality Managers, Regional Directors of Operations, and Administrator and/or Supervising Nurse * Provides follow up with staff and provides education and training regarding findings related to clinical record review * Assists with performance improvement activities * Responsible for reporting and monitoring HQRP measures: * Data submitted to CMS via HIS data collection tool * Experience of care survey CAHPS

* Initiate chart reviews to identify information supporting the need for continued hospice care services * Holds conferences with members of the hospice care team including Nurses, Physicians, and other team members as indicated, to identify status, clarification of goal attainment or revision, changes in services of intensity, treatment, medications, etc. * Documents all conferences with interdisciplinary team members in the medical record as indicated * Assist with developing, implementing, and maintaining an effective, ongoing, hospice-wide data- driven quality assessment and performance improvement (QAPI) program (418.58) * Maintain documentary evidence of QAPI program and be able to demonstrate its operation * Measure, analyze, and track quality indicators, including adverse patient events, and other aspects of performance that enable the hospice to assess processes of care, hospice services, and operations * Maintain a coordinated agency-wide program for the surveillance, identification, prevention, control, and investigation of infectious and communicable diseases (418.60) * Document what performance improvement projects are being conducted, the reasons for conducting these projects, and the measurable progress achieved on these projects * Implement and report on activities and mechanisms for monitoring the quality of patient care * Develop quality improvement reports that include individual patient outcome information that is aggregated and used to guide performance improvement initiatives * Track ongoing data and utilization of the data to identify areas for improvement and determine best practices

* Meet or exceed compliance requirements from Federal, State, and CHAP regulatory bodies * Monitor and evaluate compliance with company standards, policies, and procedures. * Member of the Governing Body Board of Directors * Performs all other duties as assigned

REQUIRED Knowledge, Skills, and Experience

* Bachelors Degree, preferably in nursing or health care administration * Five years of experience in training and health service administration * Three years of administrative or supervisory experience in home health/hospice care or related health program (hospital, nursing facility, or hospice, etc.) * Knowledge of Community Health Accreditation Program (CHAP) on Accreditation, Quality Assurance, and Hospice knowledge * Excellent problem solving skills * Excellent written and verbal communication with personnel of all levels * Ability to travel extensively (at least 80% of the time can be up to 100%) * Possesses a working knowledge of basic statistics including trending, problem identification, action plans and evaluation

Preferred Knowledge, Skills, and Experience

* Masters degree in nursing or health care administration * Possesses a working knowledge of basic statistics including trending, problem identification, action plans and evaluation * Lean Six Sigma Green Belt starts and manages Lean Six Sigma Projects * Possess Certified Professional in HealthCare Quality (CPHQ)

Keywords: Grace Hospice, Troy , Director - Quality, Other , Troy, Michigan

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