Hospice of St. Lawrence Valley seeks a full-time Quality Assessment and Performance Improvement Coordinator who will be responsible for development, implementation, and monitoring of an agency wide QAPI program to ensure high quality patient and family care, as well as compliance with industry standards and organization goals. A wide range of educational and experiential backgrounds will be considered; however, the ideal candidate will possess a working knowledge of the medical regulatory environment; excellent communication, problem-solving and organizational skills; strong analytical and computer skills; the ability to learn new or unfamiliar technologies, including electronic medical records, and; a strong work ethic and commitment to the mission, values and ideals of Hospice.
Please send a detailed cover letter and resume to:
Hospice of St. Lawrence Valley
PO Box 510
6805 US Highway 11
Potsdam, NY 13676
Job Description
Function: The QAPI Coordinator is responsible for all aspects of the organization’s Quality Assessment/Performance Improvement and Compliance programs and serves as the organization’s Compliance Officer.
Responsible to: Executive Director
Responsible for
Quality Assessment Performance Improvement
- Ensuring the agency’s QAPI program is compliant with Hospice Conditions of Participation section 418:58 and all other applicable laws and regulations
- Developing and maintaining a QAPI program that is data-driven and implemented agency-wide; defining data elements to be captured for ongoing organizational quality assessment and performance improvement of patient-level outcomes and collecting, aggregating and reporting of data for ongoing organization-wide quality assessment and targeted Performance Improvement Projects (PIPs)
- Monitoring that PIPs are institutionalized through training and continual monitoring
- Assisting with ongoing readiness preparation for state and federal surveys
- Compiling, trending and reporting quality data in the following areas: patient care, safety, risk management, infection control, outcomes, customer satisfaction and any other area of QAPI
- Maintaining a process model for improvement and providing education and training to organization personnel on the QAPI plan
- Performing compliance and quality audits/investigations, testing/monitoring and related follow-up education and training
- Monitoring and complying with CMS Hospice Quality Reporting Program requirements
- Coordinating activities related to clinical record review for data collection and integrating findings into continuous improvement
- Facilitating QAPI/Compliance Committee meetings quarterly including publishing agendas and ensuring accurate minutes
Compliance
- Serving as the organization’s Compliance Officer
- Monitoring NHPCO, CMS and HPCANYS web sites for new regulations and statutes; creating and/or providing related interpretation and communication to management
- Serving as subject matter expert related to all hospice compliance requirements, including developing/reviewing P&Ps and practice guidelines to ensure compliance with regulatory requirements
- Managing the annual compliance risk assessment in identifying relevant industry/OIG, CMS and organization specific risk areas
- Preparing compliance monitoring/auditing reports for the QAPI/Compliance Committee
- Ensuring compliance findings are addressed and working with internal directors/managers to coordinate the development/implementation and revision of company policies, practices and/or processes as necessary
- Coordinating investigations of potential violations of law or company policy under direction of the CEO and legal counsel, as necessary
- Developing and/or updating general compliance education and training programs
- Updating Hospice’s Emergency Preparedness plan and exercises
- In conjunction with other areas, maintaining the ethical standards and integrity of clinical, financial and operational practices which contribute to Hospice’s organizational effectiveness and competitiveness
Minimum Qualifications:
A wide range of educational and experiential backgrounds will be considered for this position; however, the successful candidate will possess the following skill set:
- The ability to identify, collect and analyze data related to quality program services
- Experience with program evaluation and assessment
- Excellent communication skills
- Ability to work cooperatively and effectively with agency staff
- Detail-oriented, self-motivated and able to prioritize workload
- Ability to effectively present information in one-one-one, small group, and large group situations.
- Intermediate computer skills including Microsoft Outlook, Excel, Word, PowerPoint, experience with an Electronic Medical Record (EMR) system, and willingness to learn new information technology as required
Preferred Qualifications:
- Bachelor’s Degree;
- Quality Improvement Process experience including clinical review and audit activity
- Strong knowledge and understanding of regulatory compliance in the healthcare field