Director of Quality Management - Tucson, United States - Dependable Health Services

Description

Director of Quality Management for Home Health and Hospice

The Director of Quality Management provides operational and strategic leadership to support all Dependable Health locations throughout Arizona and Nevada ensuring the delivery of superior service.

The Director of Quality Management works collaboratively with senior leadership, regional leadership, all Dependable Health locations, departments, and managers to develop the organizational quality and safety program and to ensure regulatory compliance and survey readiness.

The Director of Quality Management directs and/or performs the departmental functions of all quality management services including risk management, performance improvement, patient safety, and infection control.

The Director of Quality Management develops, monitors, implements, and evaluates each location's Performance Improvement Program.

The Director of Quality Management is actively involved in organizational-wide education, and transdisciplinary team activities to ensure individualized, patient-centered health care for all patient populations served by Dependable Health.

As the Director of Quality Management heres a big-picture view of what youll do:
Develops

and/or maintains reporting systems to provide timely information to the

local and regional administration regarding compliance status with

guidelines, rules/regulations, and internal policies and procedures. Works

with employees and office leadership to ensure that systematic processes

for monitoring and reporting are timely and appropriate.
Maintains

knowledge of state, federal, and local laws and regulations that impact Home

Health and Hospice. Demonstrates a working knowledge of licensure and

survey requirements to ensure the readiness of each location for both

internal and external surveys and other compliance inspections. Develops

and maintains systems for ensuring compliance with laws, rules, and regulations.
Systematically

performs on-site MOCK Surveys/Audits for the purpose of validating

compliance with regulations and standards.
Collects,

analyzes, evaluates, and appropriately reports data relative to

performance improvement. Notes trends as they appear and makes appropriate

recommendations when opportunities to improve patient care arise.

Regularly reports to administration, and assigned committees, locally and

at the executive level. Coordinates implementation of Home Health and

Hospice individual performance improvement plans.
Oversees regulatory readiness, and quality measurement, holding staff and departments accountable for achieving performance goals.

Establishes quality measurement and improvement activities, including methods to track the implementation of action plans following site surveys and critical events reviews.

Oversees reporting and communication of quality improvement initiatives, quality and patient safety awareness, safety culture survey administration, and recognition programs.

Responsible for monitoring compliant documentation of patient complaints, occurrences, falls, and infections.
Evaluates, and maintains quality dashboards and performance metrics.
Advises the executive leadership regarding the clinical and compliance needs/concerns of each program.

Leads the QA and Coding Department and serves as a resource for the agency in matters of Quality and Coding.

Employ evidence-based practices to drive improvement processes to ensure best-in-class star ratings for all locations.
Reviews and recommends revisions to policies and procedures in accordance with updated state and accrediting body standards.
Teaches quality and patient safety concepts to clinicians and other staff during orientation and in various educational settings.
Leads the root cause analysis process including regular debriefings.
Promotes a culture of safety, high reliability, patient and staff engagement, and performance excellence.
Other Duties as Assigned
Ability to travel 25 to 50%
Attends all

governing board, quality, safety, and infection control committee meetings

and participates in all pertinent committee meetings where monitoring

functions and activities are performed.

Desired Credentials:
Current Registered Nurse (RN) license or Physical Therapist. Other Professionals may be considered based on work experience.
Five years of home health/hospice experience
Two years of home health/hospice Quality Management experience.
Knowledge of OASIS, Coding Practice.

OASIS Certification is Preferred but must be obtained within one year of employment.
CPHQ Certification Preferred
Ability to conduct extensive OASIS-E documentation reviews.
Deep understanding of QAPI processes, procedures, and requirements to ensure compliance with CMS Conditions of Participation.
Knowledge of PDGM requirements.
Knowledge of state, federal, and licensure regulations for Home Health and Hospice
Must have proficient computer skills, including knowledge of applications such as Excel, PowerPoint, Tableau/Power BI, and Microsoft Team

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