Acadia Healthcare · 2 days ago
Quality Coordinator
Pittsburgh, PA
Full-time
Onsite
Entry, Mid Level
1+ years expAcadia Healthcare is seeking a dedicated and detail-oriented Quality Coordinator to ensure the highest standards of patient care and safety. The role involves overseeing regulatory compliance, operational quality, and continuous improvement, while collaborating with leadership to maintain survey readiness and implement process improvements.
Mental Health Care
Responsibilities
Assist the Director of Quality in monitoring day-to-day regulatory readiness, patient safety, and service excellence across the facility
Assist the Director of Quality with QAPI program oversight, including assistance with:
Utilizing collected data regarding the outcome of activities for delivering continuously improving services
Conducting annual preparation and evaluation of the facility QAPI Program
Completing process improvement projects and incorporate the results into patient care improvements
Submitting quality scorecard data to Acadia corporate office as requested
Coordinating the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS)
Identifying key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices
Coordinating data collection and analysis from all departments within the facility
Preparing program data trends and action plans for the monthly Quality Council and quarterly to the Medical Executive Committee and the Governing Board
Regulatory preparedness – assist the Director of Quality in implementing sustainable survey preparation and ongoing monitoring processes, including facility-wide auditing and early-issue identification, to maximize achievement of zero- or standard-level survey outcomes
Facility-wide support – collaborate with other departments to sustainably implement best-practices in regulatory/accreditation compliance as evidenced by measurable results with regard to survey outcomes, patient safety metrics, patient experience results, HBIPS, etc
Develop and maintain proficiency in the functionality and auditing within electronic platforms such as electronic patient observations and the electronic medical record, as applicable
Engage in and assist with timely and regular evaluation of serious incidents, complaints, grievances and related investigations
Develop corrective action plans for the resolution of areas of regulatory vulnerability or those which could compromise patient safety in collaboration with other facility leaders
Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required
Assist with proper reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required
Propose sustainable performance improvement practices through analysis of data and prioritization of efforts to improve survey readiness and consistency of care delivery using expected best-practices
Under direction of the Quality Director, ensure multidisciplinary ownership of best-practices in self-monitoring, auditing, and process improvement, escalating opportunities for improved engagement to the Quality Director as appropriate
Ensures operational implementation of regulatory requirements, guidelines, and standards of federal, state, and local licensing agencies, accrediting and certifying organizations
Serves as a technical advisor, educator and internal consultant to all hospital management, staff, and physicians on the use of performance improvement tools and techniques, analytical techniques, and statistical applications
Ensure facility compliance with policies and applicable standards as required by regulatory/accrediting bodies
Role Model – serve as a visible, engaged, and dynamic member of the facility team
Review incident/safety concerns with the Quality Director and select members of the leadership team to identify systemic issues and facilitate the development of corrective actions
Identification of problems or potential problems to prevent risks to patients and staff
Proposes corrective steps that may include, but are not limited to:
Changes in policies/procedures
Staffing and assignment changes
Additional education or training for staff
Addition or deletion of services
Perform other functions and tasks as assigned
Qualification
Required
Bachelor's Degree in Human Services or nursing required
Current licensure appropriate for the degree held required
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility)
First aid may be required based on state or facility
Preferred
Master's degree preferred
One or more years of experience in a Quality or PI role preferred
One or more years of management experience preferred
Experience with CARF, DEA, Joint Commission, or CMS surveys, as required by service line(s) supported
Company
Acadia Healthcare
Headquartered in Franklin, Tennessee, Acadia Healthcare was established in January 2005 to develop and operate a network of behavioral health facilities across the country.
10001+ employees
H1B Sponsorship
Acadia Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
Funding
Current Stage
Late StageLeadership Team
Anna M Gaddy, MA, LCAS, CCS
Chief Executive Officer-Carolina House
Bruce Melosh
CEO - Rebound Behavioral Health
Recent News
2024-05-02
2024-04-09
2024-04-09
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