This job has closed.

VITAS Healthcare · 1 month ago

Clinical Quality Improvement Specialist

North Miami Beach, FL

Full-time

Onsite

Mid Level

VITAS Healthcare is a leading provider in hospice care, and they are seeking a Clinical Quality Improvement Specialist to enhance their quality assessment processes. The role involves data collection and analysis to identify quality trends, perform quality monitoring activities, and facilitate performance improvement projects.

Health CareHospital

Responsibilities

Performs ongoing quality assessment through data collection and analysis as directed by VITAS Policies, Procedures, and Standards

Works with hospice program leadership to identify quality and performance trends and areas for improvement

Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited to:

Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures

Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors

CAHPS survey: Identify negative comments/responses and initiate service comments as appropriate

QAPI dashboard: drill down, analyze and report data

Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current

Infection Control Reporting: data maintenance and analysis

Incident Reporting: data maintenance and analysis, submission of documents for incidents identified as serious adverse events, completion of 3500A for home medical equipment-related incidents

Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership

Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management

Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management

Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management

Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting

Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting

Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives

Performs Quality reporting updates monthly, quarterly, and annually, including but not limited to:

Quality Update Report (QUR): prepare and submit monthly report to regional and senior management to communicate updates of Quality Assessment and Performance Improvement areas

QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting

Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements

Facilitates Performance Improvement Projects including the coordination of performance improvement teams

Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic)

Maintains any and all versions of the PI Plan Manual

Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs

Report to senior management on compliance with required trainings including orientation and legally mandated in-services

Act As The Program Liaison To Central Support

Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report

Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials

Collaborates with the PCA for external audits and records requests

Participate in pilot projects related to QAPI initiatives as requested

For programs or regions with a Performance Improvement Specialist (PIS) Assistant: Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed

Other duties as assigned

Qualification

Data analysisQuality improvementHealthcare regulationsCertified Professional in Health Care QualityPerformance Improvement ProjectsTechnical skillsCommunication skillsOrganizational skillsLeadership skills