QAPI Clinical Support Specialist

Quality Improvement Coordinator

Supports the Outcome Based Quality Improvement Program within the home health agency by assisting with data collection, documentation, and implementation of quality initiatives under the supervision of Senior Director of Clinical Services. Provides education and guidance to field clinicians as directed, assists with the orientation of new staff, and participates in the coordination of continuing education programs for clinicians and referral sources to promote quality patient care and compliance with agency standards.

Does not have contact with patients.

Essential Functions:

1. Provides daily coordination for Quality Assessment and Performance Improvement activities for the assigned area locations.
2. Develops teaching materials, educational programs and power point presentations as determined by learner needs analysis and in conjunction with other resources.
3. Coordinates with various data vendors in tracking, monitoring, analyzing, and reporting performance and quality areas of positive performance and areas requiring interventions to improve outcome and patient satisfaction scores and star ratings.
4. Investigates and provides further analysis and information of patient related incident reports, clinical record reviews, infection control, specialty program and/or other adverse or unusual event reports for the Senior Director of Clinical Services and Quality Management.
5. Assists in the development and implementation of performance improvement (PI) tools and outcome-related interventions under the direction of the Senior Director of Clinical Services.
6. Assists with timely submission, tracking and trending of required documentation as it relates to additional documentation requests (ADRs), various audits from CMS sub-contractors and insurance companies, and addressing appeals for denials in a timely manner.
7. Assists with biweekly PI calls with agencies and develops and delivers presentations as needed to educate others on how to do interventions to improve outcomes and how to achieve successful accreditation and State surveys.
8. Assists successful tracking and assistance to agencies for accreditation services and prepares corporate required accreditation survey reports, annual updates, and summaries related to accreditation.
9. Participates in ongoing, comprehensive agency assessments of the quality and appropriateness of care provided, including services delivered under arrangement, under the supervision and guidance of the Senior Director of Clinical Services.
10. Assists with written feedback to clinicians to educate, reinforce and improve documentation, clinical practice and patient outcomes.
11. Assists with compiling reports to management teams on critical areas of patient care.
12. Participates in quarterly QAPI committee meetings per state and federal law.
13. Assists with preparation of quarterly Quality Improvement reports
14. Assists with preparation of the annual agency evaluation as required by state regulations, under the direction of the Senior Director of Clinical Services.
15. Provides support in identifying opportunities for improvement and in implementing corrective actions or policy updates as directed.
16. Assists with education (both in-house and in-field) to staff and/or branch for Performance Improvement.

This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned.

Supervises: N/A

Experience:

• One year of quality improvement experience in a home health setting.
• Two years of home health experience.

Skills:

• Ability to establish and maintain effective working relationships with all segments of the staff, and the Agency leadership team.
• Ability to guide staff towards excellence in patient care.
• Shall be able to read, write and comprehend English.
• Ability to travel to all Agency locations.
• Knowledge of Word, Excel, PowerPoint, Outlook. Kinnser knowledge preferred.

Education:

• Graduate from an accredited college/school of nursing is required.

Licensure/Certification:

• Current driver's license is good standing. It is the responsibility of the employee to renew their driver's license before it expires to continue employment.
• Reliable transportation and auto liability insurance.
• Current and unencumbered State professional RN license.

Physical Requirements:

• Prolonged sitting required.
• Ability to handle stressful situations in a calm and courteous manner.
• Requires working under some stressful conditions to meet deadlines and Agency needs.

Environmental/Working Conditions:

• Works in a routine office environment.
• Ability to work a flexible schedule and extended hours, as needed.
• Some exposure to unpleasant weather.
• Ability to travel.
• Field Mentor will require home visits, which may include climbing up and down stairs and will require performing necessary physical tasks in providing patient care.