Manager, Quality Assurance and Education

Summary: The Manager, Quality Assurance and Education will provide leadership to develop, adapt and institutionalize a comprehensive strategy to advance strategic and clinical initiatives of the organization.  The Manager will work collaboratively across functions and projects from design development to execution to ensure that data drives decisions. He/She drives the tools and analysis necessary to improve decision making and performance. The Manager partners with user departments to enhance existing business applications and to facilitate solutions to meet business requirements. He/she will work closely with the Clinical Support Team, Data Analyst, C-level executives to capture data needs, assess the market, and make recommendations for ultimately driving change through innovation, process improvement, and systems thinking. 

Responsibilities:

Clinical QI/QA Support

• Develop systems to ensure assessments are conducted based on data systematically collected from patient records.
• Supports needs for the CMO to reviews, summarize, and present results of all QI/QA activities at meetings of the QCC Committee of the CFHE Board, to the full board when requested, and at provider meetings/management meetings, etc.
• Works with CMO to address identified QI problems with individual providers when necessary.
• Advises, seeks input, and creates the QI plan and operating procedures annually or more often as deemed necessary.
• Works with IT to develop QI monitoring tools and develop reporting tools/reports.
• Oversees the chart audit process with CMO. These chart audits will be done monthly, quarterly or yearly and are centered upon reviews in a lifecycle area (e.g. pediatrics, adult, geriatric, etc.), an individual provider’s performance, or upon a clinical service line (e.g. diabetes, asthma, etc.).
• Responsible for preparation of accreditation reviews and accreditation feedback reporting to the QI/QA Committee.
• Monitors outcome measures and implementation of newly implemented QI/QA programs. Maintains a log/Binder of all QI/QA activities, including the monthly/quarterly reports and minutes.
• Assists CMO to ensure providers are adhering to current evidence-based clinical guidelines, standards of care, and standards of practice in the provision of health center services, as applicable.
• Provides Quality oversight and support for our clinical development programs.
• Supports our Clinical Quality Management System through the development, implementation and management of Quality Assurance procedures, processes and systems.
• Executes on and/or provides oversight of quality monitoring and assurance of clinical trial execution of our sponsored protocols.
• Executes on and/or provides oversight of clinical investigator audits, documentation audits and other study-specific or process audits.
• Develops relevant training materials and conducts training.
• Assists with the preparation, coordination, and management of regulatory agency inspections.

The Manager of QA and Education is to plan, implement, direct and evaluate the educational program of all personnel in the facility based on identified resident needs, staff needs, and County, State and Federal laws and regulations, as applicable.

·        Maintain an acceptable standard of nursing practice and professional decorum

·        Knowledge of County, State, and Federal laws and regulations, as applicable

·        Knowledge and implementation of the clinic's policies and procedures

Direct and conduct the clinic orientation of new employees according to regulations which includes but is not limited to philosophy and objectives of care, safety, infection control and the policies and procedures

·        Coordinate In-service Education programs for all employees together with their respective department heads

·        Identify facility staff needs for education together with the Manager of Clinic Operations

Plan and conduct meaningful in-service education programs according to regulatory requirements for nursing personnel and all facility staff to assure competency in existing and new skills, and as directed by the Manager of Clinic Operations

·        Prepare and maintain all required records

·        Insure that in-services are scheduled timely and posted in designated areas

·        Maintain current records of orientation and in-service attendance for each employee

·        Maintain department records in a complete and orderly manner

• Monitors regulatory and industry trends/actions and reports regularly to Quality Assurance management.
• Engages with study teams and functions for proactive inspection readiness across all clinical programs.
• Other duties as assigned