Director of Quality Improvement

Job description

Duties and Responsibilities:

· Ensure data are collected that provide information on: the needs of the persons served, the needs of other stakeholders, the business needs or the organization, which allows for comparative analysis;

· Measures the performance indicators set by the organization for business function improvement, analyzes the results, and reports meaningful data to Executive Management in order to aide informed business decisions (see pg. 87.3., and pg. 89.5 – 6.b.(3) of the CARF Manual for a complete description of the data collection system and measures).

· Collects, analyzes, and reports post discharge information that includes persons served or intended to serve such as: evaluations of the program by persons served, clinical information that compares the current status of the persons served to their status at discharge; evidence of a high post discharge contact rate with persons served, and other organizations or individuals; to include post discharge outcomes information measures for indicators in effectiveness, efficiency of services, and service access.

· Demonstrates how the program evaluations address data validity, reliability, completeness, accuracy;

· Produces an annual, written, analysis of Critical Incidents that addresses causes, trends, actions for improvement plans, necessary education and training of personnel, and prevention of recurrence.

· Develop and maintains an “Tasking Schedule” which contains All types of assessments, their frequency, dates of inquiry as well as subsequent scheduled/follow-up dates;

· Work closely with the Board to identify the organizations major stakeholders and identifies members for an organization Program Evaluation team; the team will be made up of 7 members to include key stakeholders, and charged with reviewing departmental analyses and recommendations for accuracy and further input prior to distribution.

· Facilitates, organizes, and coordinates regular meetings and/or communication with Program Evaluation Team for review and input regarding data before it becomes a final draft forwarded to Executive Management or external source or publishing;

· Ensures the Program Evaluation Team utilizes data collected from internal & external sources (in order to assist management in making informed business decisions) from the following in setting and measuring performance indicators: Accessibility, Field Trends, including Research finding if applicable, and service delivery system.

· Complete the reporting of analyses, for the Business Functions outlined above, at minimum annually, and/or according to contractual agreements, ever mindful of maintain agency compliance; to include quarterly and annual summary reports as required by the agency;

· Provide meaningful information in all departmental reporting by identifying areas needing performance improvement to assist Executive Management, and/or Department Heads, to produce an action plan addressing the improvement needed (and reach established or revised performance goals);

· The Director of QI will coordinate to ensure receipt of any/all action plans related to the departmental reporting for performance improvement; the actions taken or changes made to improve included in the action plans (which were drafted in response to QI reporting for performance improvement) will be outlined and included in the Performance Improvement process documentation accordingly in preparation for any stakeholder/site visit or inquiry;

· The Director of QI will ensure only reviewed final drafts of performance information are shared, on a regularly scheduled and timely format, that is useful to the: persons served, personnel, key Stakeholders (both internal and external) via oral presentation, charts, graphs, and/or inclusion on the agency’s website and newsletters.

· Maintain QI manual which outlines CURA’s data collection plan processes and improvement plans;

· Ensure the review and/or design of QI tools such as surveys, statistical procedures, etc.

· Maintain confidentiality, including federal, agency, and certifying board(s) regulations;

· Provide training to personnel regarding evaluation tools and their procedures on a regular and timely basis, in order to ensure continuity, completeness, accuracy, and use of appropriate techniques;

· Other tasks as delegated.

Skills:

· Ability to mine agency databases

· Ability to edit and/or maintain a QI Manual and reports

· Ability to facilitate and work with an interdisciplinary evaluation team utilizing conflict-resolution skills, understanding and incorporating different perspectives; Identifying and using individual skills of team members; and teambuilding skills

· Strong math, verbal, writing, and analytical aptitudes

· Ability to prepare reports and conduct basic research

· Public presentation skills

· Graphic Skills

· Demonstrate ability to tolerance for Ambiguity, Rapid responsiveness and Flexibility

· Quick Learner

· Cross-cultural sensitivity

· Demonstrate calm, able to stay focused on evidence and conclusions rather than bias

· Integrity; clear ethical sense; and honesty

Education and Requirements:

· Minimum Bachelor’s degree with some knowledge of research, statistics, measurement, evaluation, reporting or related experience; Master’s Degree preferred

· Some knowledge of nonprofit social service, helpful;

· Computer literacy: MS Excel, MS Access, EPI info, and electronic survey tools;

· Ability to sit in front of computer or other visual equipment for long periods of time;

· Valid NJ Driver’s License

· Ability to travel

Job Type: Full-time

Education:

• Master's (Required)

Experience:

• Microsoft Access: 1 year (Preferred)
• Research: 1 year (Required)
• Microsoft Excel: 1 year (Preferred)

Job Type: Full-time

Pay: $75,000.00 - $100,000.00 per year

Benefits:

• 401(k)
• Health insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Compliance management: 3 years (Required)

Work Location: In person

Salary : $75,000 - $100,000