What are the responsibilities and job description for the Performance Improvement Coordinator (Pennsylvania) position at Lafayette Home Office?
The Regional Home Health Quality and Patient Experience Coordinator reports to the Home Health Quality and Patient Experience Zone Manager and is responsible for facilitating overall agency quality improvement and outcome performance.
Must be available to travel up to 50% weekly within the state of PA.
- Performs at least one on-site survey readiness assessment annually using designated protocols and tools as requested
- Partners with agency leadership in developing and oversees implementation and monitoring of effective actions to mitigate quality related findings identified in the survey readiness assessments as applicable.
- Supports agencies during state and Joint Commission surveys, as applicable, by remaining available during survey, assisting in the development of the required action plan, and monitors follow through with action plans/Evidence of Standards Compliance (ESC)|Measures of Success (MOS), if requested
- Maintains current knowledge of regulations affecting the agency and acts as a resource to agency leadership regarding Conditions of Participation, State Minimal Standards, state specific regulatory requirements including discipline specific practice acts, and Joint Commission requirements.
- Performs site visits when indicated to identify and address mitigating factors inhibiting improvement in quality performance. Work with agency leadership to develop improvement plans and provide oversight to ensure barriers are successfully mitigated.
- Assists agency leadership in the prioritization of performance improvement activities and in the development of improvement plans to address and improve Value-based Purchasing, HHCAHPS, STAR, and publicly reported quality measure performance.
- Provides face-to-face exit conferences with agency leader(s) or designee after each site visit to communicate findings and discuss plans of improvement.
- Monitors internal quality chart review results and provides feedback on effective action plan development to improve results.
- Periodically performs inter-rater reliability audits on internal quality chart reviews performed by agency leaders. Assist agency leaders in obtaining initial competency in quality chart review process.
- Provide orientation to quality and performance improvement program to new clinical and executive directors.
- Analyze data and quality reports to identify improvement opportunities and work with agency leadership to develop plans to improve overall quality performance
- Assist agency leaders with the root cause analysis and action plan development related to Sentinel Events and other identified patient safety risks.
- Reviews quarterly Quality and Performance Improvement Executive Summary Reports, which includes an analysis of data and specific actions taken to mitigate and provides appropriate guidance to agency leaders to ensure adequacy.
- Regularly communicates progress and concerns with the respective Regional Vice President and Home Health Quality and Patient Experience Zone Manager.
- Adequately prepares for and actively participates in monthly quality review calls with manager.
- Performs other assigned duties timely and adequately.
- 3 years healthcare experience in home health quality.
- Bachelor's Degree in a health care related field, preferred.
- Associate Degree acceptable for RN candidates only.
- Certification in HealthCare Quality is preferred, after first year of service
- Current Driver's License and vehicle insurance, and access to a dependable vehicle.
- Understanding of CMS Conditions of Participation, Joint Commission Standards, and state licensing standards
- Effective written and verbal communication skills
- Good interpersonal skills
- Fiscal responsibility and accountability
- Proficient computer skills with knowledge of Microsoft Word and Excel
- Goal-oriented and ability to affect change
