What are the responsibilities and job description for the Quality Coordinator position at Lakeview Behavioral Health?
- Assist the Director of Quality in monitoring day-to-day regulatory readiness, patient safety, and service excellence across the facility.
- Assist the Director of Quality with QAPI program oversight, including assistance with:
- Utilizing collected data regarding the outcome of activities for delivering continuously improving services.
- Conducting annual preparation and evaluation of the facility QAPI Program.
- Completing process improvement projects and incorporate the results into patient care improvements.
- Submitting quality scorecard data to Acadia corporate office as requested.
- Coordinating the abstraction of clinical data according to Joint Commission specifications and data entry via vendor database for Inpatient Psychiatric Core Measures (HBIPS).
- Identifying key aspects of care relevant indicators and evaluation of data using formal and informal feedback from consumers of services and other collateral sources is aggregated and used to improve management strategies and service delivery practices.
- Coordinating data collection and analysis from all departments within the facility.
- Regulatory preparedness – assist the Director of Quality in implementing sustainable survey preparation and ongoing monitoring processes, including facility-wide auditing and early-issue identification, to maximize achievement of zero- or standard-level survey outcomes.
- Facility-wide support – collaborate with other departments to sustainably implement best-practices in regulatory/accreditation compliance as evidenced by measurable results with regard to survey outcomes, patient safety metrics, patient experience results, HBIPS, etc.
- Develop and maintain proficiency in the functionality and auditing within electronic platforms such as electronic patient observations and the electronic medical record, as applicable.
- Engage in and assist with timely and regular evaluation of serious incidents, complaints, grievances and related investigations.
- Develop corrective action plans for the resolution of areas of regulatory vulnerability or those which could compromise patient safety in collaboration with other facility leaders.
- Ensure proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
