Chief Quality Officer (CQO)

Job Description

Job Description

Description :

PRIMARY PURPOSE AND OBJECTIVES :

The Chief Quality Officer (CQO) is responsible for quality assurance and quality improvement across the entire agency under the direction of the President / CEO to assure the highest quality of service provision to individuals receiving support of RSL services. This position is responsible for developing and implementing the agency’s quality management system, including both its internal quality assurance and improvement activities and Compliance Program.

DUTIES AND RESPONSIBILITIES :

• Works with President / CEO and Directors to provide oversight of quality provision of services
• Takes a leadership role in ensuring that the agency regularly uses input of staff and service recipients and aggregate data to identify issues and opportunities for improvement and to support decisions about individuals’ care and the agency’s direction.
• Provides leadership in developing, revising, and implementing the agency’s annual quality improvement plan.
• Provides analysis of incident management information and reports and makes recommendations for changes and adjustments.
• Responsible for quarterly reports to President / CEO and Directors regarding status of CQM to assure compliance and progress in the meeting of goals, objectives, and outcomes of the quality improvement plan.
• Ensures the development of a culture of improvement across the entire agency with continuous staff involvement.
• Provides leadership and staffing for the quality management committee to review agency performance, adverse events, quality of care and personal outcomes
• Ensures compliance with all documentation, staff qualifications, and other state, federal and accrediting body requirements for the services being delivered.
• Ensures the agency’s compliance with accreditation standards and leading reaccreditation activities
• Ensures compliance with all reporting requirements of local and state agencies
• Identifies a standardized method for measuring and reporting personal outcome measures for individuals served by the agency. Uses personal outcomes, staff and feedback from individuals served, and other performance measures to drive agency decisions
• Uses personal outcomes, staff and feedback from individuals served, and other performance measures to drive agency’s decisions
• Ensures the agency is practicing good business conduct
• Oversees and participates in quarterly client / personnel chart audits
• Develops the necessary forms, tools, applications, and other documents to perform quality assurance / quality improvement functions
• Tracks client complaints and grievances and documents for review and investigations / resolutions.
• Ensure agency is consistently practicing emergency drills (i.e. fire drills, bomb threats, medical emergency) within established timelines
• Facilitates QA / QI Committee meetings and maintain documentation
• Develops necessary policies, procedures, protocols, etc. to enhance agency’s business operations.
• Professionally communicates with all Prepaid Health Plans and Management Care Organizations’ personnel regarding quality assurance concerns or issues.
• Monitors the Department of Health and Human Services, LME / MCO and DMA websites weekly to review implementation updates, communication bulletin and other pertinent mental health policies / procedures updates.
• Facilitate staff meetings; participate in workshops, conferences and other off-site meetings, virtual meetings, webinars, seminars, pre-recording sessions, when necessary.
• Assist with investigating any client or staff incidents, accidents, or allegations.
• Ensure client incidents are submitted in the NC Incident Response Improvement System (IRIS) within established timeframes.
• Generates emails to agency-wide staff members for pertinent updates, changes, stipulations and training opportunities.
• Develop, implement and monitor Plans of Corrections, when necessary.
• Revises and updates the following : Cultural Competency Plan, Information Technology Plan, Strategic Plan, Accessibility Plan and Risk Management Plan.
• Works closely with Human Resources to ensure personnel transactions are appropriately completed to meet personnel records compliance.
• Ensures the effective implementation of policies and procedures for credentialing and supervision of staff, monitoring of services, assurance of the safety of individuals served and effective outcomes, review of adverse events and identification of improvement opportunities.
• Responsible for the development of collaborative relationships between the agency and LMEs / MCOs in which the agency provides services through involvement in their communities’ quality management initiatives.
• Responsible for guiding and monitoring accreditation activities to support CQM and accreditation objectives.
• Oversees and participates in the monitoring process of all services provided
• Serves as staff to the Board of Human Rights Committee.
• Chairs the staff CQI Committee.
• Research and develop statistical reports for internal use and for governmental agencies.
• Oversees the Ralph Scott Life Services training program and training staff
• Supervises the Associate Director of QA and any other designated employees
• Serves as a resource to program staff
• Other duties as determined by the President / CEO

REGULAR REQUIRED FUNCTIONS :

MINIMUM QUALIFICATIONS AND CREDENTIALS :

Requirements :