Director of Clinical Outcomes
The Director of Clinical Outcomes is responsible for managing the Graham Home Health Quality Assurance Performance Improvement Program. This position will utilize evidence-based clinical practice guidelines, regulatory requirements, in conjunction with Plan-Do-Check-Act (PDCA) principles to facilitate improvements and evaluation of key performance initiatives.
The Director of Clinical Outcomes will work in collaboration with Graham Leaders and Quality Managers to assure optimal prioritization of new and revised improvements. QAPI programs will support Graham’s Corporate vision of providing quality and cost-effective care.
In addition, support will be given to new areas of operations, including site visits and staff training as it relates to the Quality Manager Specialist role.
- Works under the direction of the Vice President of Clinical Integration and Performance Management.
- Manages Feedback, Data System Results, & Monitors the assigned Metrics.
- Prepares and reports into Leadership at the requested frequency with the following information but not limited to:
- High risk, high volume, problem-prone areas (CASPER reports and Pepper reports)
- Patient safety (Incident reports, adverse events, infection control logs, fall incidents, med errors, etc.
- Quality of care (OBQI, OBQM, PBQI)
- Billing accuracy or deficiencies tied to clinical documentation
- Timeliness of documentation completion
- OASIS related measures
- Number of unplanned discharges
- Complaints trends
- Standards of practice deficiencies
- Prepares and Manages the organization’s Quality Assurance and Performance Improvement Plan.
- Ensures standardization of QAPI plans across the branches and organizes report findings of audits, studies, regulatory changes, and other pertinent information to proactively lead change.
- Ensures the Graham-wide QAPI plan utilizes all applicable and relevant quality metrics and clearly state the processes that will be used to identify areas for improvement and risk mitigation.
- Works in cooperation with Graham Home Health Leadership to propose, facilitate, and evaluate agency clinical performance and improvement needs.
- Demonstrates Systematic Analysis and Systematic Action.
- Measures, analyzes, and tracks branch quality indicators including but not limited to:
- Adverse events
- Processes of care, services, and operations tied to health outcomes, patient safety, and care delivery
- Utilizes tools and techniques used for continuous quality improvement including analysis and interpretation of data using various data sources and use of comparative benchmarking internally and externally when relevant.
- Utilizes regulatory evidence-based clinical practice guidelines, current Medicare and OASIS directives, in conjunction with PDSA principles to facilitate, propose, and evaluate corporate-wide agency improvement initiatives.
- Possesses Leadership Skills and can interact with a variety of interdisciplinary departments.
- Leads internal staff to ensure their understanding of the agency needs
- Understands team dynamics and skilled at building team spirit. Motivates team members to work together to achieve goals. Ability to develop and maintain strong working relationships.
- Develops/maintains effective working relationships.
- Creates and maintains a supportive and stimulating work environment to facilitate full participation by staff, maximize capabilities, and achieve a high level of pride and employee morale.
- Consistently acts as a resource and role model.
- Represents professional in such a manner as to enhance the image of the organization and further its objectives
- Consistently exhibits a positive attitude and desire to comply with Graham Healthcare Group corporate culture
- Performs other duties as assigned
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Previous experience in Quality Improvement functions required
- Working knowledge of OASIS Assessment experience required. Current OASIS certification preferred.
- Bachelor’s degree from an Accredited program of Nursing. Masters degree preferred.
- Minimum of 3 years prior home healthcare, the management, or education experience required.
- Experience in adult education required, experience in training via electronic or virtual transmission preferred.
- Candidate must be competent in MS Office and be highly proficient in the use of MS Excel, Word, and MS PowerPoint.
- Project supervision or management experience preferred.
- Experience in project implementation using Performance Improvement methods of Lean, Total Quality Management, or PDSA preferred