Quality Enhancement Coordinator

JOB SUMMARY

Under the direction of the Associate Director for Clinical Quality, this position is responsible for conducting incident investigations and program surveys to ensure regulatory compliance, safety, and person centered practices. The role includes investigating incidents, reviewing programs and services, identifying risks and areas for improvement, and providing clear, timely reports and recommendations. This position works closely with agency staff, leadership, and external entities to support quality improvement, protect the wellbeing of people supported and associates, and uphold agency standards, regulations, and values

JOB FUNCTIONS

Regulatory Conduct investigations related to the Incident Management process Maintain a working knowledge of regulatory requirements and agency procedure regarding investigations. Provide support and guidance to agency associates in the issues of incident management. Develop the investigatory scope of incidents and conduct a thorough investigation within the required timeframes for the applicable committee review. Establish appropriate priorities when multiple investigations are being conducted. Ensure confidentiality is maintained for agency associates and people we support in relation to all investigations. This includes personnel records; people we support records; verbal and written communications. Conduct interviews as necessary which may involve travel to various agency locations and to the private homes of people we support. Make recommendations for corrective actions based on thorough analysis of the facts and information obtained through investigation. Prepare a thorough written investigation report within the required timeframe for review by the Associate Director for Clinical Quality or Director of Quality Enhancement and committee. Conduct Program Surveys Maintain a working knowledge of regulatory requirements for programs and services. Observe evacuation drills as assigned to ensure evacuation plans are followed and effective. Apply knowledge of regulatory requirements to identify any issues of imminent danger and ensure immediate course of corrective action is taken by department leadership. Complete a full review of programs using the most current protocols and guidance from regulatory oversight agencies. Provide each program and/or service with a comprehensive assessment of strengths and areas of improvement. Ensure communication to the Director for Quality Enhancement/Associate Director for Clinical Quality and department director of any identified non-compliance with regulations, laws and/or codes. Actively seek up-to-date information and materials regarding regulatory compliance. Coordinate with and Director of Facilities to complete physical plant inspections at the program sites. Person Centered Services Observe associates providing services and evaluate their performance based on OPWDD and person-centered philosophy and standards. Maintain working knowledge of agency person centered initiatives and standards. Incorporate person-centered philosophy and standards into the investigation and program survey process. Evaluate all documentation and service plans utilizing person-centered standards to identify strengths and areas of improvement. Provide comprehensive analysis of identified strengths and areas of improvement. Monitor implementation and effectiveness of behavior support plans and provide feedback to the Behavior Intervention Specialist. Maintain a working knowledge of regulatory requirements for Person-Centered Behavioral Supports. Program Standard Assist with research and provide information on regulatory, and person-centered requirements as requested by agency programs or services. Collect and/or provide data as requested by department or agency management. Ensure routine communication with the Associate Director of Clinical Quality to ensure awareness of current activities and job demands. Develop comprehensive, professionally written reports on job activities as assigned. Physical Plant and Safety Ensure any safety concerns and hazards observed are reported immediately to ensure the welfare of all people served and associates. Monitor survey activity by Office of Fire Prevention and Control (OFPC) to incorporate trends into survey processes. Ensure communication of identified physical plant and safety updates from oversight agencies. Provide recommendations and guidance on safety concerns and issues identified in investigations or surveys. Contacts with Others Act as a representative of the agency with people receiving services, families, funding and regulatory entities, industry associations and the public. Regularly interact with department associates during job activities. Conduct trainings as assigned including Quality topics (incident reporting), SCIP, etc. Talent Management Assist with recruitment and hiring as requested for department vacancies. Assist in the evaluation of department positions to identify inefficiencies and areas of improvement. Additional Functions Participate in agency initiatives and committees as assigned/requested. Meet regularly with the Associate Director of Quality Enhancement to inform, consult and coordinate current activities and job demands. Serve as committee chair back up for the Director and Associate Director of Clinical Quality, as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

This position requires active knowledge of agency operations, investigative techniques, and ethical business practices. This position requires you to have basic knowledge of agency processes, policies and procedures. This position requires you to have excellent written and verbal communication skills. This position requires you to have basic knowledge of computer operations (i.e. databases, spreadsheets, word processing and e-mail). This position requires you to develop clear, understandable reports related to job activities. This position requires you to work independently, as well as in a team, and organize duties according to required timeframes. This position requires you to be able to manage multiple and competing demands and prioritize accordingly.

QUALIFICATIONS

High school diploma, General Education Development (GED) or Test Assessing Secondary Completion (TASC). Three-years' experience working with people with developmental disabilities Alignment with agency's mission, vision and code of ethics. Demonstrate respectfulness, professionalism, effective teamwork and empathy such as active listening. CPR/First Aid/AED instruction and SCIP Certification within the first six months of hire Obtain and maintain CQL Personal Outcome Measure Certification as an interviewer.

ADDITIONAL QUALIFICATIONS/REQUIREMENTS

Where position requires driving: Valid driver's license for the state in which the person resides. Acceptable safe driving record. Where position requires driving individuals served by the

Agency:

Motor vehicle with up-to-date inspection, that is registered and insured. Will be required to enroll in LENS (Licensed Event Notification System).

AUTHORITY AND ACCOUNTABILITY

People:

This position does not have any direct supervision of associates. This position does interact on a regular basis with all other departments of the agency. This position is accountable to the Associate Director of Clinical Quality.

Operations:

This position has responsibility for regulatory, personal allowance and incident management compliance.

Budget:

This position has responsibility to adhere to budgetary expense guidelines and programs. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.