Director of Quality Management (Hospice & Palliative Care)

The Director of Quality Management oversees the development, implementation and maintenance of quality management program for Hospice and Palliative Care.

• Develops a Quality Assurance/Performance Improvement (QAPI) Plan for Hospice consistent with regulatory requirements, industry standards and patient needs
• Keeps senior leadership abreast of trends within healthcare quality, it's impact on hospice, advises and recommends strategic quality initiatives. Reports on key quality indicators to Senior Leadership
• Oversees the utilization of On-Line Risk Management System (Safetrak). To identify and reduce risks by examining high risk, problem prone processes related to care, treatment or service
• Collaborates with leadership and hospice staff to develop clinical performance indicators, manage related analysis and benchmarking and disseminate information. Ensures quality and performance improvement data is used for statistical data and performance improvement
• Ensures the consistent development, implementation and accountability of performance improvement initiatives to enhance processes that support the provision of high-quality care and ensures effectiveness of performance improvement projects
• Ensures compliance with Federal and NYS regulations by serving as a resource on regulatory matters
• Maintains knowledge of current trends and developments in areas of responsibility through membership in appropriate professional organizations, attend in services and continuing education to maintain current knowledge and expertise, maintain up to date knowledge of the laws regulation and payor requirements that affect policy and procedure
• Oversees CMS Hospice Quality Reporting Program (CAHPS and HIS) to ensure compliance with regulatory mandates. Utilizes data to implement Performance Improvement Projects in order to improve practice and service