Director of Quality Improvement

Direct Service Responsibilities

Supervise Performance and Quality Improvement staff to ensure that all PQI activities are performed and completed, while supporting program staff to meet Federal, State and local code and regulations and accrediting body standards.

Coordinate all Council of Accreditation and Praesidium activities toward the achievement of agency accreditation and on-going adherence to “Best Practice” standards.

Assume the lead role in reviews and audits by external entities, facilitating the submission of any pre-audit documentation, acting as the point person throughout the review and ensuring that all Corrective Action Plans are submitted in a timely manner.

Develop, as needed, and/or utilize agency information systems for on-going program data collection and trend analysis, training PQI staff in their implementation to enter, aggregate and analyze information in areas such as:  demographics; incidents/accidents/grievances; the conduct of investigations, program specific data, etc.

Collaborate with leadership on the preparation of Annual Action Plans, in support of long range strategic plans, facilitating submission on a quarterly basis, and annually.

Supervise Case Record Review activities and the preparation of quarterly and annual Case Record Review reports, aggregating data, analyzing trends, and working collaboratively with program staff regarding follow-up activities and program improvements, as required.

Coordinate and/or conduct Consumer Safety activities including:  critical incident reporting; investigations/assessments and evaluations; incident/accident/grievance tracking; case reviews related to incidents; and working closely with central Quality Improvement on incident management requirements.

Supervise the preparation of quarterly and annual Consumer Safety reports, aggregating incident /accident /grievance data, analyzing quarterly and annual trends and working collaboratively with program staff regarding follow-up activities and improvements.

Chair, as appropriate, and participate in program Incident Review Committee meetings, at least quarterly but usually monthly, producing minutes, including verification of corrective actions.  Participate quarterly in Agency-wide IRC.

Supervise and/or coordinate Consumer Satisfaction activities and the preparation of Consumer Satisfaction Reports, aggregating data, analyzing trends and working collaboratively with program staff regarding follow-up activities and program improvements, as required.

Supervise Internal Quality Monitoring/Key Performance Indicator activities and the preparation of quarterly and annual reports, aggregating data, analyzing trends and working collaboratively with program staff regarding follow-up activities and improvements, as required.

Facilitate Performance and Outcome Measurement/Key Performance Indicator activities and the submission of Outcome Measurement/Key Performance Indicator reports including tracking key indicators throughout the year, aggregating data, analyzing quarterly and annual trends, and working collaboratively with program leadership and staff regarding follow-up activities and improvements, as required.

Assist with the formulation, implementation and monitoring of corrective actions to ensure program improvement including but not limited to:  policy/procedure development and review, systems development and review, establishing benchmarks, personnel assignments, training, etc., tracking the implementation of corrective actions providing follow-up, as needed, with program staff.

Participate in program Quality Team meetings.  Communicate results and recommendations to key audiences including the presentation of Quality Improvement reports to staff with analysis of trends.  Assure recording of minutes, as appropriate.

Ensure the implementation requirements, as indicated in the agency Quality Improvement manual.

Liaise with government oversight agencies, including funders, licensing bodies and the Justice Center.

Participate in COFCCA QI meetings.

Other QI tasks as assigned.

Supervisory Responsibilities

Collaborate with other departments agency-wide.

Maintain a learning environment, including the provision of staff development and training.

Supervise and coordinate the PQI Specialists in developing, implementing and evaluating assigned QI activities and projects.

Participate in meetings or committees, as position requires, including PQI team meetings  and Administrative Council.

Communicate information from meetings, conferences and committees to Quality Improvement staff.

Oversee staff, tasks and scheduling, ensuring task completion according to policies and procedures.

Provide staff supervision and in-service training, as appropriate.

Provide leadership to supervisees.

Collaborate in the completion PQI staff hiring and the completion of performance evaluations.

Other supervisory tasks as assigned.

Relationship with Others:

Must be a team player in order to interact with Administrative staff,Support Departments and front line staff.

Have a strong sensitivity to cultural differences in order to work well amongst staff, persons and families served.

Ability to set limits, maintain role, work collaboratively and respectfully to intervene appropriately as a quality improvement supervisor and staff person.

Demonstrate commitment to empower supervisees through training and problem-solving in a strength-based environment.

Qualifications - External

Qualifications:

Master’s degree in Human Services, Social Work, Health Care Administration, Public Administration or similar field.  Have three to five years experience in quality improvement/program evaluation and/or supervision in not-for-profit settings, preferred. Experience with computer database and word-processing programs such as MS-Office Suite–Word, Excel, Electronic Health Records, track and analyze information, is desirable. Experience with audit preparation, accreditation/survey activities, especially COA and Praesidium;  CPI and Outcomes measurement is desirable. Experience working in the field of child welfare with familiarity of applicable regulations is desirable.