Quality Assurance and Accreditation Manager

Riverside Health System; Smithfield (VA); On-site; USD 91,000 - 125,000; Full time

Job summary

Riverside Health System seeks a Quality Manager to lead the organization’s quality program and champion reliable, evidence-based care for every patient, everywhere, every time. This role emphasizes improving outcomes through people, processes and technology and requires ensuring timely data submissions for mandatory and voluntary quality reporting programs.

The Manager coordinates facility quality recognition initiatives (Stroke Certification, Accreditation for Cardiovascular Excellence, Baby

Responsibilities

• Oversees facility quality management and quality assurance program, ensuring reporting for quality and pay-for-performance programs. Ensures ongoing knowledge of required quality reporting programs and measures; aligns education and communications with the quality program.
• Manages data submission for CMS IQR/OQR, CMS VBP, HAC Reduction and Readmission Reduction Programs, VA Medicare (DMAS) Quality Program, Commercial Quality Programs, and Leapfrog Hospital Survey; ensures data validation and timely submission.

Job description

Hiring Range

$91,000.00 - $125,125.00/AnnualActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Overview

The Quality Manager serves as a highly visible, energetic leader and champion for quality throughout the organization, and is responsible for implementation of the quality program. The Manager promotes high reliability for recommended evidence-based care for every patient, everywhere, every time assuring a focus on people, process and technology to improve performance. The Manager assures accurate and timely submission of all required data and information for required and voluntary quality reporting programs. The Manager supports a continuous learning environment and adheres to just culture principles. The Manager assures ongoing and up to date knowledge of required quality reporting programs and specific quality measures within each of the reporting programs. Knows where to obtain information on measure specifications. The Manager assures high reliability for recommended evidence-based care for every patient, everywhere, every time assuring a focus on people, process and technology to improve performance. The Manager assures appropriate and up to date content for facility education, training and communication related to quality management and assures alignment and coordination of quality recognition programs with the facility wide quality program. For example, Stroke Certification, Accreditation for Cardiovascular Excellence, Baby Friendly Designation, etc. The Manager is responsible for the role of facility Stroke Coordinator and assures coordination/management of the stroke patients as well as the organizing, planning, directing, and evaluating of services provided. The Manager provides leadership, direction and mentorship/support to the staffing needs for stroke patient care. The Manager will act as a resource within RHS in providing best practice and evidence-based stroke care to this patient population. The Manager assures accurate and timely submission of data and information for required and voluntary quality programs and assures data meets validation requirements for the facility. The Manager has deep knowledge of quality data applications and serves as a content expert on navigation and use (such as Premier). The Manager applies the principles of performance and process improvement to quality improvement projects. The Manager designs and conducts quality improvement training for the facility. The Manager works closely and collaboratively with medical, nursing and clinical leadership to implement improvement strategies to continually improve quality and safety; and contributes to establishing the annual quality and safety plan and contributes to the year-end summary report of progress towards goals and related achievements.

What you will do

• Oversees facility quality management and quality assurance program, assures structure supports required reporting for quality and pay for performance programs. Assures ongoing and up to date knowledge of required quality reporting programs and specific quality measures within each of the reporting programs. Knows where to obtain information on measure specifications. Assurs high reliability for recommended evidence-based care for every patient, everywhere, every time assuring a focus on people, process and technology to improve performance. Assurs appropriate and up to date content for facility education, training and communication related to quality management and assures alignment and coordination of quality recognition programs with the facility wide quality program. For example, Stroke Certification, Accreditation for Cardiovascular Excellence, Baby Friendly Designation, etc.
• Assures accurate and timely submission of data and information for required and voluntary quality programs, including but not limited to: CMS IQR and OQR: Measures and submission of data, CMS VBP, HAC Reduction and Readmission Reduction Programs, VA Medicare (DMAS) Quality Program, Commercial Payer Quality Program (Anthem Q-HIP) and Leapfrog Hospital Survey. Assures data meets validation requirements for the facility.