Quality Coordinator

Regulatory guidance and advice (30%)

A.     Stays current with OPWDD and federal changes affecting all program areas.

B.     Acts as Quality and Compliance Liaison for program and attends reviews, audits and monitoring visits and BPC exit conferences.

C.     Works with program to facilitate root cause analysis and corrective action for any citations or recommendations. Ensures response to recommendation/corrective actions are completed within mandatory timeframes.

D.     Trends audit and observation results for Directors and above within programs and operations.

E.     Provides technical support at large in the areas of regulatory requirements, quality, incidents, and compliance.

F.     Provides training as assigned in areas related to regulations, compliance, departmental policies, procedures, and work instructions, documentation, quality improvement, etc. – including based on state audit findings or  quality audit results.

G.     Identify and implement process variations due to changes in regulations are completed within the mandatory timeframes.

H.     Participates in the agency’s organizational  Quality Management System group with other Quality Coordinators.

I.      Is accountable to VP for Quality and Compliance for all organizational assignments and participation in organizational policies and procedures.

Supervisor’s observations :

·         New program requirements are explored, shared and explained in a timely and effective manner.

·         The adjustments to processes based on changing regulations are identified and implemented within mandatory timeframes.

·         Accuracy of technical support given

·         Correlation between training need and curriculum developed

·         Willingness to work within various aspects of program services

VP for Quality and Compliance input/observation on:

·         Consistent attendance and participation in Organizational Policy and Procedure group

·         Accurate and timely follow through on all organizational P&P and agency related assignments

A.     Serves as technical support for program regarding reportable events.  Manages and coordinates the collection of Special Review related follow up for submission to  the incident department.  Presents incidents to Special Review Committee.

B.     Reviews Staff Action Plans (SAPs) for accuracy and certifies in Precision Care when ready for approval. (QIDP status required.)

C.     Serves as technical support for program regarding Precision Care matters.

1. Develops and monitors departmental policies, procedures, and work instructions which align with organizational policies and procedures.

1.  Facilitates/assists with root cause analysis in response to BPC and internal audit findings, and with POCA development.

F.     Manages data tracking systems related to regulatory compliance.

G.     Forwards compliance audit data to VP for Quality and Compliance at the established frequency

H.     Conducts internal audits to continually assess program compliance, and makes recommendations for system improvements and staff trainings.

I.      Conducts data review audits to support billing accuracy.

J.      Monitors processes for storage and destruction of documents.

K.     Manages Life Plan compliance process, making certain regulatory requirements are met.

·         Customer feedback on technical support and training in regards to various procedures

·         Number of recommendations from audits

·         Life Plans meet regulatory requirements and/or there is evidence of due diligence to bring them into compliance.

Observations from supervisor and VP for quality and compliance on:

·         Procedures/practices are current and easily accessible to users

·         Data tracking systems are kept up to date and are accessible

·         Data is forwarded to VP for Quality and Compliance as required

·         Documentation storage is managed efficiently

1. Conducts quality/compliance sampling audits as assigned to assess program compliance, and makes recommendations for system improvements and staff trainings as appropriate. Notifies supervisor in the event that a situation is identified which would require the opening of a compliance case or other concern.

1. Forwards quality audit data to VP for Quality and Compliance at the established frequency

1. Works with department managers to develop, track, and assess department goals.

1. Conducts observations of the provision of supports and services within assigned programs and provides feedback for improvement.

1. Assists program in developing measurements to ensure progress is being made toward goals the program has identified, as assigned.

1. Identifies opportunities to streamline internal processes within program.

·         Feedback from department leadership in regards to assisting with developing, tracking and assessing department goals, and developing related measures.

Observations from supervisor and VP for quality and compliance on:

·         Thoroughness and accuracy of quality audits, observations, validation visit reports, and physical plant walk-throughs.

·         Measurements are developed to support program/agency goals.