The Quality Assurance Analyst is responsible for performing professional procedures. administrative duties related to assessing, planning, implementing, and evaluating performance improvement and regulatory compliance strategies of Duke HomeCare & Hospice (DHCH). In collaboration with the Director and with senior leadership, identifies, plans and executes activities to promote patient safety, performance improvement initiatives and to ensure compliance according to regulatory statues, policies and procedures.
Develop, design and recommend strategies or activities intended to improve performance in clinical quality, patient safety, and regulatory compliance for all clinical programs of Duke HomeCare & Hospice. May directly implement or provide consultation to individual clinical programs in the implementation of improvement strategies.
Recommend to and/or participate with DHCH leadership in development of annual performance improvement, quality assurance and regulatory compliance strategic plans for assigned programs of DHCH. Provide consultation to, and facilitation of, individuals and teams within assigned clinical programs related to quality, safety and compliance activities. (e.g. Program level safety teams).
Lead/direct teams at DHCH-wide level (e.g. Infection Control, Clinical Forms, FMEA).
May manage the DHCH infection control program. Develop and implement infection control plan, assure compliance with infection surveillance, prevention, control measures, and functions as the ICP and chairs the ICC.
Establish DHCH clinical quality assessment/improvement standards. Identify quality issues and conduct audits to further investigate issues. Audit outsourcing facilities as appropriate. Analyze audit results and submit reports on findings to DHCH leadership. Based on audit findings, recommend and implement preventive and/or corrective actions.
Regularly assess the knowledge needs of the clinical staff related to regulatory standards and develop plans to meet those requirements. Identify personal learning needs of clinical staff and implement corrective action. Plans and conducts staff development programs toimprove agency effectiveness. Maintain up to date knowledge of Medicare/Medicaid/JCAHO/HIPPA regulations through in-services and workshop attendance. Teach and train all staff on new regulations or changes in regulations/standards. Regularly review clinical documentation, patient satisfaction records, and QI’s to assess and identify trends. Recommends and implements process changes, policy changes, staff training or other appropriate mitigating factors in response to identified trends.
Provide oversight to the PI/QA Program Coordinator related to forms management, requests for information, data reports distributed to clinical programs. Develops DHCH policy, procedures and objectives.
Performs other duties as assigned.
Knowledge, Skills and Abilities
- Working knowledge of Medicare and Medicaid regulations, including JCAHO required. and DFS standards, ICD-9 Coding.
- Maintains confidentiality of employee and patient information.
- Promotes quality, comprehensive services through a team approach.
- Excellent interpersonal communication and organizational skills.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Bachelors degree in a clinical field required. Degree in nursing (RN), physical therapy, occupational therapy or speech pathology strongly preferred.
Minimum of 2 years home care experience with at minimum 1 year experience related to performance improvement, quality assurance or regulatory affairs.
Degrees, Licensures, Certifications
Appropriate certification/licensure as required by clinical field.