Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation by other members of the interdisciplinary team. Serves as a quality improvement champion and role model by promoting and supporting the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve processes and patient outcomes at the facility and area levels. Must have effective communications among the interdisciplinary team (IDT) and must produce effective quality assessment and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality oversight of the position covers all treatment modalities (e.g. in-center, home hemodialysis and home peritoneal dialysis), and in collaboration with the IDT, is responsible for the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography.
Facilitates the implementation and integration of the FKC Quality programs and initiatives into the facilities' standard operating procedures through teamwork and collaboration with area and facility clinical, interdisciplinary and operations teams.
Serves as a subject matter expert for clinical quality matters when collaborating with other RNs and members of the Area Quality Team. Identifies clinical quality improvement opportunities in the assigned area to achieve CMS Conditions for Coverage and FMS quality program requirements.
Manages the tactical execution of Quality and other clinical initiatives, interventions and standardized education materials with facility RNs within the assigned area.
Provides general direction, nursing and clinical guidance related to appropriate theoretical perspectives and feedback based upon professional standards and FMCNA guidelines to support facility RNs within the assigned area in achieving the desired outcomes in the following: quality, patient satisfaction, teamwork, unit culture, and employee satisfaction.
Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical Services, Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality goals and ongoing patient safety improvement.
Mentors and trains staff to collect, trend, and analyze data on a day to day basis to monitor the effectiveness of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity and mortality.
Utilizes evidenced based and best demonstrated practices to address barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and care delivery.
Leverages available tools, resources and informatics technology to focus on targeted patient populations.
Applies current knowledge of FMS clinical and administrative policies and procedures, available internal resources, working knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality improvement concepts, principles and practices to perform tasks and duties.
Utilizes quality improvement techniques to promote collaboration between facilities and areas to share processes and strategies for success. Mentors and assists facilities in identifying effective practices applicable to their needs, in testing for desired results, and the adoption and implementation of these practices.
Under the direction of Clinical Quality leadership, provides guidance, interpretation and subject matter expertise to clinical and operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and electronic applications.
Performs desk review of facility Quality Assessment and Performance Improvement (QAPI) documentation and attends QAPI meetings at a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and CQI activities utilizing the following processes.
Reviews completion of facility QAI activities including but not limited to adherence to the QAI calendar, completion of QAI tools and electronic applications
Attends and participates in regional, area, facility and team meetings as appropriate which may include quality team building and staff development and other meetings as appropriate. Collaborates with appropriate management staff as needed to achieve effective inter-disciplinary, intra-disciplinary and clinic relationships.
Identifies risk areas and opportunities for improvement.
Assists with root cause analysis and action plan development and evaluation as needed.
Provides written or verbal recommendations to facility and area management.
Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and incorporation of the company's quality standards and the practice of Continuous Quality Improvement in facility standard procedures.
Accountable for outstanding customer service to all external and internal customers, including patients, staff, physicians, field management and staff, and payers, including disease management entities.
Develops and maintains exceptional working relationships through effective and timely communication with all customers
Under the direction of Clinical Quality leadership, assists with various projects as assigned.
Performs other related duties as assigned.
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