QUALITY AND RISK COORDINATOR

STATEMENT OF PURPOSE:

The Quality/Risk Coordinator, under the general direction of the Director of Quality and Risk Management, assists in the administration of the QUALITY AND RISK functions, including but not limited to working with SLH administration, departments, and the medical staff to monitor and evaluate the quality of delivery of patient care services within the organization. The Quality/Risk Coordinator coordinates activities with the Quality/Risk Mgmt Director and Manager to facilitate overall program QUALITY AND consistency.

ESSENTIAL FUNCTIONS:

1. Facilitate the gathering and organization of all incoming health outcomes and gaps in care data received at all sites, from the various health plans, as applicable.

1. Maintain scribe responsibilities for various committees, to include the Clinical Team meeting, Infection Control Committee and the Quality Management/Performance Improvement (QM/PI) Committee.

1. Assist with clerical work associated with Quality and Risk activities, which include but are not limited to, mass copying, lamination projects, updating materials, distribution of materials to applicable staff, etc.

1. Manages the details that facilitate the participation of QI staff in QI related activities such as registration for conferences, lodging, air travel, etc.

1. Collaborates, as applicable, with any/all QI Department staff to plan and implement Quality and Risk activities.

1. The coordinator ensures proper management of the Incident Reporting System, including but not limited to:
   1. Learning the tool, its functionalities, and different modules
   2. Manage the customization,
   3. providing proper access to the users, managing access rights for the users, editing/inactivating users as needed,
   4. managing the dashboard, creating, generating, and managing reports in the incident report system, and assigning to the user group,
   5. Help the Director of Quality and Risk to create training for the staff and roll out the training.
2. Help with data analysis using XL and another analytics tool as made available.

1. Participates in the Process Improvement Activities, RCAs, and FMEAs and assists with the documentation.

1. Respects and values each patient's unique, individual needs, beliefs, and diversity and incorporates these into the delivery of any and all Quality and Risk activities.

1. Work cohesively with the Director of Quality and Risk to develop and/or coordinate information necessary to monitor the completion of crucial audits, which include but are not limited to, UDS audits, monthly site walk-thru audits, etc.

1. Assist the Director of Quality and Risk and Medical Records Supervisor in the coordination and preparation of HEDIS medical record reviews performed by outside entities.

1. Assists as needed in support of accreditation, certification and regulatory activities such as The Joint Commission, State licensing, OSHA, etc.

1. Follow a predetermined schedule for all activities with goal of meeting deadlines.

1. Participates, as applicable, in performance improvement activities in conjunction with those being performed by other disciplines/departments.

1. Participates in Quality and Risk Department team meetings (weekly huddles) to enhance the interdisciplinary approach to promoting an effective and efficient department.

1. Enhances personal and professional growth by seeking opportunities for self-directed learning and attending in-services, webinars, etc., as applicable.

1. Supports the purpose of the Sun Life Quality and Risk Program/Plan(s).

1. Prior to any approved time away from the office, provide the Director of Quality and Risk with an overview picture of major or significant projects that will need attention during the absence.

1. Demonstrate an understanding of organizational structure by utilization of appropriate channels of communication.

1. Promote excellence in internal and external customer service by maintaining consistent, timely communication regarding all facets of departmental activities, as applicable.

1. Maintain any/all competencies including the organization's annual mandatory in-service requirements.

ADDITIONAL RESPONSIBILITIES:

1.Perform all other related duties as assigned or requested.

2. Conduct himself/herself in a manner consistent with the Mission statement of Sun Life Family Health Center and embedding the Values in all day-to-day endeavors:

Integrity-ensuring the completion of meaningful and accurate work

Dignity-by the nonjudgmental acceptance of individuals regardless of disparities identified during the course of initiating/completing any/all activities

Excellence-by focusing on what will provide the best outcomes for the patient

Innovation-by utilizing current and proven Quality and Risk processes/tools

Empowerment-by imparting knowledge with both staff and patients

Stewardship-by working efficiently to produce accurate and timely data

Education-providing opportunities for all to learn during delivery of care, treatment and/or services.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Ability to gather data in an organized fashion from varied sources
• Ability to multitask and prioritize work
• Ability to organize data for dissemination, as applicable
• Ability to carry out instructions furnished in oral, written or visual format
• Flexibility and Adaptability
• Conduct daily duties in a professional manner

EDUCATION AND EXPERIENCE:

• High School diploma or equivalency
• Minimum of two years work experience with considerable autonomy, self-direction and leadership
• Computer literacy and word processing proficiency
• Knowledge of MS Office, data analysis, and presentation of data in a meaningful way