Vice President of Quality and Improvement

Company: BAMSI
Location: Brockton
Posted on: September 12, 2020

Job Description:

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Vice President of Quality and Improvement Job Locations US-MA-Brockton

Posted Date 3 days ago (8/12/2020 3:45 PM)

Job ID 2020-3372

# of Openings 1

Category Quality Management

Schedule M-F

City Brockton

State/Province Massachusetts

Postal Code 02301

Overview General Statement of Duties:

Reporting directly to the President/CEO, the Vice President of Quality and Improvement is responsible for the development and the implementation of comprehensive plans and quality management system that support the growth, image and strategic interests of BAMSI, consistent with the organization's mission, vision, strategic and operational goals. This position is responsible for ensuring full compliance with all accreditation and licensure standards, continuing quality improvement initiatives including compliance with legal, and regulatory standards. The position will partner with organizational leaders to promote a culture of excellence, working cooperatively to enhance services and improve operations.

Responsibilities Responsibilities:

1. Develop and maintain a comprehensive compliance and quality management system throughout the organization, including assessment of risk and recommendations for service improvement.

2. Establish and utilize an effective mechanism of communication that provides ongoing feedback to Program Directors/Managers and their supervisors regarding program conformance to agency standards and expectations.

3. Oversee the agency’s Program Monitoring system assuring that Program Reviews are conducted as stipulated by agency policy, including recommended findings and corrective actions.

4. Develop and implement Risk Management protocols in conjunction with senior leadership and assure ongoing assessment of risk across the organization, including recommendations for actions/activities to mitigate risk and assure organizational integrity.

5. Oversee internal investigations and monitor external investigations as relates to service compliance and quality, assuring integrity in the process, policy compliance, and follow up regarding outcomes and recommendations.

6. Review critical incidents, evaluate trends and organizational risk, and assure timely follow up and corrective actions when needed, to assure service compliance, quality and improvement.

7. Obtain stakeholder input/feedback regarding organizational performance through a variety of methods including at minimum annual consumer and employee satisfaction surveys and on-line resources.

8. Gather and utilize data from a variety of sources to inform organizational decisions and risk management activities, providing timely analysis of data, as requested. Identify trends, patterns, and best practices, making recommendations to enhance service delivery/quality.

9. Establish and oversee a Corporate Compliance program and work with senior leadership to assure legal and regulatory compliance across the organization, including funding source regulations, licensing requirements, CARF standards and other contractual obligations.

10. Utilize technology to enhance work efforts, prepare reports, and provide professional presentations, as needed/requested.

11. Work with Program Directors to establish outcome measures and methodologies in conformance to licensing and funding source requirements as well as CARF accreditation. Assist in data gathering as needed and monitor outcomes to improve services to individuals/families.

12. Develop and maintain the agency’s Compliance and Quality Plan, prepare the annual Outcomes Management Report, and assist in the formulation and monitoring of the agency’s Strategic Plan.

13. Assist in the development and timely review of agency policies and assure that policies are revised, approved, and posted in conformance to established protocols.

14. Coordinate and oversee all activities of the Compliance and Quality Committee and work collaboratively with the Compliance and Quality Steering Group.

15. Knowledge of systems and resources within the organization and support programs to access those as appropriate and needed.

16. Conduct manager orientation and training as requested in areas related to compliance, quality and service improvements.

17. Serve as, (or delegate) the agency’s Quality Compliance Officer, Privacy Officer, Risk Management Officer, Programmatic Access Manager and HIPAA Agent (including HIPAA Compliance, Privacy and Security Officer); maintain and promote services that meet obligations in these areas.

18. Work with executive team, Board of Directors, civic/legal representatives and business partners to positively promote agency services and assure cooperative activities and follow through as needed.

19. Participate in agency committees and work teams as required including Clinical Review, Medical Risk, Safety Oversight and others as assigned.

20. Represent BAMSI on a variety of external quality related committees, advisory groups, improvement initiatives, etc. as identified.

21. Perform duties consistent with program and agency policies and procedures.

22. Execute duties to reflect reasonable safety standards. Standard/Universal precautions must be utilized and training in areas that constitute risk.

23. Perform other duties as assigned by CEO or designee.

24. Plan, organize, direct and coordinate departmental compliance and quality program activities to help ensure that practices, policies and procedures comply with State and Federal law as well as BAMSI standards and ethics.

Qualifications Qualifications:

• Bachelor’s Degree in management or human services related field required; Master’s Degree desired.

• A minimum of two years of experience in research, program or systems management, that includes preparation of reports, analysis of information and presentation of data in a completer and organized manner.

• Demonstrated skill, and at least two years of experience, with Microsoft Word, Excel, Outlook and PowerPoint required and a willingness to research and be trained in other applications as needed.

• Demonstrated knowledge and direct experience of human service programs, including familiarity with EOHHS regulations as pertains to service delivery for a variety of populations.

• Excellent organizational, verbal and written communication skills.

• Knowledge of statistical processes and measurement techniques preferred.

• Ability to think critically, formulate ideas and synthesize information into objective and well formulated reports and documents

• Skill in working cooperatively and effectively with others to achieve common goals.

• Skill in motivating and inspiring a team and leading by example.

• Experience in working with teams in a complex organization.

• Highly collaborative team player who fosters open communication and facilitates mutual understanding and cooperation between all stakeholders

• Ability to adapt to changing demands, workflow and perform under stressful situations in a calm manner with excellent interpersonal skills.

• Experience leading regulatory inspections/audits and responding to inquiries.

• Strong commitment to working collaboratively with partners across the company.

• Strategic leadership skills and big picture perspective, as well as the ability to implement and execute.

• Strong project management skills and experience, including managing multiple internal stakeholders and projects at once.

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Keywords: BAMSI, Brockton , Vice President of Quality and Improvement, Other , Brockton, Massachusetts