The Hospice Quality Improvement Coordinator is responsible gathering and tracking data for quality improvement and requirements for regulatory standards. This includes but not limited to CMS reports, notifications, and training. In addition, oversees all data and quality initiatives with staff. This role is also responsible for Corporate Compliance, SHP, and Better for the customer reports. Organizing agendas, data, and materials needed for the quarterly Quality Improvement meetings.
DUTIES AND RESPONSIBILITIES:
Responsible for assuring timely, accurate, and complete reporting and recording of patient data and statistics through Brightree.
Ensures data submissions are sent to all required entities within required time frame
Access reports for Quality and Tracking purposes through SHP patient survey/score board
Audit and review patient records prior to submission to CMS
Manages contracts through Meditract Software Management
Develops monthly quality improvement data and generates monthly reports.
Educator of staff on changes in regulations and documentation requirements.
Chart auditing for timely and accurate documentation by staff.
Responsible for the tracking of referrals by source to include but not limited to Palliative, Hospital, and community.
Maintains records pertinent to personnel and operation of the Peace Hospice Program. Prepares reports, i.e., utilization, performance improvement, outcome data.
Record keeping for Compliance reports and Environment of Care
Assist with daily staffing levels to ensure safe quality care for patients
Performs all other duties as assigned.
Prepares graphs and power points for Quality and safety Reporting to management
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.
Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Adheres to dress code.
Completes annual educational requirements.
Maintains regulatory requirements.
Wears identification while on duty.
Maintains confidentiality at all times.
Attends department staff meetings as required within the department.
Reports to work on time and as scheduled; completes work in designated time.
Represents the organization in a positive and professional manner.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Coordinates efforts in meeting regulatory compliance, federal, state and local regulations and standards
Communicates and complies with the Benefis Health System Mission, Vision and Values as well as the focus statement of the department.
Complies with Benefis Health System Organization Policies and Procedures.
Complies with Health and Safety Standards and Guidelines.
Bachelor's Degree or 5 or more years experience in a healthcare setting working with data analytics, medical records, and leadership required
Strong computer skills, Microsoft Office
Requires problem solving, decision making, and critical thinking
Must be able to work in a self-directed environment, with an ability to work with and lead teams.
As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined. Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees.Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible. We’re here to help you “Live well.”Benefis Health System came about when two Christian-based hospitals became one. Our founders believed in providing good care to all in need, and trusted that this would be accomplished. The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust. It’s these same root words that make up such terms as ‘beneficial’ and ‘confidence’.Benefis has been a trusted provider of care for more than 125 years. And our name speaks to o...ur commitment: good care one can put faith in.Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.