NATURE OF WORK
This is professional work assisting in the development of various quality assurance/improvement systems for health care and/or related human service programs. The goal is to ensure that the quality of care of services is being delivered consistent with established program protocols, Public Health Standards or other best practice models appropriate to the assigned programs.
Employees in this class evaluate health care and/or related human service systems and/or services, evaluate program performance and/or service outcomes, and provide recommendations for action where standards are not met or could be improved.
Incumbents are responsible for assisting in the development of health care clinical performance indicators, system-level and client-level outcome measures, and methods of evaluating achievement. This information may be utilized by health care staff, Quality Assurance (QA) Support staff, planning bodies, service providers and consumers in a multi‑disciplinary manner. Incumbents also collect, analyze, and evaluate system-level and client-level indicators and quality of care or service data. Incumbents participate in regular utilization review activities with other designated professionals for the purpose of providing recommendations for corrective and/or improved actions. Performance is reviewed periodically through conferences and written reports.
Assists in development of tools which capture data to measure quantity, quality, and effectiveness of care, programs, and/or services as required by the area of assignment; may assist with training agency staff in the use of quality measurement tools.
Assists in management of quality assurance data and information flow, ensuring the activities are integrated and non‑duplicative; maintains records of quality assurance activities.
Assists in the development and maintenance of systems for analysis of patient/consumer care, program services, and other related issues, as required by the area of assignment.
Assists in the provision of technical assistance on process/quality improvement to agency staff, other service providers, and the general public, as required by the area of assignment; may be asked to provide technical assistance independently as appropriate and required.
Assists in updating current service delivery models or procedures using best practices or bench-marks for data analysis, root cause analysis, and PDSA models.
Conducts site visits to agencies and/or service provider work locations to obtain program service data, review processes, as required by the area of assignment; collection of this data may include extraction from electronic data bases or directly from client chart or medical record.
Develops and maintains data bases for quality assurance data collection for area of assignment and works cooperatively with internal and external quality assurance staff in other areas of the County.
Identifies possible problems in the delivery of services or in the systems of care; facilitates and monitors problem resolution.
Interprets qualitative and quantitative data, draws conclusions and makes recommendations for changes in programs, processes, to achieve quality improvement.
May conduct field surveys, interviews, and focus groups with clients, non-profit organizations, or others, to determine community needs and quality of clinical services.
May participate in formal accreditation activities, working with agency management and staff to prepare for accreditation surveys and with accreditation staff, such as JCAHO, in the conduct of surveys, as required for the area of assignment; may oversee ongoing systematic monitoring for compliance with accreditation or other standards as appropriate to the area of assignment.
Prepares statistical, technical, and narrative reports regarding program / service assessment findings and evaluations for quality assurance activities using computer-based office software.
Receives, collates, and summarizes quality of care or service data and prepares synopses for Division, Department Administration and other interested parties, as requested.
Reports and makes recommendations to an administrative superior and other program staff as to quality assurance processes and policy development.
Serves on Division and Department program improvement or other performance improvement committees and/or committees, including ad hoc committees, as requested.
Performs other related work as requested.
KNOWLEDGE, ABILITIES AND SKILLS
Considerable knowledge of modern office practices, procedures, systems and equipment.
Considerable knowledge of HHS HIV/AIDS Guidelines, Healthy People 2020 and HAB Part A Program Monitoring Standards and other health care and related services best practice models.
Considerable knowledge of qualitative and quantitative statistical analysis as they apply to the area of assignment.
Considerable knowledge of quality assurance/improvement theory, practice, and application as it applies to the area of assignment.
Knowledge of clinical terms and concepts in the health care arena.
Knowledge of laws and state regulations applicable to the area of assignment. Examples are
JCAHO standards, federal confidentiality laws, HIPAA regulations.
Ability to apply specialized knowledge of health care or human service programs or services specific to the area of assignment and statistical analysis in order to conduct and coordinate the quality assurance activities in the area of assignment.
Ability to assist in planning and conducting training in quality control / improvement and best practices for various levels of staff and sub-grantees.
Ability to communicate effectively, both orally and in writing.
Ability to conduct research and assess current literature concerning best practices, Quality Assurance principles, methods of data collection and analysis.
Ability to gather and interpret quantitative and qualitative data to evaluate health care and / or other human service programs or services.
Ability to interpret federal policy regarding quality management as it relates to area of assignment.
Ability to prepare and complete complex reports in a timely manner.
Ability to present findings and make program recommendations for program and/or process improvements.
Ability to use a personal computer.
Ability to work closely and collaboratively with sub-contracted Quality Assurance Support Staff and other sub-contractors providing technical assistance or conducting studies.
Ability to serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of BrowardCounty's Ethics and Conflict of Interest policies.
Ability to establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, age, gender, ethnicity, disability, sexual orientation, marital status or political affiliation.
REQUIRED EXPERIENCE AND TRAINING
Bachelor’s degree from an accredited college or university with major course work in social sciences or other field closely related to the area of assignment; four (4) years of experience in quality assurance or systems analysis in a health care or human services program environment or any equivalent combination of relevant training and experience.
Depending upon the area of assignment, may require a valid Florida driver’s license and ability to drive and to obtain and maintain authorization to drive on County business.
Bargaining Unit: Government Supervisors Association - (Professional Unit)
FLSA Status: Exempt
Code of Ethics Certification: No
Class Spec. Estab. /Revised: E 10/2007 R 02/2008