The class incumbent reports to the Director of Stockley Center. Other positions reporting at this level include the Developmental Disabilities Director of Residential Services, Developmental Disabilities Director of Professional Services, Medical Director, and Hospital Administrator III. The incumbent plans, develops, implements, and evaluates facility-wide quality assurance and risk management systems. Work includes analyzing collected data and relevant information which guides facility planning. A significant aspect of the work involves interfacing with residential, professional, and supportive services to implement quality assurance programs in all areas throughout the facility and to provide assistance in the development of policies and practices to improve service delivery in all areas. The incumbent is responsible for the development of remediation plans related to deficiencies in licensing and Medicaid standards and preparatory and maintenance plans for voluntary accreditation such as ACDD (Accredited Council for Services for Developmentally Disabled Persons) and CARF (Commission for the Accreditation of Rehabilitation Facilities). In addition, the incumbent is responsible for working with representatives of public, private, and advocacy groups to improve client services and client/family satisfaction.
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
Plans, develops, operates, and evaluates facility-wide programs related to quality assurance and risk management.
Maintains communication with regulatory and accrediting agencies regarding changes in standards, strategic approaches, and program compliance.
Provides information to facility director, residential services and professional services directors, and hospital administrator on monitoring programs, level of compliance with relevant standards, and effectiveness of quality enhancement programs.
Analyzes risks and develops remediation plans and proactive approaches.
Chairs quality assurance committee; participates on, chairs, and/or directs committees related to quality assurance or risk management (e.g., infection control, human rights, safety, medical records).
Directs investigations on incidents, analyzes results, and recommends remediation plans.
Provides consultation in the development of administration policies and procedures.
Supervises quality assurance staff.
Provides consultation to community programs regarding quality assurance and risk management.
Knowledge, Skills and Abilities
The intent of the listed knowledge, skills and abilities is to give a general indication of the core requirements for all positions in the class series; therefore, the KSA’s listed are not exhaustive or necessarily inclusive of the requirements of every position in the class.
Knowledge of management and supervisory principles and practices.
Knowledge of regulatory and accreditation standards as they relate to ICF-MR facilities;
Knowledge of research and evaluation methodologies;
Knowledge of needs of individuals with mental retardation and the operations of an ICF-MR facility;
Skill in the development of quality;
Ability to develop quality assurance tools and evaluation systems;
Ability to develop or adapt computer programs to meet quality assurance needs of facility;
Ability to develop and operate quality assurance and risk management systems;
Ability to work cooperatively with other professionals and nonprofessional staff to achieve mutual goals.
JOB REQUIREMENTS for Developmental Disabilities Director of Quality Assurance Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
Possession of a Bachelors degree or higher in Behavioral or Social Science or related field.
Three years experience in quality improvement such as evaluating the quality of services, identifying problems and needs and recommending corrective action and improvements to ensure optimum service delivery, goals and objectives are met and ensure compliance with applicable laws, rules, regulations and standards.
Three years experience in ensuring compliance with regulatory and accreditation standards for health care facilities.
Six months experience in health or human services program administration such as overseeing and directing the development, implementation and evaluation of health or human services programs and services; planning and establishing short and long range program goals and objectives; developing and implementing program policies and procedures and ensuring compliance. Providing advice to other agency organizational units through consultation.
Six months experience in developing policies and procedures.
Knowledge of staff supervision acquired through course work, academic training, training provided through an employer, or performing as a lead worker overseeing the work of others; OR supervising staff which may include planning, assigning, reviewing, and evaluating the work of others; OR supervising through subordinate supervisors a group of professional, technical, and clerical employees.