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Knowledge of state and federal laws, rules and regulations governing mental health and addiction treatment inpatient services and related funding (CMS, Joint Commission, AHCA, DCS, HIPAA, 42 CFR.
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Job Profile: The Quality Improvement Nurse Consultant is a dedicated healthcare professional specializing in enhancing the quality of patient care and organizational performance within multiple healthcare settings (ambulatory surgery centers and hospitals organizations.
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The MHT will maintain a safe and professional standard for patient care in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and performance improvement standards.
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Provides guidance on Joint Commission standards interpretation and other regulatory requirements as they apply to organizational practice/ performance. Preferred Licenses/Certifications: Certified as a Professional Healthcare Quality (CPHQ) or Certified as a Joint Commission Professional (CJCP); LEAN/Six Sigma Certification.
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Effectively and independently provide Child Life services according to professional standards and established regulations set forth by HSC, the Department of Health and The Joint Commission which focus on patient safety, function, pain tolerance/level, goals, etc.
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The hospital is accredited by The Joint Commission and is a member of Prime Healthcare. The Pharmacy Tech assists the Pharmacist in the support of the drug distribution systems, including patient counseling and pharmacokinetic calculations, and participates in performance improvement and data collections activities.
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Performs duties in support of and in compliance with the performance improvement plan The Joint Commission and other licensing accrediting and regulatory agencies. In addition we offer a beautiful Family Care and Birthing Center the Lauren Small Childrens Center including the areas only Pediatric Intensive Care Unit Family Care Center a Level II NICU the Sarvanand Heart and Brain Center with Kern Countys first Bi-Plane Interventional Suite the Center for Wound Care and Hyperbarics and many more services.
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General experience in Patient Safety Activity(ies) such as RCA, FMEA, Peer Review, Rapid Cycle PDSA, Performance Improvement Methodologies and tools (Six Sigma, Lean, etc.) Reviews, investigates, and assists in responding to patient complaints and grievances submitted to the department or externally to the PA DOH, CMS, and the Joint Commission.
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Certification (or complete certification within your first year) in at least one of the following: Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or Certified Joint Commission Professional (CJCP.
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Communicates directly with The Joint Commission (TJC) account executive or Standards Interpretation Group for clarification of standards or requirements. Performs mock surveys to evaluate compliance with The Joint Commission/CMS standards and requirements.
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The individual in this position is a key member of the hospital management team, provides leadership and oversight to the strategic development and implementation of the quality and patient safety programs (performance improvement, patient safety, and accreditation) with responsibility for planning, organizing, directing the managerial and operational activities of the infrastructure required to support these services.
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Performs duties in support of and in compliance with customer satisfaction initiatives, performance improvement plans, The Joint Commission, and other licensing, accrediting, and regulatory agencies.
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Monitor readmission rates for Medicare and all payers, and implement needed performance improvement projects to improve scores in collaboration with the stroke team. Collaborates with the stroke team to help ensure that Joint Commission Comprehensive Stroke Center metrics and goals are met.
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Develops and implements a department Performance Improvement Program in compliance with the Joint Commission standards for ASC accreditation. Performs initial planning/review session, annual performance appraisal, and counseling, based on defined criteria and in compliance with Human Resources policies and procedures.
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The Director will ensure the proper preparation and coordination of resources needed to achieve regulatory compliance related to the CMS COP Quality Assessment and Performance Improvement (QAPI) Plan and QAPI Annual Evaluation, and The Joint Commission standards, Co-chaired Quality Committee related to performance improvement, to include the collection, analyses, reporting and on-going monitoring of quality and safety data needed to meet accreditation requirements.
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