ESSENTIAL FUNCTIONS:

· Provide oversight of quality data collection, monitoring, analysis and reporting.

· Monitor and analyze QM data for review by facility management. Submit data to external agencies as required.

· Assist in annual preparation and evaluation of the facility Quality plan.

· Complete QM projects and incorporates the results into patient care improvements.

· Manage facility compliance with policies and applicable standards as required by regulatory/accrediting bodies.

· Submit monthly scorecard data to Acadia corporate office.

· Assist in investigation and root cause analyses into all serious and/or sentinel events.

· Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.

· Manage customer satisfaction surveying.

· Collaborate with Risk Management regarding incidents and complaints including investigation, data gathering and data/situational analyses.

· Collaborate with Risk Management to align and implement strategic goals or the facility with corporate and regulatory goals.

· Prepare monthly and quarterly reports as required.

· Maintain complete confidentiality in all patient/program matters in accordance with facility policy.

OTHER FUNCTIONS:

· Perform other functions and tasks as assigned.