PEFORMANCE IMPROVEMENT SPECIALIST
The primary function of the Performance Improvement Specialist is to support and facilitate quality assessment and performance improvement (QAPI) activities for the local hospice branch (also referred to as hospice program). The QAPI Program is an on-going, data driven, organization-wide program involving data collection, analysis, and collaborative development of performance improvement initiatives.
Monday- Friday 8a-5p In Office
JOB RESPONSIBILITIES
Performs ongoing quality assessment through data collection and analysis as directed by VITAS Policies, Procedures, and Standards. Works with hospice program leadership to identify quality and performance trends and areas for improvement.
Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited to:
Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures.
Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors.
CAHPS survey: Identify negative comments/responses and initiate service comments as
appropriate.
QAPI dashboard: drill down, analyze and report data.
Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current.
Infection Control Reporting: data maintenance and analysis.
Incident Reporting: data maintenance and analysis, submission of documents for incidents
identified as serious adverse events, completion of 3500A for home medical equipment-related incidents.
Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.
Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management.
Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management.
Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management.
Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting
Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting
Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives.
Performs Quality reporting updates monthly, quarterly, and annually, including but not limited to:
Quality Update Report (QUR): prepare and submit monthly report to regional and senior
management to communicate updates of Quality Assessment and Performance Improvement areas.
QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting.
Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements.
-Facilitates Performance Improvement Projects including the coordination of performance improvement teams.
-Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic).
-Maintains any and all versions of the PI Plan Manual.
-Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs.
-Report to senior management on compliance with required trainings including orientation and legally mandated in-services.
Act as the program liaison to Central Support:
Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report.
Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials.
-Collaborates with the PCA for external audits and records requests.
-Participate in pilot projects related to QAPI initiatives as requested.
-For programs or regions with a Performance Improvement Specialist (PIS) Assistant:
Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed.
Other duties as assigned.
JOB QUALIFICATIONS
Licensed (as required) health care professional (preferred) or non-clinician with quality bakcground
background.
Certified Professional in Health Care Quality (preferred).
Knowledge of Medicare/Medicaid regulations, state licensure laws, and the requirements of any other applicable regulatory/accrediting body.
Experience with data collection, measurement tools, and data analysis.
Experience in a quality assurance/improvement
Read LessPEFORMANCE IMPROVEMENT SPECIALIST
The primary function of the Performance Improvement Specialist is to support and facilitate quality assessment and performance improvement (QAPI) activities for the local hospice branch (also referred to as hospice program). The QAPI Program is an on-going, data driven, organization-wide program involving data collection, analysis, and collaborative development of performance improvement initiatives.
Monday- Friday 8a-5p In Office
JOB RESPONSIBILITIES
Performs ongoing quality assessment through data collection and analysis as directed by VITAS Policies, Procedures, and Standards. Works with hospice program leadership to identify quality and performance trends and areas for improvement.
Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited to:
Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures.
Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors.
CAHPS survey: Identify negative comments/responses and initiate service comments as
appropriate.
QAPI dashboard: drill down, analyze and report data.
Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current.
Infection Control Reporting: data maintenance and analysis.
Incident Reporting: data maintenance and analysis, submission of documents for incidents
identified as serious adverse events, completion of 3500A for home medical equipment-related incidents.
Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership.
Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management.
Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management.
Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management.
Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting
Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting
Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives.
Performs Quality reporting updates monthly, quarterly, and annually, including but not limited to:
Quality Update Report (QUR): prepare and submit monthly report to regional and senior
management to communicate updates of Quality Assessment and Performance Improvement areas.
QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting.
Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements.
-Facilitates Performance Improvement Projects including the coordination of performance improvement teams.
-Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic).
-Maintains any and all versions of the PI Plan Manual.
-Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs.
-Report to senior management on compliance with required trainings including orientation and legally mandated in-services.
Act as the program liaison to Central Support:
Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report.
Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials.
-Collaborates with the PCA for external audits and records requests.
-Participate in pilot projects related to QAPI initiatives as requested.
-For programs or regions with a Performance Improvement Specialist (PIS) Assistant:
Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed.
Other duties as assigned.
JOB QUALIFICATIONS
Licensed (as required) health care professional (preferred) or non-clinician with quality bakcground
background.
Certified Professional in Health Care Quality (preferred).
Knowledge of Medicare/Medicaid regulations, state licensure laws, and the requirements of any other applicable regulatory/accrediting body.
Experience with data collection, measurement tools, and data analysis.
Experience in a quality assurance/improvement
Read LessWHO WE ARE
We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class employee experience. Supported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients lives.
Our priority is to care: For our patients, for each other, and for the future.
WHAT YOU LL DO
As a patient care administrator (PCA), you will join the senior leadership team for a VITAS service area, ensuring the clinical, financial, and operational aspects of hospice are running smoothly within your purview.
You will support all the members of the interdisciplinary team, including nurses, social workers, chaplains, and more. You will coach team members, consult on clinical matters, and lead performance improvement initiatives to elevate the patient experience.
WHERE YOU LL WORK
Our PCAs work at a local VITAS office every day, supporting team members as needed.
WHAT S EXPECTED FROM YOU
Our PCAs blend leadership skills and clinical expertise to effectively manage their team, ensuring quality and continuity of care for patients. In addition to your RN license and at least four years of healthcare management experience, you ll have the traits that make the VITAS Difference: Commitment, Compassion, and a Can-do Attitude.
You will keep patient welfare at the center of everything you do, giving your best each day in service of our core commitment: Extending comfort and dignity to all people at the end of their life s journey.
QUALIFICATIONS
PCA Requirements and Qualifications
Director of Patient Care Services RequiredRN with BSN or another health related field and3 years experience within last 5 in hospice, home health, primary care clinic, or health facility andOne year in a supervisory or administrative positionOR
RN with 4 years experience in last 5 in a hospice, home health agency, primary care clinic or health facility andOne year in a supervisory or administrative capacity.
EDUCATION
Job Responsibilities
Facilitate clarification of patient and family goals of care.Facilitate access to appropriate support models of care (i.e., hospice, rehabilitation, on-going aggressive treatment).Assist with diagnosis, treatment and management of acute and chronic health conditions.Educate facility staff, co-workers and the community on all aspects of palliative care and the services provided by VITAS Palliative Care.Attend, participate, and lead (when applicable) internal VITAS Palliative Care s team meetings.Consult with the referring physician, the acute care team and other involved providers to contribute to the patient s plan of care.Prepare and maintain accurate patient records, charts and documents to support the medical practice and reimbursement for services provided.Prescribe medications including controlled substances to the extent delegated and licensed and after collaboration with palliative care and referring physician.Order diagnostics / treatments as needed after collaboration with palliative care and referring physicians.Interpret, evaluate and communicate diagnostic findings to the appropriate parties.Collaborate with and supervise palliative care team members, when applicable.Assist in development of clinical practice guidelines / standards in support of quality palliative care as requested by supervisor.Utilize a customer service approach in all interactions with VITAS customers.Adhere to the practice of confidentiality regarding patients, families, staff and the organization.Participate in on-call rotation as needed.Other duties as requested by supervisor.Experience:
Minimum 2-5 years nursing experience; clinical nursing care in oncology, hospice, geriatrics, intensive care preferred.Knowledge of the interdisciplinary team concept.Experience in patient education, care planning and management of pain and other symptoms for patients with advanced, serious illness is desired.Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions.Working knowledge of computers, internet access, and the ability to navigate within an automated system as well as a variety of software packages such as Outlook, Excel and Word.Education:
Masters of Nursing from an accredited university.Job Responsibilities
Nurse practitioner for palliative and hospice, community based. Read LessJob Description
A program senior leadership role responsible for the Admissions Department s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results.
Serves as an Admissions standard, policies, procedures, and industry subject-matter expert and resource.
Position structure
Reports to and managed by the Program s GMLeadership
Develop nurse, liaison, program scheduler, and other admissions staff leadership skills through utilization of Admissions Training, coaching, mentoring, and modeling in remote and face-to-face interactions on weekly, daily, monthly, quarterly, and annual basis, and as-neededCollaborate with National, Division, Region, and Program leadership to successfully improve program performance, quality, and growth Responsible for program s successful rollout and sustainability of national, divisional, and regional initiatives within their programLead by example through field coaching, account development, and community activities Created a positive culture of growth and developmentStrategy
Ensure Admissions Department has active and an actionable strategic plan documented in the system Ensure program Admission Department actively collaborates with other program departments in development of strategies to ensure alignmentCustomer Service
Develop a customer-service oriented Admissions Department by identifying and responding to the customer s needs and wants by recognizing the customer is the center of VITAS businessReview and provide guidance on program-related customer complaints.Support and develop quality improvement initiatives based on internal and external survey results and time in fieldMAKM (Measurement, Analysis, and Knowledge Management)
Admissions-focused process improvement project management for the programAdmissions Performance KPI (Can change based on national direction): Length of Intake/Same Day AdmitSpeed to Referral/AppointmentTraining Completion/Competency Program Scheduler Performance/Quality Exceed operating budget targetsWorkforce
Program oversight and ensured adherence to standards and performance in the areas of: Training: Field Coaching, manage completion of required and ad hoc trainings, analyze need based on utilization of data tools, complete ongoing professional development, and is capable of group presentations (internal and external)Staffing: Demand-based scheduling, productivity management, account development during working hours, and schedule creationRecruitment: Monitor and manage initiatives, regular evaluation of FTE efficiently and with efficacy, ensure timely posting and hiringRetention: develop, implement, and monitor retention initiatives, provide ongoing staff support, provided regular feedback through field coaching as part of required time in field, and implement company retention activities per standardOperations
Compliance with AM required duties as here and within training materialsAudits: Daily, weekly, monthly, quarterly and annualMonthly program, region, division and national meetings Budget and operation expense and performance managementResults
Support a collaborative approach in achieving program, region, division and national Admissions related goals, KPIs and metrics.Experience:
5+ years nursing preferred 3+ years in a leadership/management role preferred Hospice admissions experience preferredAbility to work on various assignments simultaneouslyKnowledge of industry policies and practicesAbility to motivate and develop othersAbility to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutionsProficient with technology with ability to adapt to new products and comfortable learning new technologies (i.e. Excel, MS Teams, OneNote, SharePoint, PowerBI, SharePoint, etc.)Demonstrates experiences of developing strategies and solutions to improve Admissions performanceAbility to assimilate and analyze large amount of data/information to uncover business, quality and training needs within a data set
EDUCATION
Requires completion of accredited Nurse Practitioner program. State licensure is also required.Certification & Licensure:
Current RN/NP licensePhysical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Benefits Include
Competitive compensationHealth, dental, vision, life and disability insurancePre-tax healthcare and dependent care flexible spending accountsLife insurance401(k) plan with numerous investment options and generous company matchCancer and/or critical illness benefitTuition ReimbursementPaid Time OffEmployee Assistance ProgramLegal InsuranceRoadside AssistanceRead Less
Experience:
Education:
Job Responsibilities
Nurse practitioner for palliative and hospice, to do Goals of Care for HCA Lake City Medical Center and also be cross-trained in admissions. Read LessExperience:
Education:
Job Responsibilities
Nurse practitioner for palliative and hospice, to do Goals of Care for HCA Lake City Medical Center and also be cross-trained in admissions. Read LessJob Description
A program senior leadership role responsible for the Admissions Department s leadership, strategy, customers, analysis and knowledge management, workforce, operations and results.
Serves as an Admissions standard, policies, procedures, and industry subject-matter expert and resource.
Position structure
Reports to and managed by the Program s GMLeadership
Develop nurse, liaison, program scheduler, and other admissions staff leadership skills through utilization of Admissions Training, coaching, mentoring, and modeling in remote and face-to-face interactions on weekly, daily, monthly, quarterly, and annual basis, and as-neededCollaborate with National, Division, Region, and Program leadership to successfully improve program performance, quality, and growth Responsible for program s successful rollout and sustainability of national, divisional, and regional initiatives within their programLead by example through field coaching, account development, and community activities Created a positive culture of growth and developmentStrategy
Ensure Admissions Department has active and an actionable strategic plan documented in the system Ensure program Admission Department actively collaborates with other program departments in development of strategies to ensure alignmentCustomer Service
Develop a customer-service oriented Admissions Department by identifying and responding to the customer s needs and wants by recognizing the customer is the center of VITAS businessReview and provide guidance on program-related customer complaints.Support and develop quality improvement initiatives based on internal and external survey results and time in fieldMAKM (Measurement, Analysis, and Knowledge Management)
Admissions-focused process improvement project management for the programAdmissions Performance KPI (Can change based on national direction): Length of Intake/Same Day AdmitSpeed to Referral/AppointmentTraining Completion/Competency Program Scheduler Performance/Quality Exceed operating budget targetsWorkforce
Program oversight and ensured adherence to standards and performance in the areas of: Training: Field Coaching, manage completion of required and ad hoc trainings, analyze need based on utilization of data tools, complete ongoing professional development, and is capable of group presentations (internal and external)Staffing: Demand-based scheduling, productivity management, account development during working hours, and schedule creationRecruitment: Monitor and manage initiatives, regular evaluation of FTE efficiently and with efficacy, ensure timely posting and hiringRetention: develop, implement, and monitor retention initiatives, provide ongoing staff support, provided regular feedback through field coaching as part of required time in field, and implement company retention activities per standardOperations
Compliance with AM required duties as here and within training materialsAudits: Daily, weekly, monthly, quarterly and annualMonthly program, region, division and national meetings Budget and operation expense and performance managementResults
Support a collaborative approach in achieving program, region, division and national Admissions related goals, KPIs and metrics.Experience:
5+ years nursing preferred 3+ years in a leadership/management role preferred Hospice admissions experience preferredAbility to work on various assignments simultaneouslyKnowledge of industry policies and practicesAbility to motivate and develop othersAbility to communicate tactfully, both verbally and in writing, with program leadership, patients, families, managers, coworkers, and vendors to resolve problems and negotiate resolutionsProficient with technology with ability to adapt to new products and comfortable learning new technologies (i.e. Excel, MS Teams, OneNote, SharePoint, PowerBI, SharePoint, etc.)Demonstrates experiences of developing strategies and solutions to improve Admissions performanceAbility to assimilate and analyze large amount of data/information to uncover business, quality and training needs within a data set
EDUCATION
Requires completion of accredited Nurse Practitioner program. State licensure is also required.Certification & Licensure:
Current RN/NP licensePhysical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Benefits Include
Competitive compensationHealth, dental, vision, life and disability insurancePre-tax healthcare and dependent care flexible spending accountsLife insurance401(k) plan with numerous investment options and generous company matchCancer and/or critical illness benefitTuition ReimbursementPaid Time OffEmployee Assistance ProgramLegal InsuranceRoadside AssistanceRead Less
Description:
The RN Admissions position is responsible for presenting VITAS services and philosophy to patients and families in a manner that results in the admission of appropriate patients. They will meet with the patient s families to discuss the VITAS program and explain the benefits of hospice care for that patient. The RN Admissions nurse will not work directly with the patient. Instead, they will work with the families. This position requires a medical license
Complex cases being discharged from the hospitals (pleurx drains, iv drips, complex respiratory needs, venting gastrostomy tubes, complex wounds) The admit nurse needs to understand these needs and translate to family how hospice will manage as well as teach family to manage.Patient Facing/ Non-Patient Facing: Non-Patient FacingMobile/ Stationary: MobileMileage Reimbursement: Yes, 0.67/ MileBenefits: Yes, Medical, Dental, Vision, 401K, HSA, FSA, Tuition Reimbursement, PTOSchedule- M-F, 11am-8pm or 12pm-9pm or 2pm-11pm
Duties
JOB REQUIREMENTS
Knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas.Ability to communicate effectively with patients and families, physicians, referral sources and colleagues.Knowledge of clinical manifestations of diseases and ability to develop VITAS specific clinical knowledge.Ability to use the VITAS information system and mobile technology platforms.Reliable means of transportation.QUALIFICATIONS
Currently licensed as a R.N. in the state where duties are performed.Previous hospital, physician practice, LTC or ALF experienceStrong Presentation SkillsPrevious sales or service experience preferredEDUCATION
Bachelor s degree preferredSPECIAL INSTRUCTIONS TO CANDIDATE
EOE/AA M/F/D/V
ABOUT US
VITAS Healthcare is the nation s leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you ll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.
All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heard find your purpose at VITAS today.
Benefits Include:
- Competitive compensation- 401(k) plan with numerous investment options and generous company match
- Cancer and/or critical illness benefit
- Tuition Reimbursement
- Paid Time Off
- Employee Assistance Program
- Legal Insurance
- Roadside Assistance
Choose a Career with VITAS
