Quality Assurance Coordinator

2 weeks ago

Huntingdon Valley, United States SCA Health Full time
Overview

SCA Health has expanded to a dedicated workforce of 11,000 professionals who collectively care for 1 million patients annually, providing comprehensive support to physician specialists in various facets of patient care. Our team is committed to enhancing specialty care by uniting physicians, health plans, and health systems with a shared objective: achieving high-quality outcomes and improving the experience for both patients and providers, all while minimizing overall healthcare costs.

As an integral part of Optum, we engage in a cohesive care delivery system that empowers our partners to navigate the complexities of the healthcare landscape. SCA Health uniquely offers a diverse array of physician-led specialty care services, enabling us to tailor solutions to meet diverse needs and challenges:
  • We facilitate innovative connections between patients and physicians through Optum and our Specialty Management Solutions division.
  • We have developed a physician-led, multi-site model that restores physician autonomy by aligning incentives to foster growth and transition to value-based care.
  • We are industry leaders in value-based payment solutions via our Global 1 bundled payment convener, ensuring straightforward and predictable billing for patients.
  • We assist physicians in managing all aspects beyond surgical procedures, including anesthesia and ancillary service lines.
The new SCA Health reflects our current identity and future aspirations, along with the expanding career opportunities available for you.

Responsibilities

We are currently seeking a Quality Standards Coordinator. This role encompasses the following responsibilities:

A. Maintain Knowledge of:
  • Clinical best practices
  • Accreditation and regulatory standards
  • Quality improvement methodologies
  • SCA Quality Standards Manual
  • SCA Governing Body (GB) and Medical Executive Committee (MEC) Bylaws
  • Center Medical Staff Rules & Regulations
  • SCA policies and procedures
  • Infection Control guidelines
  • Nationally recognized patient safety goals (NPSGs) for ASCs
  • Environmental safety regulations and guidelines
  • SCA Environment of Care (EOC) Manual
  • SCA Medical Staff Services and Credentialing guidelines
  • SCA Medical Staff Services and Credentialing Manual
  • Center and regional education, orientation, and training programs
  • ASC center leadership responsibilities
  • SCA Homepages: Clinical Resources, Quality Standards, Environment of Care, Credentialing
B. Lead, Facilitate, and Advise the Center Quality Council and Internal Performance Improvement Teams:
  • Set the agenda and maintain meeting minutes
  • Ensure reporting of all mandatory and center-specific monthly and quarterly reports for trends/areas for improvement to the Quality Council and Medical Executive Committee/Governing Body at least quarterly:
    • Medical Record Audit reports; systematic chart review for quality documentation assessment.
    • Infection Control reports
    • Hospital Transfer/Complication reports
    • Patient Safety; measurement of key patient safety metrics and hazard analysis/process redesign.
    • Life safety (environment of care); detailed assessment and evaluation of the Environment of Care (EOC) and associated conditions.
    • Risk Management (incident reporting)
    • Adverse Drug Reaction reports
    • Cancellation logs
    • Service Satisfaction reports (patients, staff, and physicians)
    • Center-specific quality indicator reports as appropriate
    • Performance Improvement reports; collection, analysis, and summary of performance improvement data.
C. Provide Strategic Oversight of Proactive and Reactive Patient Safety Activities:
  • Root cause analysis.
  • Clinical practice guidelines
  • Sentinel Event Alerts
  • Identification and data collection of center-specific quality indicators based on high-risk, problem-prone procedures.
  • Annual review and revision of the Performance Improvement Plan and preparation of the annual report for the Medical Executive Committee/Governing Body.
  • Documentation of all Performance Improvement activities and maintenance of records for a minimum of three years.
D. Ensure Compliance with Regulatory and Accrediting Standards:
  • Coordinate center policies/procedures to comply with current standards of applicable regulatory and accrediting agencies, and mandatory SCA Corporate policies.
  • Collaborate with the Administrator/designee to ensure currency of all physician files, medical staff appointments, and compliance with credentialing policies.
  • Work with the Administrator/designee to ensure completeness of all human resource and education files for center employees and contract personnel.
E. Maintain Center Survey Readiness:
  • Assess center compliance with accreditation standards and regulations in collaboration with leadership and staff.
  • Identify areas of vulnerability and direct the development of strategies to enhance compliance.
  • Provide overall direction to ensure that clinical services are evidence-based and comply with established standards.
F. Communicate Effectively Throughout All Levels of the Organization:
  • Proactively educate and train leadership and staff on regulatory issues, new statutes/guidelines, and safety/quality/performance improvement activities.
  • Maintain effective communication regarding current center activities related to Safety/Quality/PI and Accreditation.
Qualifications
  • Minimum of a High School Diploma or GED.
  • Prior work experience in healthcare.
  • Excellent written and oral communication skills.
  • Knowledge of standards, survey methodology, and related tools for regulatory and accreditation requirements.

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