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Quality Assurance Risk Coordinator

2 months ago

Portland, Oregon, United States Surgery Care Affiliates Full time
Overview


At Surgery Care Affiliates, we have expanded to a dedicated team of 11,000 professionals who collectively care for over 1 million patients annually, supporting physician specialists comprehensively in various facets of patient care.

Together, our team members create significant value in specialty care by aligning healthcare providers, health plans, and health systems around a unified objective:

achieving the quadruple aim of superior outcomes and enhanced experiences for both patients and providers, all while minimizing overall healthcare costs.

As part of Optum, we engage in an integrated care delivery framework that empowers us to assist our partners in navigating a complex healthcare landscape. Only Surgery Care Affiliates boasts a dynamic array of physician-led specialty care enterprises that enables us to tailor solutions to meet diverse needs and challenges:


We connect patients with physicians in innovative and distinct ways as part of Optum and through our newly established Specialty Management Solutions.


We have pioneered a physician-led, multi-site model of practice solutions that restores physician autonomy by aligning incentives to foster growth and transition to value-based care.


We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, which offers straightforward and predictable billing to patients.

We assist physicians in addressing all aspects beyond surgical procedures, including anesthesia and ancillary service lines.


The evolving Surgery Care Affiliates reflects our current identity and future direction—and the expanding career opportunities available for YOU.

Responsibilities

  • Lead, facilitate, and provide guidance to the Center Quality Council and internal performance enhancement teams:
  • Set the agenda and maintain meeting documentation.
  • Ensure the reporting of all mandatory and center-specific monthly and quarterly reports for trend analysis and areas for improvement to the Quality Council and Medical Executive Committee/Governing Body at least quarterly:
  • Medical Record Audit reports; Monthly or quarterly data collection from ongoing systematic chart reviews to evaluate documentation quality.
  • Infection Control reports.
  • Hospital Transfer/Complication reports.
  • Patient Safety; measurement of key patient safety metrics and hazard analysis/process redesign (adverse events, root cause analysis).


Life Safety (Environment of Care): Conduct a thorough assessment and evaluation of the Environment of Care (EOC) and associated conditions, staff education, readiness, and various processes.

The EOC framework encompasses management processes and systems affecting safety, security, hazardous materials, emergency preparedness, life safety, medical equipment, and utilities management.

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.


Provide strategic oversight of both proactive and reactive patient safety initiatives:

  • 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 as appropriate.


Review and revise the Performance Improvement Plan annually and prepare the annual report of the Performance Improvement program for the Medical Executive Committee/Governing Body.

Document all Performance Improvement activities and maintain records for a minimum of three years.


Provide strategic oversight of proactive and reactive patient safety initiatives (continued):

Coordinate center policies/procedures and processes to ensure compliance with current standards of applicable regulatory and accrediting agencies, along with mandatory Surgery Care Affiliates Corporate policies.

Collaborate with the Administrator/designee to ensure the currency of all physician files, medical staff appointments, and compliance with credentialing policies and procedures.

Coordinate, as appropriate, the peer review process and aggregate individual peer review data for presentation and review by the Medical Executive Committee and Governing Body during reappointment.


Work with the Administrator/designee to ensure the currency and completeness of all human resource and education files for center employees and contract personnel.


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 delivered are evidence-based, adhering to standards established through state and federal regulations and applicable accreditation standards, including the National Patient Safety Goals.


Effective Communication Across All Organizational Levels:


Proactively educate and train leadership and staff regarding regulatory issues, new statutes/guidelines, and safety/quality/performance improvement activities, along with their respective responsibilities in executing the performance improvement program.


Maintain effective communication on current center activities related to Safety/Quality/Performance Improvement and Accreditation, seeking consultation as needed from the Regional Quality Coordinator or assigned Group Director.

Other duties as assigned by the Center Administrator.


Qualifications

Licenses or Certifications:
Licensed Registered Nurse

Education, Vocational Training, and Experience:
Registered Nurse with training and experience in quality/performance improvement and accreditation and regulatory standards.

Minimum of an Associate's degree in nursing; Bachelor's degree preferred.

Collaborate with the Regional Quality Coordinator to implement the Surgery Care Affiliates strategic clinical-quality plan.

Possess excellent written and verbal communication skills.

Knowledge of standards, survey methodology, and related tools and resources for regulatory and accreditation requirements.

Regularly access internal and external resources to maintain a professional knowledge base.

USD $40.00/Hr. USD $48.00/Hr.