Quality Improvement Coordinator

Reports to: QI Manager The Quality Improvement Coordinator shall conduct a variety of QI activities to monitor the quality-of- service delivery for programs and departments throughout BCC’s District of Columbia and Maryland locations.
Primary responsibilities include working within a database, pulling and designing reports and visuals, all stakeholder surveys, chart audits, and discovery processes.
Essential Functions: Model and act in accordance with BCC’s core values: safety, empathy, relationships, and impact.
Honor differences, acknowledge uniqueness, and amplify all voices.
Participate in trainings and group experiences that explore Equity, Diversity, and Inclusion (EDI) topics.
Model the use of inclusive language.
Demonstrate and practice BCC’s leadership mindset, “Choose kindness.
Solve problems and learn together.
Make it happen.
” Attain Collaborative Problem Solving® Tier 1 certification and serve as a trainer and mentor of this practice for others.
Assure compliance of all standards that apply to the agency’s services including national accreditation, state licensure, and funders and serve as an internal resource on all applicable regulations.
Assist manager in the coordination and implementation of QI department objectives Assist in state licensure and national accreditation activities.
Assist staff in implementing, monitoring, evaluating and planning procedures and activities in service delivery areas and for risk management.
Assist in developing policies and procedures to support service delivery and funding accountability in a multi-service organization.
Provide periodic training on topics or workflows related to Quality Improvement.
In partnership with other members of the QI team, monitor the centralized QI email inbox as well as assigned digital and physical formal concern inboxes.
Open new cases in the appropriate database and follow up on assigned cases as needed.
Reply to questions from staff modeling best practices in customer service.
Database and Reports: Monitor the entry of data into the EHR.
Ensure other staff roles are entering data in a timely fashion and any catch-up data entry projects are completed.
Compile and distribute reports as scheduled which includes, but is not limited to, capacity, SIR, restraint, annual and quarterly outcomes, survey summary, and licensing reports.
Translate data from reports into BCC’s company dashboard tool.
Interpret ad hoc requests for data into search criteria and create visual displays that meet the needs of the initial data request.
Provide technical assistance on Quality Improvement to administrative and management staff.
Attend team and program meetings regularly to review statistical data with care team staff.
Develop reports and presentations to present data to various organization teams and leadership committees.
Audits: Ensure client charts meet all internal, regulatory, licensing, and accreditation standards, especially with regards to notes, completion date, signatures, and documentation.
Conduct physical assessments of programing spaces to ensure regulatory and policy compliance.
Provide oversight to and verification of completeness over support staff assisting in environmental and chart audits.
Conduct preliminary analysis of audit results to identify root cause.
If needed following this analysis, assist department teams in the development of a Corrective Action Plan to be reviewed by the QI Manager.
Provide state licensing and other regulatory bodies access to Cx360 via a guided review during audits of charts and records.
Surveys: Maintain mechanisms for stakeholder feedback for all major service areas of the agency.
This includes, but is not limited to, surveys focused on employees, clients, families of clients, and referral sources.
Provide oversight to support staff for BCC’s Survey Monkey account.
Work with other teammates and departments to code in surveys within the platform to meet their needs.
Pull data from Survey Monkey into reports as needed.
Analyze results to identify focus areas for improvements.
Discovery Processes: Open cases to track any formal concerns received by the QI team.
Oversee gathering of due diligence, assign interviews and statement collection to staff, and generally keep open cases moving forward to conclusion.
Ensure tasks and follow ups are documented and completed.
Link with leaders to provide status updates, a summary of findings, and recommendations of next steps.
Run reports on formal concerns and client grievances to look for patterns.
Train new leaders on the formal concern process.
Electronic Health Record (EHR) Software: Complete and maintain training as a certified EHR super user and ultimately become certified as a trainer for super users.
Report bugs and errors to QI Manager for review.
Participate as needed in data migration and document scanning phase of the project.
Conduct EHR training classes for end users as assigned.