The Performance Improvement (PI) Coordinator and Patient Advocate assists the Director of Performance and Risk Management, leadership, medical staff and PI Committee in carrying out and implementing a comprehensive and integrated program.

PRIMARY RESPONSIBILITIES

1. Supporting performance improvement activities on a daily basis and assure that action is taken as needed and as authorized by organization policies and procedures.

2. Receiving and reviewing department/service performance measures and documentation to evaluate performance improvement activities and coordinate reports of findings on daily, monthly and annual basis to the Director of PI as directed.

3. Maintain records of the performance improvement performance measures and statistical tools used to describe studies performed or methodology.

4. Advise and assist all departments/services and committees accountable for performance improvement activities as assigned.

5. Assist in preparing, coordinating and documenting PI meetings.

6. Maintain a record of all completed reviews, evaluations and process improvement team activities.

7. Attend and participate in appropriate committee and department or service meetings in which performance improvement activities occur.

8. Share data and information with appropriate committees and departments/services as assigned by Department head.

9. Assist the Director with Joint Commission, CMS, OSHA, and state surveys.

10. Assist the Director who is responsible for collection of data and submission of results for ORYX monitoring for The Joint Commission and IPF for CMS.

11. Responsible for receipt and logging all official correspondence from all official and accrediting agencies.

12. Assist the Director to compose and submit to administration a rough draft response to all official correspondence.

13. Fulfill all of the functions of the patient advocate.

a. Contact any patient requesting patient advocate with-in the first working day of request.

b. Contacts any individual filing a patient grievance with-in the first working day following the receipt of the grievance.

c. Follows the patient grievance process ensuring the investigation of the grievance, ensuring appropriate actions are taken, documenting actions and informing the patient/ representatives of results of investigation and actions taken.

d. Maintain the grievance log.

e. Ensure that the patient rights and responsibilities are posted, answers the patients questions about rights, and ensures that the patient’s rights are respected.

14. Responsible for completing required reports and submitting as assigned.

15. Responsible to notify of all compliance issues.

16. Prepare all reports, as assigned by Director.

Education: Bachelor’s degree or equivalent in Nursing, or masters in social work or counseling preferred.

Experience: 1-2 years’ experience in a healthcare or behavioral health setting involving quality improvement preferred.

Additional Requirements: Computers skills involving knowledge of Excel spreadsheets, and business writing.