The role of the a Quality Managercontributes to the company’s mission and vision by supporting and coordinatingclinical performance improvement activity for HCAPS employed physicianspractices in each Division.  Manages the quality improvement activities ofthe program in conjunction with the HCAPS Division management teams andPhysician Leadership Councils in accordance with company or HCAPS Qualityinitiatives.  Ensures compliance with applicable accreditation,regulatory, and licensure standards.

DUTIES INCLUDE BUT NOT LIMITED TO:

• Directs efforts to ensure effective Quality program and Performance Improvement implementation throughout the assigned Division(s).  Provides guidance to HCAPS employees/management in complying with the requirements and intentions of the program.
• Provides leadership to drive work for clinical improvement and service enhancement.  Supports practices  in preparation of meaningful reports to the HCAPS Quality Committee, Division Leadership, Physician Leadership Councils, and HCAPS Vice President. 
• Acts as a support for HCAPS Quality Improvement and Patient Safety initiatives, as directed.  Prepares and submits minutes from all meetings; as directed
• In coordination with CSG, develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements.  Ensures that required state/federal reporting is completed in a timely manner.
• Participates in Division Physician Leadership Council.  Provides quality trend reports on a quarterly basis.
•  Monitors and communicates with Operations regarding quality improvement trends.  Assists in preparations of metric reports and development of meaningful improvement plans.  Participates in Quality Monthly and Quarterly Operating Reviews.
• Facilitates effective communication with Physician Services and CSG leadership regarding key clinical performance improvement activities and initiatives. 
• Responsible for facilitating investigation, required reporting, and corrective action development for serious quality or risk issues within the division.  Accesses company resources as appropriate. Facilitates completion of Root Cause Analysis.
• Maintains awareness of regulations, keeping abreast of pending and or implemented changes.  Develops communication tools to alert Divisions.
• Participates in development of Division Quality Strategic Planning.
• Provides education to employees and Medical Staff and supports ongoing education related to Quality.
• Meets regularly with Practice Managers  and encourages shared learning
• Participates in the orientation of new employees to HCAPS Quality Initiatives.
• Reviews complaints, concerns, or questions relative to quality issues, and provide consultative leadership and support to practices and Division personnel as appropriate.