Responsible for implementing the decisions of the Governing Board, maintaining a good relationship with the Medical Staff and other business associates, coordinating efforts to accomplish quality services to the patients, and ensuring that the employees of the organization are treated with dignity. Interacts with the Governing Board in all aspects of business practices that involve the hospital and the Governing Board. Acts as a liaison between the Medical Staff and the Governing Board.
OverviewLHC Group is the preferred post-acute care partner for hospitals, physicians and families nationwide. From home health and hospice care to long-term acute care and community-based services, we deliver high-quality, cost-effective care that empowers patients to manage their health at home. Hospitals and health systems around the country have partnered with LHC Group to deliver patient-centered care in the home. More hospitals, physicians and families choose LHC Group, because we are united by a single, shared purpose: It's all about helping people. IND0219Additional Details
Inspires confidence from patients, visitors and staff members by performing and communicating in a professional and caring manner.
Maintains confidentiality and is ethical in manner when dealing w ith physicians, staff, patients, families and other business associates.
Carries out policies established by the Governing Board and advises on the formation of these policies.
Establishes the Hospital Organizational Chart which demonstrates clear lines of accountability and responsibility with services between departments.
Coordinates with Home Office to ensure that internal controls for the protection of the financial and physical assets of the organization are in place.
Works with the Home Office to prepare an annual budget showing the expected revenue and expenditures as required by the Governing Board.
Takes all reasonable steps to provide for the Hospital compliance with all laws and regulations that govern its operation as a healthcare facility and public business.
Ensures that the Hospital meets all financial goals set for it by Senior Management.
Develops and implements a strategic plan with the participation of the Governing Board, the Medical Staff, and Directors.
Oversees a Human Resources Department that ensures compliance w ith all current employment regulations, proper orientation for all new employees, a competitive w age and salary program, an annual evaluation program for all employees, and a record keeping system for the retrieval of all licensure, health, and education pertaining to each active employee and any contracted employee w ith w hom the hospital may have an agreement.
Establishes and implements a policy of assuring patient's rights and a mechanism for patient concerns to be expressed and resolved.
Works proactively w ith the Home Office Legal Department on the negotiations of Hospital contracts with all vendors.
Ensures that the physical properties of the hospital are in a good and safe state of repair and operating condition.
Ensures that the Governing Board is supplied w ith periodic reports reflecting the professional services and financial activities of the hospital.
Attends all meetings for the Governing Board and serves on committees as directed
Appoints a designee to act in your absence so that administrative direction is provided at all times.
Supervises business affairs to ensure that funds are collected and expended to the best possible advantage.
Ensures that there is a mechanism to procure needed capital equipment for the hospital.
Works with host hospital if applicable, to ensure that the staff's needs are well met. Proactively ensures patient care by making visits on weekends, holidays and after hours. Works proactively w ith host hospital to maintain open lines of communication.
Represents hospital in its relationship with other healthcare facilities.
Demonstrates and promotes a "no excuse" mentality in regards to hospital care.
Promotes service-oriented attitude w hen dealing with employees; able to balance employee needs/desires with the hospital objectives in mind.
Maintains working know ledge of all departments.
Ensures that the hospital operates w ithin the confines of a set budget.
Participates in all planning activities w ith Governing Board.
Projects long-term plans for meeting needs that have been identified by Governing Board members and management.
Projects financial effects of planned activities and makes recommendations.
Assists in the implementation of any new services resulting from planned activities.
Assesses and projects long-range needs concerning changing information technology.
Prepares feasibility analyses of any proposed new projects.
Ensures that a system or program for Risk Management and the surveillance of quality and utilization is in place by: Maintaining files on incident reports Evaluating and implementing as feasible, any recommendations from the facility's committees and consultants. Delegating the responsibility for discharge planning to one or more members of the facility's staff. Adopting and enforcing rules and regulations concerning the health, care and safety of patients and the protection of their personal and property rights. Actively participates in the hospital's quality program including, but not limited to the following: 1. Attends committee, leadership and other team meetings as indicated. 2. Ensures that reports of quality assessment and improvement activities are submitted to committees as required by protocol. 3. Assures compliance w ith various laws, regulations, and other established guidelines.
Possesses a w orking know ledge of Performance Improvement and assists in the development of the Organizational PI Plan for the hospital.
Serves as a member of the PI and UR Committees as indicated.
Ensures that hospital is prepared for all disasters, man-made or natural, and that the staff have adequate training and resources to carry out essential patient care duties
Ensures that hospital has Annual Disaster Plans review ed by the Governing Board and updated in conjunction w ith local authorities and, if applicable, the host hospital.
Quality Officer TS: Updates the PI Plan for review and revision by the Performance Improvement Committee and approval of the Governing Board.
Quality Officer TS: Plans and coordinates PI meetings.
Quality Officer TS: Coordinates data collection and analysis, prepares reports, tracks the status of the follow ing (data is collected by designated individuals): Blood use Medication use/errors Risk management Patient safety Infection control Safety Satisfaction surveys Restraints Resuscitation Mortality record review Procedure review Department PI indicators, trends analysis, and corrective action plans Other as indicated
Quality Officer TS: Serves as a resource to medical staff, managers, other staff.
Quality Officer TS: Prepares an annual report for the PI plan and process
Quality Officer TS: Coordinates the regulatory survey process.
Quality Officer TS: Oversees PI projects identified through the on-going hospital-w ide data driven quality assessment and performance improvement program.
Quality Officer TS: Assists with the credentialing process, medical staff PI profiles.
Safety Officer TS: Develops responses to sentinel event alerts published by regulatory agencies or other similar alerts, as appropriate.
Safety Officer TS: Serves as chairman of the Safety Risk committee
Safety Officer TS: Develops and implements key patient safety indicators approved by the hospital administration.
Safety Officer TS: Educates staff, employees, and patients/families on patient safety initiatives.
Safety Officer TS: Integrates patient safety into performance improvement and risk reduction activities.
Safety Officer TS:Participates in proactive risk analyses (failure mode effects and critical analysis) selected by the leadership.
Safety Officer TS: Provides safety reports to performance improvement and medical executive committee meetings.
Safety Officer TS: Assists w ith the development of policies and procedures to support an effective and comprehensive safety program.
Safety Officer TS: Defines mechanisms for providing psychological support to staff who have been involved in a sentinel/critical event.
Safety Officer TS: Maintains documentation supporting the structure and processes evidence regarding the effectiveness of the safety program.
Safety Officer TS: Provides input into the budget process for expenses related to patient safety.
Safety Officer TS: Serves as the HRSA Coordinator; attends HRSA meetings
Safety Office TS: Ensures mothly environmnetal monitoring of deparmental patient safety compliance data.
Safety Office TS: Serves as an internal consultant to the executive council, clinical department, other services, and performance improvement teams, on patient safety initiatives.
Safety Officer TS: Ensures that the elements of the safety plan are integrated throughout the organization.
QualificationsFormal Education: Bachelor's DegreeEducation Requirements
LHC - Icims