Health Professional III- Occurrence Reporter CMHHIP
State of Colorado, Denver, Colorado, United States
THIS POSITION IS OPEN TO CURRENT RESIDENTS OF COLORADO ONLY
About Quality Management Department (CMHIP) The Quality Management Department exists to guide and support CMHHIP’s efforts to meet or exceed customer expectations by maintaining excellence in patient safety and care, and to identify opportunities for improvement through data collection, analysis, interpretation and dissemination of data-based information that enables hospital leadership to utilize resources in an effective and efficient manner and to operate efficiently under legislative and regulatory mandates and clinical and administrative policies and guidelines.
About the Position This position assists with the implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109. This position reviews and analyzes incident reports, using the standards of practice set by the Colorado Department of Public Health and Environment (CDPHE), and provides follow up for CMHHIP, Office of Behavioral Health (OBH), and Colorado Department of Human Services (CDHS). Additionally this position investigates and determines which events constitute a critical incident/occurrence and determines which of those must be reported to Executive Management in Denver, CMHHIP leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH and CDPHE. Additional duties include:
Critical Incident/Occurrence Investigation and Reporting
Ongoing development and implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109.
Collects, analyzes and reports data related to hospital-wide incidents to improve patient and staff safety.
After investigating the incident and assessing the data collected, determines which events constitute an occurrence that must be reported through the iNotify database to Executive Management in Denver, CMHHIP/OBH leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH. Investigates and conducts mini root cause analyses into the incidents to determine which incidents rise to the level of required reporting to CDPHE or TJC as a Sentinel Event.
Investigates and develops follow-up reports on any occurrence that meets the criteria, including review of video, interviews, documentation, and related activities.
Involved in the completion of Apparent Cause Analysis and Root Cause Analysis for critical incidents investigations.
Completes emergency physical intervention/restraint training (CTI) and CPR. Collaborates with Program and Unit Leadership, Department of Public Safety and Department Heads to respond to serious allegations and determine appropriate action to keep patients safe.
Formulates recommendations for change or improvement in operating procedures.
Medical Records Audits and Audit Monitoring
Completes audits under the direction of the Quality Management QAPI team.
Collects and summarizes findings by aggregating data per regulatory guidelines and reports findings to the Director of Quality Management and QAPI Supervisor.
Assists with data input and maintains Quality Management spreadsheets and databases for audits, focused audits, or requests by affiliated entities and TJC Tracers.
Determines data presentation methods based on the audience and uses an established database for audits and reports.
Maintains a system for tracking chart delinquencies with a goal of no delinquencies older than 30 days hospital-wide; monitors delinquencies and coordinates resolution with the QAPI team.
Provides reports on delinquencies and may participate in various aspects of utilization management and payer documentation.
Survey Readiness - Tracers
Per direction of the Quality Management Director, provides backup support in the Tracer process and conducts intense observations and detailed medical record audits to ensure Joint Commission/CMS standards compliance.
This includes reviews of Ambulatory Care Services, Physical Therapy, Dental Services and Radiology.
Other Duties as Assigned
Performs tasks within the scope of practice to meet agency and department goals.
Experience
Six (6) years of relevant experience in an occupation related to the work assigned to this position, or a combination of related education and/or relevant experience equal to six (6) years.
Preferred Qualifications
Experience in a clinical or hospital setting
Behavioral health experience
Clinical degree (Nursing; Psychology, Social Work, etc.) or other relevant degree
Conditions of Employment
Full background check due to direct contact with vulnerable persons
CBI & FBI fingerprint checks, Colorado Court Database, Medicare Fraud Database, TRAILS checks
Direct care responsibilities for vulnerable adults may require CAPS check
May work various shifts; must report for essential or emergency services as needed
2-step TB screening required on hire
Biweekly pay schedule
Pre-employment background check required; certain convictions may disqualify
Prohibits inappropriate relationships with patients; disclose relationships on application
Must complete CMHIP New Employee Orientation modules including defensive tactics competency
Physical ability to perform CTI/CPR and other listed activities; ability to observe, respond to safety breaches
Ability to read, write and communicate effectively in English
Willing and able to travel; flu vaccination annually
Former CDHS employees disciplined terminated or resigned in lieu of termination may not be eligible
CDHS Selection Process Explanation Employment history is evaluated on a full-time basis. Complete the official State of Colorado online application. Cover letters and resumes are not reviewed during minimum qualifications screening. Document work experience and qualifications in detail. Comparative analysis will follow for qualified applicants, including supplemental questions.
How to Apply and Contact For questions, contact tricia.jepsen@state.co.us
About Us & Benefits: CDHS offers retirement benefits, medical/dental plans, life insurance, disability coverage, holidays, wellness programs, and more. Some positions may qualify for Public Service Loan Forgiveness.
Equal Opportunity Employment: The State of Colorado is an equal opportunity employer committed to inclusive hiring. The campus of the Colorado Mental Health Institute at Pueblo is tobacco-free.
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About Quality Management Department (CMHIP) The Quality Management Department exists to guide and support CMHHIP’s efforts to meet or exceed customer expectations by maintaining excellence in patient safety and care, and to identify opportunities for improvement through data collection, analysis, interpretation and dissemination of data-based information that enables hospital leadership to utilize resources in an effective and efficient manner and to operate efficiently under legislative and regulatory mandates and clinical and administrative policies and guidelines.
About the Position This position assists with the implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109. This position reviews and analyzes incident reports, using the standards of practice set by the Colorado Department of Public Health and Environment (CDPHE), and provides follow up for CMHHIP, Office of Behavioral Health (OBH), and Colorado Department of Human Services (CDHS). Additionally this position investigates and determines which events constitute a critical incident/occurrence and determines which of those must be reported to Executive Management in Denver, CMHHIP leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH and CDPHE. Additional duties include:
Critical Incident/Occurrence Investigation and Reporting
Ongoing development and implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-3-109.
Collects, analyzes and reports data related to hospital-wide incidents to improve patient and staff safety.
After investigating the incident and assessing the data collected, determines which events constitute an occurrence that must be reported through the iNotify database to Executive Management in Denver, CMHHIP/OBH leadership, including the hospital CEO and the Deputy Director of Clinical Services for OBH. Investigates and conducts mini root cause analyses into the incidents to determine which incidents rise to the level of required reporting to CDPHE or TJC as a Sentinel Event.
Investigates and develops follow-up reports on any occurrence that meets the criteria, including review of video, interviews, documentation, and related activities.
Involved in the completion of Apparent Cause Analysis and Root Cause Analysis for critical incidents investigations.
Completes emergency physical intervention/restraint training (CTI) and CPR. Collaborates with Program and Unit Leadership, Department of Public Safety and Department Heads to respond to serious allegations and determine appropriate action to keep patients safe.
Formulates recommendations for change or improvement in operating procedures.
Medical Records Audits and Audit Monitoring
Completes audits under the direction of the Quality Management QAPI team.
Collects and summarizes findings by aggregating data per regulatory guidelines and reports findings to the Director of Quality Management and QAPI Supervisor.
Assists with data input and maintains Quality Management spreadsheets and databases for audits, focused audits, or requests by affiliated entities and TJC Tracers.
Determines data presentation methods based on the audience and uses an established database for audits and reports.
Maintains a system for tracking chart delinquencies with a goal of no delinquencies older than 30 days hospital-wide; monitors delinquencies and coordinates resolution with the QAPI team.
Provides reports on delinquencies and may participate in various aspects of utilization management and payer documentation.
Survey Readiness - Tracers
Per direction of the Quality Management Director, provides backup support in the Tracer process and conducts intense observations and detailed medical record audits to ensure Joint Commission/CMS standards compliance.
This includes reviews of Ambulatory Care Services, Physical Therapy, Dental Services and Radiology.
Other Duties as Assigned
Performs tasks within the scope of practice to meet agency and department goals.
Experience
Six (6) years of relevant experience in an occupation related to the work assigned to this position, or a combination of related education and/or relevant experience equal to six (6) years.
Preferred Qualifications
Experience in a clinical or hospital setting
Behavioral health experience
Clinical degree (Nursing; Psychology, Social Work, etc.) or other relevant degree
Conditions of Employment
Full background check due to direct contact with vulnerable persons
CBI & FBI fingerprint checks, Colorado Court Database, Medicare Fraud Database, TRAILS checks
Direct care responsibilities for vulnerable adults may require CAPS check
May work various shifts; must report for essential or emergency services as needed
2-step TB screening required on hire
Biweekly pay schedule
Pre-employment background check required; certain convictions may disqualify
Prohibits inappropriate relationships with patients; disclose relationships on application
Must complete CMHIP New Employee Orientation modules including defensive tactics competency
Physical ability to perform CTI/CPR and other listed activities; ability to observe, respond to safety breaches
Ability to read, write and communicate effectively in English
Willing and able to travel; flu vaccination annually
Former CDHS employees disciplined terminated or resigned in lieu of termination may not be eligible
CDHS Selection Process Explanation Employment history is evaluated on a full-time basis. Complete the official State of Colorado online application. Cover letters and resumes are not reviewed during minimum qualifications screening. Document work experience and qualifications in detail. Comparative analysis will follow for qualified applicants, including supplemental questions.
How to Apply and Contact For questions, contact tricia.jepsen@state.co.us
About Us & Benefits: CDHS offers retirement benefits, medical/dental plans, life insurance, disability coverage, holidays, wellness programs, and more. Some positions may qualify for Public Service Loan Forgiveness.
Equal Opportunity Employment: The State of Colorado is an equal opportunity employer committed to inclusive hiring. The campus of the Colorado Mental Health Institute at Pueblo is tobacco-free.
#J-18808-Ljbffr