What are the responsibilities and job description for the Director Quality and Risk Management position at US Veterans Health Administration?
Duties
- Supervises risk management, patient safety, systems redesign, infection control, external peer review program, boards of investigation, external peer review program, quality metrics, internal control reports, and other programs which are or may be assigned by the Director.
- Coordinates the integrated relationship of these programs to each other and with the total LAJVAMC to minimize duplication and clarify respective functions.
- Monitors the status of all special, regular and planned programs impacting quality of patient care at system facilities.
- Monitors areas related to improving the quality of care and assures effective systems are in place.
- Develops procedures to implement and ensure regular review of meeting minutes for all administrative and clinical committees and service meetings.
- Ensures continuous readiness and compliance for various external site reviews including The Joint Commission (TJC), Office of Inspector General (OIG), Commission on Accreditation of Rehabilitation Facilities (CARF), Community Living Center (CLC) Survey, and Office of Medical Inspector.
- Collaborates with the chairs of key system committees to develop compliance review schedules. Quality Management and Performance Improvement -
- The incumbent collaborates with executive leaders to formulate facility quality management policy, develop, implement, and evaluate management systems, and establish institutional performance improvement and resource management priorities.
- Analyzes services provided and organizational resources to determine alternative resource allocations and make recommendations to executive leadership.
- Provides performance improvement direction and advice to various system committees and follows up on recommendations to LAJVAMC executive boards and committees to ensure the timely resolution of identified problems.
- Prepares performance improvement agendas and briefs for the Executive Leadership Board (ELB), highlighting issues and progress. Provides oversight for major performance improvement projects, collaborating with LAJVAMC management to ensure full implementation of recommendations, as well as VHA mandates.
- Educates and trains staff on performance improvement methodology and evaluation. 2 Leads and coordinates the development and modification of clinical and administrative programs and advises executive management on a wide variety of issues affecting the delivery of care.
- Consults with service chiefs, committee chairpersons, and program managers to develop and execute service and program strategies that align with LAJVAMC Strategic Plan and VHA Performance Measures.
- Assists services or committees to identify problems within the service or with cross services, develop analytical studies, analyze the data, and recommend changes or corrective actions.
- Develops data collection procedures and coordinates with executive leaders and stakeholders to recommend new courses of action.
- Responsible for the facility Strategic Plan and performance improvement, and as delegated by the Director, to request program information relevant to performance improvement from any services or other units, to enter discussions concerning the program with program officials and service chiefs, and to recommend program changes to enhance performance improvement and related programs.
- Develops, implements, and monitors the LAJVAMC performance improvement tracking program and management monitoring systems to evaluate LAJVAMC programs and ensure efficiency and effectiveness.
- Reviews the performance improvement monitor system to assure the process meets TJC standards, is meaningful and that a plan of action exists for correction of problems revealed.
- The incumbent assures compliance through follow-up on the implementation of action plans, concurrent and retrospective studies.
- Maintains an information reference base of TJC and VA Central Office (VACO) performance improvement materials with all current standard and manuals.
- Maintains and assures the confidentiality of performance improvement material, determines the information content to be disseminated, and informs necessary staff of these matters to ensure discretion and prudence.
Not a Virtual Position
Position Description Title/PD#: Director Quality and Risk Management/
Physical Requirements: The work is primarily sedentary with some walking or standing. No special physical demands are required.
Requirements
Conditions of Employment
- Designated and/or random drug testing may be required
- May serve a probationary period
- Selective Service Registration is required for males born after 12/31/1959
- A complete application package; Resume, Transcripts, etc.
- Selected applicants will be required to complete an online onboarding process
Qualifications
Individual Occupational Requirement: Applicants who meet the Individual Occupational Requirements described below are fully qualified for the GS-13.
- A degree with a Major Study area Hospital Administration, Public Health Administration, or related (Transcripts Required)
- OR
- Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field. This work involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
- OR
- Completed an agency-sponsored on-the-job training program that included a formal individualized training plan. The training program was conducted in an operating health care system and included Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individual's progress and appropriate adjustment of the training program.
GS-13 grade level: One year of specialized experience (equivalent to the GS-12 grade level in the federal service); experience that equipped the applicant with the particular knowledge, skills and abilities (KSA's) and other characteristics to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled, in the normal line of progression for the occupation in the organization. Specialized experience includes:
- Progressively responsible analytical or administrative, or clinical management or supervisory experience in the health care field performed in an operating health care facility or a higher organizational echelon with advisory or directional authority over such facilities.
- Work must have involved a close working relationship with facility managers and analysis and/or coordination of administrative, clinical, or other service activities, and provided knowledge of the following: Missions, organizations, programs, and requirements of health care delivery systems; Regulations and standards of various regulatory and credentialing groups; and Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement
- Ability to define a project scope and goals through a collaborative process and provide consultation to executive, service line, and program leadership; comprehensive knowledge of healthcare utilizing standardized tools, methods, and principles such as Lean and Six Sigma; skill as an excellent communicator which includes the ability to listen well, write with clarity, and speak effectively to small and large groups.
Resume Requirement: * Your resume must include the following information: Job title, description of duties, beginning and ending date (month/year) of employment; and average hours worked per week.
RESUME REQUIREMENTS - Your resume must include the following information for each job listed:
- Job Title (for each position)
- Description of duties (be as detailed as possible)
- Month and year start/end dates (e.g. June 2018 to April 2020) of employment
- Full-time or part-time status (include average hours worked per week)
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Education
Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/.
If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education.
Additional information
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced VA competitive service employees with selection priority over other candidates for competitive service vacancies. To be well-qualified, applicants must possess experience that exceeds the minimum qualifications of the position including all selective factors if applicable, and must be proficient in most of the requirements of the job. Information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website which can be found at https://www.opm.gov/.
Receiving Service Credit for Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed.
This job opportunity announcement may be used to fill additional vacancies.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE WILL NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Applicants will be referred in the order in which they were received.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required Documents
As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.
Documents Accepted:
- DD-214/ Statement of Service
- Disability Letter (Schedule A)
- Disability Letter (VA)
- Proof of Marriage Status
- Resume
- Separation Notice (RIF)
- SF-15
- SF-50/ Notification of Personnel Action
- Transcript
Documents Required:
- Resume
Please review the above list(s) to ensure you have included all necessary documents required for your application.Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).You will not be contacted for additional information. Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference: Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online. Applying online will allow you to review and track the status of your application.If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
All applicants are encouraged to apply online.
To apply for this position, you must complete the occupational questionnaire and submit the documentation specified in the Required Documents section. The complete application package must be submitted by 11:59 PM (EST) on 01/19/2023 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/11791771.
1. To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USAJOBS resume and/or other supporting documents and complete the occupational questionnaire.
2. Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date. To verify your application is complete, log into your USAJOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the More Information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process.
To return to an incomplete application, log into your USAJOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USAJOBS account or your application will be incomplete.
Agency contact information
Rachelle Myles-Velasco
Phone
713-791-1414 X22833
Email
rachelle.myles@va.gov
Address
Louis A Johnson VA Medical Center
1 Medical Center Drive
Clarksburg, WV 26301
USNext steps
After the vacancy announcement closes, applicants are evaluated to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email.
Fair and Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
- Equal Employment Opportunity (EEO) Policy
- Reasonable accommodation policy
- Financial suitability
- Selective Service
- New employee probationary period
- Signature and false statements
- Privacy Act
- Social security number request
Required Documents
Documents Accepted:
- DD-214/ Statement of Service
- Disability Letter (Schedule A)
- Disability Letter (VA)
- Proof of Marriage Status
- Resume
- Separation Notice (RIF)
- SF-15
- SF-50/ Notification of Personnel Action
- Transcript
Documents Required:
- Resume
Please review the above list(s) to ensure you have included all necessary documents required for your application.Not every applicant will require the same documents, therefore it is the applicants responsibility to ensure that their application package includes all necessary documents to determine qualifications and eligibility for appointment, such as a copy of your SF-50, transcript, ICTAP/CTAP documentation (for displaced Federal employees).You will not be contacted for additional information. Applicants will be deemed ineligible if supporting documentation is not submitted.
Veterans' Preference: Since the Direct-Hire Recruitment Authority is being used, traditional Veterans' Preference rules do not apply. Qualified veterans will, however, be given full consideration for this position.
Applications are accepted online. Applying online will allow you to review and track the status of your application.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
This job is open to
Career transition (CTAP, ICTAP, RPL)
Federal employees who meet the definition of a "surplus" or "displaced" employee.
The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
Clarification from the agency
ALL US CITIZENS. DIRECT HIRE AUTHORITY: This position is being filled using Direct-Hire Authority (COVID-19 - VA 005) in-accordance with 5 U.S.C. 3304(a)(3) and 5 CFR 337.205(b)(1)-(4).
