Role Description Title: Quality Improvement Advisor Incumbent: Leadership Competency Group Business and Service Enabler LOCATION: Branch and Division: HHL Group, Quality Team (Shared Services) Geographical Location: Head Office, Wellington Manager’s Title: Director Client Safety, Quality and Risk Manager Once Removed Title: Director Planning and Service Development ROLE PURPOSE: The primary purpose of the role of the Quality Improvement Advisor is to support HHL Group and its entities in the achievement of high quality and safe services for its clients. The role will support operational management to understand and be accountable for implementing the quality framework and associated key deliverables, ensuring compliance with sector quality and service delivery specifications, and with a particular emphasis on continuous quality improvement. The role is part of the HHL Group Quality Team, providing quality improvement support across all HHL Group entities: o NZCare o Community Services Division o Healthcare Rehabilitation Ltd o Mental Health & Addiction o Explore Behaviour Support Service o Freedom Medical Alarms o Pharmacy 547 HHL Group’s vision is: “To provide the best community-based health, rehabilitation and disability support services.” JD Quality Improvement Advisor, HHL Group Updated: 12 March 2014 DIMENSIONS OF THE POSITION: Number of direct reports Geographical area of responsibility Nil National across all HHL Group entities: o NZCare o Community Services Division o Healthcare Rehabilitation Ltd o Mental Health & Addiction o Explore Behaviour Support Service o Freedom Medical Alarms o Pharmacy 547 Operating Budget TBD Other (delegation levels) As per Authority Matrix POSITION SPECIFICS: In general terms, this position interacts with the following stakeholders: Entity management and staff HHL Group Quality Team Certification agencies Government Agencies (ACC, HDC) Clients and Family/whanau Advocacy Groups IMPORTANT RELATIONSHIPS: Internal HHL Group Quality Team HHL Group Senior Leadership Team Quality, Safety and Clinical Governance Group Planning and Service Development team HHL Group Shared Services All HHL Group divisions and staff: o NZCare o Community Services Division o Healthcare Rehabilitation Ltd o Mental Health & Addiction o Explore Behaviour Support Service o Freedom Medical Alarms o Pharmacy 547 External Certification/audit agencies Clients, family, whānau and advocates Consumer organizations Health and Disability Commissioner’s Office ACC Ministry of Health Health Quality & Safety Commission JD Quality Improvement Advisor, HHL Group Updated: 12 March 2014 PRINCIPAL ROLE ACCOUNTABILITIES AND EXPECTATIONS: Quality Systems Work with the Director Client Safety, Quality and Risk to implement the HHL Group Quality Framework and Quality Plan. Implement and monitor progress with the HHL Group Quality Plan, ensuring Senior Leadership Teams are provided with regular progress reports and guidance on priority areas. Develop regular reports of quality and safety data including incident reporting, complaints, satisfaction surveys and other feedback mechanisms. Develop and promote use by operational management of analysis and trend reports, key performance indicators etc. Work with Clinical Leaders to ensure the Quality Plan links with clinical policies and procedures and clinical audit activities. Ensure that all continuous quality improvement activities involving clinical practice integrate with the organisation wide quality programme. Provide oversight, direction and support to existing quality team members, ensuring workload is managed to ensure key priorities are met. Quality Improvement Facilitate and promote use of the ‘Model for Improvement’ and other quality improvement methodologies to ensure continuous quality improvement is the focus for quality programmes across all HHL Group entities. Provide oversight and coordination of client and family satisfaction surveys, providing support to services for the development, implementation and collation of surveys, analysis and reporting of results. Monitor and analyse trends associated with incidents and complaints ensuring remedial action is planned, monitored and reported on. Oversee the incident management system, responding to service requests for assistance with reporting, coding and categorisation of events, and ensuring data entry into central spreadsheet occurs. Ensure all incidents, including near misses, are reported and follow-up actions taken to eliminate or minimise occurrences in the future. Provide support and quality improvement advice to operational management in the reporting, analysing and corrective actions resulting from major incidents and/or complaints. Compliance Work with the Director of Client Safety, Quality and Risk and senior leadership teams to ensure an internal, contractual and external audit programme is maintained, reported on and corrective actions managed with the agreed timeframes, ensuring that all service quality standards are met in all areas where the programme services are being delivered. Ensure that the quality function uses modern internal audit methodologies, which is proactive and focused on continuously improving the effectiveness of quality and risk management. Maintain a central register of all quality and safety corrective action registers related to internal and external audit activities, monitoring progress and reporting on exceptions. JD Quality Improvement Advisor, HHL Group Updated: 12 March 2014 Relationship Development Maintains strong relationships and linkages with key organisations including audit agencies and governmental departments. Contribute to projects across HHL Group related to proposals for new business and/or national projects associated with quality and safety. Eg: MOH, ACC, DHB’s PHOs, Health Quality and Safety Commission. Develop relationships with managers and staff throughout HHL Group to promote a collaborative and cooperatively approach, ensuring that the quality and safety programme works effectively within the company matrix structure. Develop strong relationship with clinical leaders throughout HHL Group entities, ensuring engagement and participation in all quality improvement activities involving clinical practices. Professional Development Promotes a quality practice environment that contributes to the ongoing demonstration and evaluation of competencies and encourages learning, best practice and evidence-based practice. Participates in professional activities related to quality and safety to keep abreast of current trends and issues related to rehabilitation, disability and community health services. Communicates effectively with members of the health care team including using a variety of effective communication techniques, employing appropriate context and providing adequate time for discussion Promotes client and family/whanau perspective within the various teams. Work with Learning and Development to support training and education of the packages related to quality and safety. Health and Safety Demonstrate a high level of commitment to and understanding of the Company’s Health & Safety Management System by become familiar with all policies and procedures as it affects the work environment. Systematically identify and assess hazards within the working environment and take all practical steps to control these hazards. Report all incidents and near misses as per the Company’s policies and procedures. Miscellaneous The diverse nature of this role requires that other duties may be undertaken from time-to-time and these will be in consultation with management as they arise. JD Quality Improvement Advisor, HHL Group Updated: 12 March 2014 COMPETENCIES: Leadership Competency Group Focusing on the people we work with Executing the strategy Understanding the environment Business and Service Enabler Coaching - Providing timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Delegating Responsibility - Allocating decision-making authority and/or task responsibility to appropriate others to maximize the organisation’s and individuals’ effectiveness. Developing Others - Planning and supporting the development of individuals’ skills and abilities so that they can develop and/or enrich their capability in their current or future job/role. Selecting Talent - Evaluating and selecting internal and external talent to ensure the best match between the individual and the organisation’s requirements. Enabling Change - Encouraging others to understand the need for change; facilitating the implementation and acceptance of change within the workplace. Taking Action - Setting high goals for personal and team accomplishment; measuring and monitoring team progress towards goals; tenaciously working to meet or exceed team goals while deriving satisfaction from that achievement and continuous improvement. Building Client Loyalty - Effectively meeting client needs; building productive client relationships; taking responsibility for client satisfaction and loyalty. Problem Solving - Identifying problems or opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences. JD Quality Improvement Advisor, HHL Group Updated: 12 March 2014 PERSON SPECIFICATION: Essential Desired Relevant tertiary/diploma qualification Proven experience of at least 10 years working in health and disability in NZ. Project management qualification such as PRINCE or equivalent experience. A sound understanding and experience of the principles of quality improvement methodologies. Ability to maintain a strategic view of organisational priorities. Proven experience in motivating and inspiring staff to exceed quality standards. Experience in health service change and implementation of new policy. Proven knowledge and experience of implementing health and disability sector standards. Preferable to have knowledge of working with ACC contracts and coordination of compliance audits against contract. Knowledge of working with health and safety compliance programmes eg: ACC WSMP and/or ACC partnership programme. The ability to envisage the way in which services should develop to meet community health needs and how changes might impact on future models of care. Experience in the facilitation of feedback from clients, family/whanau and advisory group forums. Proven policy development and strategic planning skills Working with clients and families in a participatory health setting Highly developed coaching and development skills. Change management and leadership skills. Skilled in relationship management with internal and external stakeholders. High standard of oral and written communication skills. Self-motivated, able to set priorities and achieve timeframes with little direction or supervision. Ability to adapt to chance and use initiative to make decisions based on information and knowledge of the situation. JD Quality Improvement Advisor, HHL Group Updated: 12 March 2014