Performance Improvement Specialist

We need to output HTML fragment with sections for headings: About the posting includes sections: primary function description (maybe About the role?), responsibilities (list of duties), requirements, qualifications. Also maybe Benefits, Pay, Schedule not present, so we should not include those sections. Also need to include any other sections like "Qualifications" etc. The posting includes "Job Requirements" and "Job Qualifications". Also includes "REASONABLE ACCOMMODATIONS" and "DIRECTION". Those are boilerplate? Reasonable accommodations maybe not needed? It's not cookie/navigation/legal/EEO etc. It's about accommodations; might be considered boilerplate but not explicitly listed to remove. However instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. Reasonable accommodations is not exactly those, but could be considered legal? Might be okay to keep? The instruction says remove legal boilerplate. Reasonable accommodations is a legal statement. Probably should remove. Also "DIRECTION" about reporting line maybe relevant? It's about reporting structure; could be considered part of role description. Might keep as part of About the role? But we have to not repeat job title as heading. We'll create sections: About the role (maybe a paragraph summarizing primary function). Responsibilities (ul list of duties). Requirements (ul list). Qualifications (ul list). Possibly also "Reporting Structure" but not required. We must preserve ALL substantive information; do not invent or summarize away detail. So we need to include all details from the posting. That's a lot. We need to convert paragraphs into

and lists into

• . Ensure we don't lose any specifics. Let's parse the posting: Paragraph 1: "The primary function of the Performance Improvement Specialist is to support and facilitate quality assessment and performance improvement (QAPI) activities for the local hospice branch (also referred to as hospice program). The QAPI Program is an on-going, data driven, organization-wide program involving data collection, analysis, and collaborative development of performance improvement initiatives." Then list of duties: many bullet-like sentences separated by spaces. We need to turn each duty into a list item. Let's extract duties: - Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures. - Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors. - CAHPS analysis process (optional process): data collection, analysis, and reporting. - CAHPS survey: Identify negative comments/responses and initiate service comments as appropriate. - QAPI dashboard: drill down, analyze and report data. - Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current. - Infection Control Reporting: data maintenance and analysis. - Incident Reporting: data maintenance and analysis, submission of documents for incidents identified as serious adverse events, completion of 3500A for home medical equipment-related incidents. - Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership. - Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management. - Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management. - Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management. - Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting. - Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting. - Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives. - Performs Quality reporting updates monthly, quarterly, and annually, including but not limited to:- Quality Update Report (QUR): prepare and submit monthly report to regional and senior management to communicate updates of Quality Assessment and Performance Improvement areas. - QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting. - Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements. - Facilitates Performance Improvement Projects including the coordination of performance improvement teams - Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic). - Maintains any and all versions of the PI Plan Manual. - Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs. - Report to senior management on compliance with required trainings including orientation and legally- mandated in-services. - Act As The Program Liaison To Central Support Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report. - Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials. - Collaborates with the PCA for external audits and records requests. - Participate in pilot projects related to QAPI initiatives as requested. - For programs or regions with a Performance Improvement Specialist (PIS) Assistant: Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed. - Other duties as assigned. Now requirements: - Ability to work independently and prioritize activities to meet deadlines. - Detail oriented with ability to analyze quality data and identify trends. - Strong oral and written communication, presentation, and facilitation skills. - Strong computer and technology skills (including MS Excel, MS Word, MS PowerPoint, MS Teams, and MS Outlook). - Strong organizational skills with the ability to multi-task. - Ability to motivate and lead change management and performance improvement. - Ability to travel as required. Qualifications: - Licensed (as required) health care professional (preferred) or non-clinician with quality background. - Certified Professional in Health Care Quality (preferred). - Knowledge of Medicare/Medicaid regulations, state licensure laws, and the requirements of any other applicable regulatory/accrediting body. - Experience with data collection, measurement tools, and data analysis. - Experience in a quality assurance/improvement role with an understanding of performance improvement concepts preferred. We also have "REASONABLE ACCOMMODATIONS Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job." This is legal boilerplate; we should remove. "DIRECTION Per the VITAS QAPI Plan, the General Manager/designee (with the cooperation of the Performance Improvement Specialist/designee) is responsible for coordinating and facilitating all QAPI activities. Therefore, the PIS Reports to the General Manager, or designee in the absence of the GM." This is reporting line; could be considered part of About the role or maybe a separate section "Reporting Structure". But instruction: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text. This is specific content. So we could include a section like "Reporting Structure" or incorporate into About the role. Since we already have About the role maybe we can add a paragraph about reporting. But we must not repeat job title as heading. We'll create sections: About the role (paragraph summarizing primary function and reporting line). Responsibilities (ul). Requirements (ul). Qualifications (ul). No Benefits/Pay/Schedule. We must preserve ALL substantive information; we need to ensure we didn't drop any duty. Let's double-check each duty captured. List again with numbers: 1. Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited Hospice Quality Reporting Program (HQRP): data collection and analysis of data associated with HQRP components, including but not limited to: Consumer Assessment of Healthcare Providers and Systems survey (CAHPS), claims-based measures, Hospice Item Set and any future measures. 2. Care Compare: data collection, tracking, and benchmarking HQRP scores against competitors. 3. CAHPS analysis process (optional process): data collection, analysis, and reporting. 4. CAHPS survey: Identify negative comments/responses and initiate service comments as appropriate. 5. QAPI dashboard: drill down, analyze and report data. 6. Service Comments: includes monitoring timely resolution, reassignment of pending service comments, communication of trends to program management, and ensure service comment log is current. 7. Infection Control Reporting: data maintenance and analysis. 8. Incident Reporting: data maintenance and analysis, submission of documents for incidents identified as serious adverse events, completion of 3500A for home medical equipment-related incidents. 9. Root Cause Analysis (RCA): co-facilitate RCA meeting with program management, ensure required documents are completed, document meeting on appropriate templates, submission of documents to required email distribution group, monitor effectiveness of corrective action plan and report outcomes to program leadership. 10. Revenue Analysis and Tracking: analyze and trend Unaccrued Revenue using report provided by Revenue Cycle Management and report findings to program management. 11. Hospice Aide (HA) In-service hours: obtain training completion report and report compliance with regulation requirement to program management. 12. Annual Update HIPAA/OSHA: Obtain training completion report for annual updates and report compliance to senior management. 13. Physician satisfaction surveys (as required by the program): data collection, analysis, and reporting. 14. Revocation and discharge monitoring (as required by the program): data collection, analysis, and reporting. 15. Collect and analyze quality indicator data/key performance indicators and collaborate with the senior management team to identify priorities for improvement and develop initiatives. 16. Performs Quality reporting updates monthly, quarterly, and annually, including but not limited to:- Quality Update Report (QUR): prepare and submit monthly report to regional and senior management to communicate updates of Quality Assessment and Performance Improvement areas. 17. QAPI IDG Committee Meeting (quarterly): prepare documents, co-facilitate meeting, capture minutes, submit documents, follow up on actions items from meeting. 18. Annual Reports: complete QAPI Program Annual Evaluation, prepare Annual Program Operational Review for program management completion, and any state-specific requirements. 19. Facilitates Performance Improvement Projects including the coordination of performance improvement teams 20. Maintains Documentation of Performance Improvement Initiatives (both hard copy and electronic). 21. Maintains any and all versions of the PI Plan Manual. 22. Identify program needs based on data analysis of the quality monitoring activities and recommend training to address these needs. 23. Report to senior management on compliance with required trainings including orientation and legally- mandated in-services. 24. Act As The Program Liaison To Central Support Submission of quarterly QAPI IDG and annual report documents including policy recommendations via the Governing Body Report. 25. Regarding quality initiatives: provides field perspective and participates in the development of company-wide materials. 26. Collaborates with the PCA for external audits and records requests. 27. Participate in pilot projects related to QAPI initiatives as requested. 28. For programs or regions with a Performance Improvement Specialist (PIS) Assistant: Oversight of the Performance Improvement Specialist (PIS) Assistant, including delegation of approved tasks and mentorship for delegated tasks as needed. 29. Other duties as assigned. Now we need to ensure we didn't miss any nuance like "Performs quality monitoring activities (tracking, trending, and analysis) including, but not limited Hospice Quality Reporting Program (HQRP):" The phrase "including, but not limited Hospice Quality Reporting Program (HQRP)" seems missing a word "to". We'll keep as is. Now we need to format as HTML fragment. We'll start with

  About the role

  then a

  containing the primary