CAREER GUIDE FOR HOSPITAL QUALITY ASSURANCE COORDINATOR

SOC Code: 29-9099

Pay Band(s): 4 and 5    (Salary Structure)

Standard Occupational Description: There is no standard occupational description for the occupation of Hospital Quality Assurance Coordinator as used by the Commonwealth. This occupation would be included in the Healthcare Practitioners and Technical Workers, All Others. This group is comprised of many different types of healthcare practitioners' occupations with a wide range of characteristics

Commonwealth of Virginia Description: Insure compliance with governmental and other health care regulatory agency quality assurance (QA) requirements in a state mental health facility /hospital or other hospital.

Hospital Quality Assurance Coordinator positions in the Commonwealth are assigned to the following Roles in the Healthcare Compliance Career Group:

Health Care Compliance Specialist I

Health Care Compliance Specialist II

While Hospital Quality Assurance Coordinator within the Commonwealth are all located within the Healthcare Compliance Career Group, individuals may want to pursue other opportunities within the Commonwealth depending upon individual training, education, knowledge, skills, abilities, and interests.   

Other Career Group(s) that may be of interest are:

Nursing/Physician Assistance Services

Physician Services

Counseling Services

Program Administration

SKILLS, KNOWLEDGE, ABILITIES AND TASKS

(Technical and Functional Expertise)

Skills
Note: The technical and functional skills listed below are based on general occupational qualifications for Hospital Quality Assurance Coordinators commonly recognized by most employers.  Typically, you will not be required to have all of the skills listed to be a successful performer.  Recruitment and selection standards for an individual state job must be based on the specific knowledge, skills, and abilities for that job as indicated in the job announcement and job description in the Employee Work Profile.

  1. Considering the relative costs and benefits of potential actions to choose the most appropriate one.
  2. Understanding written sentences and paragraphs in work related documents.
  3. Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  4. Talking to others to convey information effectively.
  5. Communicating effectively in writing as appropriate for the needs of the audience.
  6. Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  7. Using mathematics to solve problems.
  8. Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.
  9. Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  10. Using scientific rules and methods to solve problems.

Knowledge
Note: The technical and functional knowledge statements listed below are based on general occupational qualifications for Hospital Quality Assurance Coordinators commonly recognized by most employers.  Typically, you will not be required to have all of the knowledge listed to be a successful performer.  Recruitment and selection standards for an individual state job must be based on the specific knowledge, skills, and abilities for that job as indicated in the job announcement and job description in the Employee Work Profile.

The Knowledge of:

  1. Laws, legal codes, court procedures, precedents, government regulations, executive orders, and institutional rules to include federal and state hospital licensure and/or accreditation standards.
  2. Hospital quality assurance principles and evaluation methodologies.
  3. Hospital functions and operations.
  4. Information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
  5. Animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
  6. Chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
  7. Principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
  8. Human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
  9. Principles, practices and professional standards of medical records management, practice procedures and terminology.
  10. Structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Abilities
Note: The technical and functional abilities listed below are based on general occupational qualifications for Hospital Quality Assurance Coordinators commonly recognized by most employers.  Typically, you will not be required to have all of the abilities listed to be a successful performer.  Recruitment and selection standards for an individual state job must be based on the specific knowledge, skills, and abilities for that job as indicated in the job announcement and job description in the Employee Work Profile.

The Ability to:

  1. Read and understand information and ideas presented in writing.
  2.  Listen to and understand information and ideas presented through spoken words and sentences.
  3. Communicate information and ideas in speaking so others will understand.
  4. Communicate information and ideas in writing so others will understand.
  5. Combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
  6. Add, subtract, multiply, or divide quickly and correctly.
  7. Apply general rules to specific problems to produce answers that make sense.
  8. Choose the right mathematical methods or formulas to solve a problem.
  9. Tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Tasks
Note:  The following is a list of sample tasks typically performed by Hospital Quality Assurance Coordinators.  Employees in this occupation will not necessarily perform all of the tasks listed. 

  1. The Dictionary of Occupational Titles provides the following tasks:
  2. Interpret and implement quality assurance standards in hospital to ensure quality care to patients.
  3. Review quality assurance standards, study existing hospital policies and procedures, and interview hospital personnel and patients to evaluate effectiveness of quality assurance program.
  4. Write quality assurance policies and procedures.
  5. Review and evaluate patients' medical records, applying quality assurance criteria.
  6. Select specific topics for review, such as problem procedures, drugs, high volume cases, high-risk cases, or other factors.
  7. Compile statistical data and writes narrative reports summarizing quality assurance findings.
  8. Review patient records, applying utilization review criteria, to determine need for admission and continued stay in hospital.
  9. Oversee personnel engaged in quality assurance review of medical records.

INTERESTED?

Like people, occupations have traits or characteristics.  These characteristics give important clues about the nature of the work and work environment, and give you an opportunity to match your own personal interests to a specific occupation.  When you choose a job in an occupation that matches your own interests you have taken an important step in planning a successful and rewarding career.

The occupation of Hospital Quality Assurance Coordinator has characteristics as described below:

Investigative — Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.

Social — Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

Conventional — Conventional occupations frequently involve following set procedures and routines. These occupations can include working with data and details more than with ideas. Usually there is a clear line of authority to follow.

LICENSURE, REGISTRATION, OR CERTIFICATION REQUIREMENTS

Generally this is not required for Hospital Quality Assurance positions in state government. 

The hospital quality assurance coordinator is typically a registered nurse.

Licensing information for nurses and other health care professionals can be found on the Department of Health Professional's web site at http://www.dhp.state.virginia.us/.

EDUCATIONAL, TRAINING, AND LEARNING OPPORTUNITIES 

The hospital quality assurance coordinator monitors and ensures that there is hospital-wide compliance with laws, policies, and standards for quality of patient care, and facility licensure and/or accreditation.

Register nurses are typically sought for job openings. Educational preparation to become a registered nurse is offered in three different types of programs in the Commonwealth.  They are four-year college programs offering bachelor's degree, community colleges offering associate degrees and hospital-based schools offering diplomas. Most employers prefer a baccalaureate degree and clinical work experience.

The State Council of Higher Education lists many Virginia educational institutions offering programs in nursing on their web site: http://research.schev.edu/degreeinventory/inventory_

COMMONWEALTH COMPETENCIES

Competencies are a set of identified behaviors, knowledge, skills, and abilities that directly and positively impact the success of employees and the organization. Competencies can be observed and measured.  When consistently demonstrated, competencies make employees particularly effective in their work.  Competencies help lay out a road map to career success.  You can use the Commonwealth Competencies to help improve your individual performance by adopting behaviors that make high performing employees successful in their jobs. In this way, you can use the Commonwealth Competencies for your further professional development.

The Commonwealth Competencies are:

  1. Technical and Functional Expertise
  2. Understanding the Business     
  3. Achieving Results
  4. Serving the Customer
  5. Teamwork
  6. Interpersonal and Communication Skills
  7. Leadership and Personal Effectiveness

The above competencies may be applied to employees throughout the Commonwealth of Virginia.  They can be rank-ordered by agencies and hiring managers to represent the needs of a specific job.  The rank ordering will change depending upon the occupation, an organization's priorities, the actual job requirements, and the supervisor's preferences. 

Career success is both about what you do (applying your technical knowledge, skills, and ability) and how you do it (the consistent behaviors you demonstrate and choose to use) while interacting and communicating with others.  Hopefully, by studying the Commonwealth competencies, identifying your developmental opportunities, and working to refine your own competence, you can take charge of your career!

For additional information about the Commonwealth Competencies go to: http://jobs.state.va.us/cc_planningctr.htm.  For the competencies, we first list the competencies and then define each.  Finally, we list competency indicators; to describe what successful performance looks like. 

COMMONWEALTH CAREER PATH

Career opportunities in the Commonwealth are not limited to moving “up” to the next highest role and pay band, changing positions, or to becoming a supervisor.  That's because most roles describe a broad group of occupationally related positions that perform a range of work that requires increased knowledge and skills.  For that reason, Commonwealth roles describe the career paths within the same or higher-level role for the same or different Career Group.  The broad salary range and the Commonwealth's pay practices provide flexibility in recognizing career development and advancement. (Salary Structure)

For example: Hospital Quality Assurance Coordinator

PAY BAND

PRACTITIONER ROLES

 

PAY BAND

MANAGER ROLES

4

Healthcare Compliance Specialist I

 

6

Healthcare Compliance Manager I

5

Healthcare Compliance Specialist II

     
         

Sample Career Path

Health Care Compliance Specialist I

The Health Care Compliance Specialist I role provides career tracks for compliance specialists performing responsibilities ranging from entry level professional to first line supervisor. Utilizing the principles of quality assurance employees audit, investigate, and inspect records, public and private operations, or facilities, to assure quality patient care and identify discrepancies in eligibility determinations, payment and billing calculations for individuals, third-party providers, or case records.

Health Care Compliance Specialist II

The Health Care Compliance Specialist II role provides career tracks for compliance specialists that either: plan and administer all aspects of a quality assurance, health care compliance, and utilization review programs; or are licensed health care professionals conducting inspections of service delivery and service providers.

Health Care Compliance Manager

The Health Care Compliance Manager role provides career tracks for managers who manage and direct quality assurance, health care compliance, and utilization review program operations. The work includes development, implementation, and evaluation of operational goals, objectives, policies, procedures, legislative recommendations, and operating budget.

ADDITIONAL OCCUPATIONAL INFORMATION CAN BE FOUND AT: 

O*NET (Occupational Information Network) 

http://online.onetcenter.org/gen_search_page

Virginia Employment Commission 

http://www.alex.vec.state.va.us/

Career One Stop

  http://www.careeronestop.org/

Virginia Career Resource Network

 http://www.vacrn.net/