Mary Alexander Email and Phone Number

I participate in various activities, which evaluate and document the compliance of Hospital compliance to Federal and State Guidelines and other local Standards of Care, as published by the CMS and CAH. I’m responsible for the overall coordination of activities involved in QI. I coordinate the development of assessment tools and processes to be utilized during QI reviews. Develop and conduct technical assistance workshops to address required changes to local standards. Participate in the… Show more I participate in various activities, which evaluate and document the compliance of Hospital compliance to Federal and State Guidelines and other local Standards of Care, as published by the CMS and CAH. I’m responsible for the overall coordination of activities involved in QI. I coordinate the development of assessment tools and processes to be utilized during QI reviews. Develop and conduct technical assistance workshops to address required changes to local standards. Participate in the implementation of comprehensive capacity building initiatives that address improvements in the overall service care continuum. Duties include, but are not limited to:• Writing comprehensive reports that document the overall outcome of the QI reviews detailing the actual findings and recommendations by individual service categories, and providers;• Assist in the development of evaluation tools that will produce quantitative and qualitative data and findings to validate compliance by department to Medical Staff and local standards of care for services approved in the hospital;• Assist in identifying service delivery indicators and outcome measures to evaluate effectiveness of applied standards; • Assist in the development and implementation of surveys and other related evaluation tools;• Responsible for developing methods for data collection and extracts data as required• Coordinate the process of data collection and the analysis of data by internal staff and outside consultants;• Hold QI team meetings and specialty training sessions; • Review QI review findings, and formulate recommendations to improve the quality of local standards of care; • Provides in-service training to non-provider staff in the area of quality improvement• Working collaboratively with the hospital Leadership and the Administrative t in the development and implementation of CQI processes.• Attends conferences and training sessions as requested Show less