| THE CLIENT |
Didi Hirsch Mental Health Services was founded in the 1930’s to provide psychiatric services for unemployed women affected by the Great Depression, The benefit of these services was so demonstrable that the Community Welfare Association of Los Angeles, Community Chest (now United Way) and Cedars of Lebanon Hospital (now Cedars Sinai) supported the expansion of services to both men and women.
By 1970, the agency had received federal designation as a Community Mental Health Center. In 1974 it opened its current headquarters on Sepulveda Boulevard in Culver City. In the same year, the Culver City Family and Child Guidance Clinic merged with the agency, adding children’s programs to its array of services. With the opening of the new headquarters, the agency was renamed to honor a longstanding friend and supporter, Didi Hirsch. Didi was a social worker and had seen first-hand the impact of untreated mental illness and who, with her husband, made a generous contribution to the agency’s capital campaign.
With more than 70 years of experience, Didi Hirsch Mental Health Services is governed by a 19-person Board of Directors and now has an annual operating budget of over $42 million. Approximately $40.5 million is funded by government contracts, including one with the Los Angeles County Department of Mental Health. The balance comes from private sector support and some limited fee for service income.
Didi Hirsch transforms lives by providing quality mental health care and substance use disorder services in communities where stigma or poverty limit access. From 11 sites and in nearly 100 schools, the agency helps over 90,000 adults and children throughout Southern California each year. Its Suicide Prevention Center, established in 1958 -- and the first in the nation to provide 24/7 crisis counseling beginning in 1962 -- receives over 66,000 calls on its Crisis Line annually and provides support groups for people who have lost loved ones to suicide or have attempted it. In 2010, the agency began providing bereavement services in Orange County to individuals and families who have lost a loved one to suicide.
This is a newly restructured and upgraded position that reflects the organization's commitment -- not just to quality assurance and compliance -- but to continuous quality improvement in every area of clinical services and operations. The Division Director is one of seven with this title in the organization. Along with the CEO and four Vice Presidents, s/he is a member of the senior management team and supervises a seven-person staff with responsibility for all quality assurance audits and medical records compliance. The Division Director will also work with the Business Intelligence, Training, and Research and Evaluation departments as well as providing support on major projects where data collection and other metrics are used to assess impact. The position reports to the Vice President, Quality & Innovation.
Specific Responsibilities include the following:
Clinical Standards and Documentation ? Ensures that employees throughout the Agency are trained in administration and application of documentation standards. ? Designs training in support of staff and process improvement activities, and oversees the ongoing development and implementation of staff training in documentation standards and improvements. ? Maintains and distributes up-to-date information on DMH and SAPC guidelines ? In collaboration with Research and Evaluation & Training Divisions, develops and implements important metrics and performance targets and works with program staff and managers to develop program improvement plans for each clinical program, as well as an overall agency improvement plan. ? Oversees and coordinates the preparation and execution of chart audits by outside agencies or funders. ? Oversees quarterly program peer reviews and analyzes resultant reports for strengths and areas of improvement. ? Monitors and supervises the development of the Quality Improvement Intranet Site. ? Works with professional organizations and funders to interpret documentation regulations. ? In collaboration with other agency divisions (IT, Business Intelligence, Research and Evaluation, & Training) develops and implements useful data reports. Then analyzes data to monitor quality and reduce compliance and/or monetary risk for the Agency; makes recommendations for quality improvement. ? Effectively presents data through appropriate use of charts, graphs, and other reporting analysis tools and provides regular reports on Quality Improvement projects.
Compliance & Privacy
? Develops, maintains, and interprets Agency Policies and Procedures related to current ethical and federal regulations including HIPAA and other issues of corporate compliance. ? Maintains and oversees agency code of ethics and standards of professional conduct to include in the Code of Conduct Manual. ? Monitors and oversees ongoing internal audits of HIPAA and other government compliance. ? Monitors Agency adherence to standards relating to licensing, accreditation, quality clinical care and protection of client rights, and ensures proper documentation, medical necessity and billing only for services rendered. ? Monitors and tracks clinical incident reports, and examines them for program improvement areas. ? Monitors the release of confidential information, provides information to programs on the release of information, and acts as liaison with the Agency attorney with regard to release of information when necessary.
? Works closely with the Electronic Health Record Analyst to ensure seamless workflow between DMH/SAPC guidelines and EHR functionality ? Forms a highly effective team to accomplish the program’s short and long term goals. ? Efficiently utilizes financial resources while maintaining commitment to quality service when requesting and purchasing quality improvement program supplies. ? Interfaces with related community agencies, attends meetings as scheduled and/or needed to include, the Department of Mental Health, ACHSA, SAPC, and CCCBHA. ? Assists VP, Quality and Innovation in the development of program budget and ensures expenditures comply with approved budgets; monitors and evaluates budget issues and recommends corrective action.
HIPAA Privacy Standards Compliance (All items listed below are a condition of continued employment):
The employee in this position will:
? Not use or disclose protected health information about any member or other party in compliance with Didi Hirsch’s policies related to state or federal laws such as HIPPA. ? Use appropriate safeguards to protect the confidentiality of such information. ? Report to Didi Hirsch management any use or disclosure of protected health information not permitted by Didi Hirsch policies related to state or federal laws such as HIPAA. ? Participate in Didi Hirsch’s training or briefings on HIPAA information as scheduled. ? Consult with supervisor on any issues or questions about compliance under Didi Hirsch’s policies related to state or federal laws such as HIPAA.