Associate Director, Accreditation Review

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Full Time
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Posted 3 weeks ago

Planned Parenthood Federation of America (PPFA) is the national umbrella organization for the nation’s leading network of women’s health care providers, educators, and advocates, serving women, men, teens and families. Planned Parenthood Action Fund (PPAF) is the advocacy and political arm of PPFA. For over 100 years, Planned Parenthood has done more than any other organization in the United States to improve women’s health and safety, prevent unintended pregnancies, and advance the right and ability of individuals and families to make informed and responsible health care decisions.  
Plays a leadership role in the formal PPFA accreditation process to ensure that affiliate programs, operations and systems are in compliance with PPFA’s Standards of Affiliation, the Medical Standards and Guidelines, and all other PPFA accreditation standards.  In conjunction with the team manages the administration of the AED accreditation process. Overall responsibilities include planning and managing each affiliate accreditation review to ensure a timely, consistent and comprehensive review and report; conducting formal interviews that include CEO, board chair, and senior affiliate staff; and maintaining continual communication with CEO and other senior staff members. Collaborates with Health Care Division partners, other designated PPFA departments, ARMS, and affiliate leadership regarding monitoring of affiliates.
Coordinates tool content,design, development, and maintenance  (PPTs, internal guides, Health Center Audit, Medical Record Audit, Required PPFA Training and Orientation Grid, etc)

DUTIES AND RESPONSIBILITIES

  • Is responsible for setting the tone and working proactively to ensure that the entire review process feels collaborative, rather than confrontational, to affiliate CEO, staff, and board members, and that the on-site review has the least possible impact on health center staff and patients. Conveys difficult news to CEO and senior staff in an empathic and nonjudgmental manner.  Maintains objectivity and professional demeanor at all times when interacting with affiliate staff and board members. Reacts quickly to minimize impact of unexpected developments while onsite at affiliates (e.g., surveyor absence/illness; unexpected weather events;  negative reactions by affiliate staff, etc.)
  • Manages consultant surveyors (advanced practice clinicians or physicians) during reviews.  Orients new consultants, coordinates and helps conduct competency  assessment for consultant surveyors. Participates in  the scheduling and provision of  regular communication (e.g., writing newsletter articles) to all consultant surveyors.  Assists in the training of surveyors regarding changes in accreditation indicators, assessment tools, and accreditation processes.
  • Manages all aspects of an affiliate’s accreditation visit, including:
  • Organizing and coordinating the schedule with appropriate affiliate staff to ensure a comprehensive review of all business operations and clinical services offered by the affiliate, including coordinating off-site EHR assessments.
  • Overseeing and managing the team of health center surveyors (includes physicians and advanced practice clinicians).
  • Interviewing CEO, board chair, and senior and key program directors of the affiliate.
  • Checking in regularly with the CEO throughout the review process.
  • Conducting HR audit of personnel files and training records. 
  • Inputting indicator findings into the accreditation template and ensuring assessment of all performance indicators and EOPs. 
  • Providing an objective, professional report of all findings to the CEO, senior affiliate staff, and board leadership at the end of the accreditation review.
  • Ensures that all required off-site interviews are completed during Week 1 of the review. Collaborates with and secures agreement from national office program experts on appropriate outcomes for  accreditation elements of performance (EOPs).
  • Reviews affiliates’ critical documents.  Ensures submission of required documents from affiliates scheduled for accreditation; reviews documents; ensures compliance with accreditation indicators and EOPs; identifies all non-compliance issues requiring correction; communicates results to affiliate CEO or CEO’s designees; secures any missing information, checks for and corrects misinterpretations, and discusses required changes; and inputs findings into the Final Accreditation Report (FAR).
  • Collects and reviews audits (e.g., medical record audits, health center audits) and reports from team members (program experts and health center surveyors).  Assesses adherence to EOPs and develops and writes corrective actions for EOPs out of adherence.  Works collaboratively with co-review manager to provide an objective recommended accreditation status to the PPFA board’s Affiliate Development and Accreditation (ADA) Committee.
  • Completes the Final Accreditation Report; ensures review of report by Director, Affiliate Evaluation, National Director, AED, and other AED leadership as appropriate; advises AED leadership of all affiliate accreditation issues.  
  • Provides ongoing monitoring of affiliates’ progress in completing all required actions indicated in the affiliate accreditation report, or as directed by the Affiliate and Development and Accreditation (ADA) Committee of the PPFA board.
  • Collaborates with National Director and AED leadership to ensure accreditation process is comprehensive, consistent, current, and meets PPFA’s Standards of Affiliation; reviews and assists in the revision of accreditation documents and tools. Participates and contributes to the biennial crosswalk between PPFA’s accreditation standards and those of external accrediting organizations, and the review and revision of indicators and EOPs.
  • Provides support and assistance to ADA Committee, including provision of reports containing timely, relevant, and required affiliate accreditation information.
  • Maximizes the use of technology to increase the efficiency of PPFA’s accreditation program; uses technology to develop collaborative databases, create online assessment tools, and increase productivity. 
  • Works collaboratively and inter-departmentally to develop assessment tools and resources for affiliates.
  • Participates in development and implementation of AED internal systems and processes: standard operating procedures, quality improvement. 
  • Attends meetings, conferences, training; and participates in inter/intra departmental teams, task forces/committees, as directed.
  • Completes special projects as assigned and required.

POSITION SCOPE

  • Responsible for performing activities directly related to accreditation process and affiliate compliance to standards.  Participates in setting own objectives and priorities and follows through in accordance with established procedures.  Outlines the corrective action steps necessary for affiliates to achieve compliance with PPFA’s Standard of Affiliation.

PROBLEM-SOLVING

  • Problems encountered by incumbent are complex and non-routine in nature. Professional training and experience provide sufficient expertise to solve most problems.

KNOWLEDGE

  • Job duties require a thorough understanding of the principles, concepts and methodology of accreditation and current business and health care practices, and the ability to apply such knowledge in professional settings.  

FISCAL RESPONSIBILITY

  • Responsible for making routine, low-cost expenditures, with prior approval from supervisor or department head before processing. Monitor all travel and consultant expenses associated with accreditation reviews. 

CONTACTS

  • Incumbent regularly interacts with senior affiliate staff, including CEOs, and affiliate board members. Interacts with managers in other departments/divisions/affiliates to oversee and coordinate accreditation activities to assure conformance with approved standards.  Performance ensures Affiliate Evaluation and affiliate’s goals are met.  Promotes diversity as a core value of PPFA in interactions with affiliates.  Departmental policy or procedures determine the nature and content of external contacts including a well-defined constituency that has a moderate influence on programs or operations.  Identifies opportunities to expand program activities, develop work products, and build professional relationships that demonstrate and enhance PPFA’s commitment to diversity.

SUPERVISION

  • Oversees the accreditation surveyors on each accreditation review to ensure work meets deadlines, quality standards and customer service criteria.
  • Oversight may also include training, assessment and communication of the consultant surveyors.

POSITION REQUIREMENTS

  • Education:  Bachelor’s Degree is required.  Master’s in Public Health, Health Administration, Business Administration or related field is desirable. Clinical degree is desirable.
  • Experience:  Five to seven years of progressively responsible business and managerial experience in the healthcare field.  
  • Related Skills or Knowledge:  Competent skills for communicating.  Developed skills in review of business operations, systems and in assessment of medical programs. Knowledge of quality improvement systems and evaluation processes.  Strong interpersonal, oral and written communication skills.  Ability to lead, work independently, and deal with diverse groups.  Computer and appropriate information technology skills. Tolerance of, and sensitivity to, diversity.

TRAVEL

  •  Required to travel on a regular basis, as assigned. 
Starting Salary: 90k
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Final offers for this job will be based on capabilities and will be made within the parameters of the PPFA compensation program. Total offer package to include generous vacation + sick leave + paid holidays, individual/family provided medical, dental and vision benefits effective day 1, life insurance, short/long term disability, paid family leave and 401k. We also offer voluntary opt in for Flexible Spending Account (FSA) and Transportation/Commuter accounts.   
We value a truly diverse workforce and a culture of inclusivity and belonging. Our goal is to attract qualified candidates and encourage applications from all individuals without regard to race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law.  We're committed to creating a dynamic work environment that values diversity and inclusion, respect and integrity, customer focus, and innovation.
PPFA participates in the E-Verify program and is an Equal Opportunity Employer
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Job tags: Compliance Customer service HR Technology skills Training
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