ASC Facility Administrator

AZURA

PURPOSE AND SCOPE:

The Facility Administrator is responsible for the leadership of the clinical facility ensuring all clinical, operational, and business objectives are met.

The Facility Administrator is authorized to make daily decisions to ensure patient and staff safety, the execution of some tasks may be delegated to the nursing leader where appropriate.  Develops a culture of trust, empowerment, and collaboration among all center staff.

The Facility Administrator shall ensure that the Center complies with the requirements of any governmental or regulatory body having jurisdiction in the premises.

Assists the Medical Staff to ensure that medical practices and procedures meets applicable standards.  Ensures provision of quality patient care and the role is responsible to the ASC Governing Body for clinical reporting and for operational oversight.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Environment of Care & Quality


* Manage site employees, environment, clinical processes and procedures, and workflow to deliver high quality of patient care


* Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, pharmacy requirements, and DEA anesthesia regulations


* Implement and maintain all aspects of Environment of Care requirements for patient safety and NFPA 101: Life Safety Code


* Plan personnel, equipment, and medications needed for medical emergencies; incorporate into Emergency Preparedness Plan; ensure maintenance of equipment


* Ensure proper medical records management and HIPAA compliance


* Oversees the continuous and data driven Quality Assurance and Performance Improvement Program of the center, including collection and analyzing of data per policy


* Through the use of internal tools (SoCA, FA Checklist, etc.) and feedback delivered in external inspections, develop facility-specific action plans to achieve ASC quality standards.


* Responsible for managing general liability and risk exposures to patients and employees by conducting risk assessments according standards, regulations and policies, and then developing and implementing an associated center specific management plan.


* Ensure adverse events are reported, documented and necessary follow up is provided in compliance with policy and state requirements


* Ensure effective communication with patients, dialysis clinics, hospitals and physician(s), to address any concerns/ issues

Facility Operations


* Participate in Governing Body Meetings; included but not limited to coordination of meetings in compliance with Governing Body Bylaws, documentation preparation and maintaining meeting minutes.


* Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws.


* Maintain compliance with ASC regulations including CMS conditions for coverage, state regulations, and accrediting agency standards where ...