joseph dawson
Director of Operations at Heritage Provider Network- Claim this Profile
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English -
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Bio
Credentials
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ABQAURP; CPUR;RCFE
-May, 2001- Oct, 2024
Experience
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Heritage Provider Network
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Medical Practices
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100 - 200 Employee
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Director of Operations
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Jun 2013 - Oct 2013
* Responsible for the implementation, monitoring and staying compliant with NCQA standards and guidelines for ACO managing over one million lives. * Especial emphasis was directed towards Clinical Quality Measures, Patient experience and management of the risk population. * Responsible for the implementation, monitoring and staying compliant with NCQA standards and guidelines for ACO managing over one million lives. * Especial emphasis was directed towards Clinical Quality Measures, Patient experience and management of the risk population.
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LifeCare Hospitals of Chester County
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United States
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Medical Practices
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Direct of Quality and Risk Management
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Oct 2012 - Jun 2013
* Direct the clinical compliance and population management programs for this network of LTACH’S (Long term acute care). * Maintain compliance with regulatory requirements and conduct internal audits to evaluate compliance with corporate policies and procedures, government regulations and third party payer contracts. * Lead manager of operational risks, identifying and mitigating risks to staff, visitors, patients and risks associated with equipment recalls. Handle reporting and improvement activities for patient satisfaction and raise scores on surveys. Manage patient safety requirements, including state-level reporting. * Lead the employee health program, ensuring compliance with local and federal regulations. Administer workman’s compensation program and associated reporting. Show less
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JCS Consultants
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Spain
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Joint Commission Compliance Officer
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Feb 2010 - Sep 2012
* Prepared following hospitals for the Joint Commission survey: Kindred Hospital Brotman Medical Center Vannuys Psych Hospital North Hollywood Hospital * Successful in obtaining full accreditation status for five hospitals in one year which had failed their accreditation surveys. * Prepared following hospitals for the Joint Commission survey: Kindred Hospital Brotman Medical Center Vannuys Psych Hospital North Hollywood Hospital * Successful in obtaining full accreditation status for five hospitals in one year which had failed their accreditation surveys.
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Hospital Administrator
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Jul 2008 - Jan 2010
Administrator duties involve monitoring patient care of this 120-bed hospital which involved actively interacting with physicians. Maintained the staffing ratio, oversaw Cohorting of patients, resolved patient /family concerns and issues. Assisted and provided strategic leadership to management to ensure equitable distribution of resources and delivery of high quality, cost effective health care and efficient management of staff in accordance with goals, objectives, policies, and applicable regulatory agency rules. Worked cooperatively with lead physicians of the hospital, directors of departments and others to support quality care and risk management. Responsible for compliance with state, federal and local regulations and accredited bodies. Oversaw the grievance process from patients and staff. Served on all committees and acted as a liaison between the Governed Board, the Medical Staff. Monitored and controlled the staff needs, operations budget, and capital budget. Show less
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West Hills Hospital and Medical Center
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Director of Quality
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Jan 2007 - Dec 2007
Created and implemented systems and processes for core measure compliance to receive the total CMS reimbursement. Core measure analysis, included generated reports from Comet/Solucient. Letter of education to physicians on outcome of the core measure analysis. Responsible for the inter-rater reliability report. Analyzed and prepared reports on the CAAR and DAAR. Analyzed the CDAC scores released by QNet. Attended and presented reports at all the medical staff meetings, the Medical Executive Committee and the Board of Directors. Provided leadership, direction and implemented the quality improvement program to ensure compliance with all the Joint Commission standards and other regulatory agencies requirements. Monitored the risk management and compliance program with special emphasis on Summons received; cases closed; Potential cases; number of grievances and complaints; occurrence reports. Conducted RCA on all sentinel events. Conducted Failure Mode Criticality analysis. As a patient safety officer analyzed and reported all falls, restraint utilization and hospital-acquired pressure ulcers. Show less
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Pacific Alliance Medical Center
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Manager Quality Improvement/Risk Management
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Feb 2003 - Nov 2006
Assisted all the managers of various departments of the hospital to define, measure analyze and report performance improvement data to various committees for review and discussion on a timely basis. Served as resource person for questions / clarifications of state federal and Joint Commission rules regulations and standards. Responsible for accurately abstracted, monitored and timely inputted data for the core measures and generated the "HCO Core Measure Performance Analysis graphs and charts" for presentation to the medical staff at the departmental meetings. Created variance reports and GAP analysis of Core measures and SCIP. Screened, prepared, and presented cases for physician peer review. Summarized all peer review findings with follow up of cases until they were closed. Show less
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Education
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Interqual, McKesson
CPUR (Certified Professional in Utilization Review Interqual), Case Management -
ABQAURP
Diplomat American Board of Quality Assurance and Utilization Review, Quality, Risk and Case Management -
1977 - 1982
Ghandhi Medical College
Doctor of Medicine (M.D.), Medicine -
1971 - 1977
Osmania University
Doctor of Medicine (M.D.), Medicine -
Little flower high school
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Osmania University
Bachelor of Medicine, Bachelor of Surgery (MBBS), General Medicine
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