QAPI Manager, Transplant Services - Galveston Campus. - 72183

Company: University of Texas Medical Branch
Location: Galveston
Posted on: September 5, 2020

Job Description:

Min Qualifications
Minimum Qualifications:

• Bachelor degree in Nursing, Healthcare Administration or closely related field
• A minimum of eight (8) years of experience directly related to quality/performance improvement functions within a healthcare setting:
• Five (5) years of experience within a transplant quality program
• Three (3) years of experience serving as a quality/performance improvement manager or directorJOB DESCRIPTION Scope: The QAPI Manager, Transplant Services is a designated member of the transplant team and is responsible, under the guidance of the Transplant Administrator, for overseeing and continually evaluating the effectiveness of the operational components of the QAPI plan including metric development and selection, data capture, data analysis, opportunity identification, and ongoing operational survey readiness for all regulatory bodies. They are responsible for independently implementing initiatives aimed at improving quality outcomes. Function: This individual is tasked with developing and maintaining the QAPI program and an educational framework that ensures all transplant program and other hospital department staff have knowledge of new and existing regulatory requirements related to quality and patient safety. They will serve as the key liaison during survey activities. They will also serves as advisor and subject matter expert in Joint Commission, CMS, UNOS (United Network for Organ Sharing) and other regulatory agency standards and policies. The manager oversees staff that aid in developing and implementing new programs aimed at improving or maintaining departmental effectiveness and efficiency, and reviews identified opportunities for improvement. This individual supervises the transplant quality and outcomes coordinator and other designated support staff.--Specific Job Related Duties
  Function: This individual is tasked with developing and maintaining the QAPI program and an educational framework that ensures all transplant program and other hospital department staff have knowledge of new and existing regulatory requirements related to quality and patient safety. They will serve as the key liaison during survey activities. They will also serves as advisor and subject matter expert in Joint Commission, CMS, UNOS (United Network for Organ Sharing) and other regulatory agency standards and policies. The manager oversees staff that aid in developing and implementing new programs aimed at improving or maintaining departmental effectiveness and efficiency, and reviews identified opportunities for improvement. This individual supervises the transplant quality and outcomes coordinator and other designated support staff.ESSENTIAL JOB FUNCTIONSQuality:
  • Oversees all collaboration with medical staff and operational leadership to facilitate evidence-based quality and patient safety initiatives; engages associates at all levels in continuous pursuit of improvement opportunities.
  • Provides project management and facilitation, as well as, oversight and support for key functions and processes for the systematic, coordinated, and continuous improvement of patient care delivery.
  • Establishes and maintains efficient and reliable mechanisms for monitoring, analysis, and reporting of quality outcomes and performance improvement initiatives. Ensures the integration of aggregate data into performance improvement planning and problem resolution.Regulatory Readiness:
    • Responsible for independently developing and implementing initiatives supporting compliance with accreditation and regulatory standards for the transplant program. Establishes and implements programs to assess state of readiness for surveys, focusing upon continual preparation.
    • Monitors internal compliance with survey readiness program and presents findings and recommendations for improvement.
    • Key liaison during survey visits/activities and post-survey follow-up activities. Prepares and coordinates responses to regulatory agencies on corrective action plans, inquiries, and other requested information.Management and Consultative:
      • Serves as the transplant program management representative in system or facility performance improvement, regulatory readiness and/or quality teams. Builds mutual trust and encourages respect and cooperation among team members to support movement from current state of practice to desired state of practice, address and mutually resolve issues.Preferred License/Certificate
        -- Six Sigma Green Belt or Certified Professional in Healthcare Quality (CPHQ) certification Preferred Work Experience
        Ten (10) or more years of experience directly related to quality/performance improvement functions within a healthcare setting:Five (5) years of experience within a transplant quality programFive (5) or more years of experience serving as a quality/performance improvement manager or directorClosing Statement
        Transplant #quality#UNOS #QAPI Equal Employment Opportunity
        UTMB Health strives to provide equal opportunity employment without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or veteran status. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.
        Req id: 72183

Keywords: University of Texas Medical Branch, Galveston , QAPI Manager, Transplant Services - Galveston Campus. - 72183, Executive , Galveston, Texas