HCA, Hospital Corporation of America Registered Nurse - Transplant Quality Coordinator Days in Austin, Texas

POSITION SUMMARY:

The Transplant Quality Coordinator (TQC) is responsibleformanagingtheprocessforcontinuous regulatoryandaccreditationcompliance,quality,andpatientsafetyfortheTransplantProgramandassociatedclinicalareas.Servesasadvisorandsubjectmatterexpert inTheJointCommission,UNOS,CMSandotherregulatoryagencystandards.Plans,administers,andimplementsprocessestosupportongoingcomplianceandsurveyreadiness.Modelsappropriatebehaviorasexemplifiedin SDNAMC’sMission,VisionandValues.

Participates in providing patient specific care standards as directed, and follows service excellence standards to ensure high levels of patient satisfaction.

ESSENTIAL JOB RESONSIBILITIES:

Quality

• Collaborateswithmedicalstaffandoperationalleadershiptofacilitateevidence-based qualityandpatientsafetyinitiatives;engagesassociatesatalllevelsincontinuouspursuitofimprovementopportunities.

• Manages,coordinates,andprovidesoversightofkey functionsandprocessesforthesystematic,coordinated,andcontinuousimprovementofpatientcaredelivery.

• Ensuresqualityandperformanceimprovementinitiativesarealignedwithregulatorystandardsandhealthcarebestpractices.

• Establishesandmaintainsefficientandreliablemechanismsformonitoring,analysis,andreportingofqualityoutcomesandperformanceimprovementinitiatives.

• Ensurestheintegrationofaggregatedataintoperformanceimprovementplanningandproblemresolution.

• Coordinates andfacilitates the use ofstatistical process tools and process improvement methodologies for continuousimprovementinpatientcareandoutcomes.

• Evaluatestherelationshipofqualityandperformanceimprovementinitiativeswithpatientoutcomestodetermineifdesiredresultshavebeenachievedorsustained.

• Comparesperformancedataandoutcomeswithauthoritativeexternalsourcesand benchmarks.

• Effectivelycommunicatesinformationfrommeasurementandimprovementactivitiestotheappropriateconstituents.

• Prioritizesimprovementeffortsbasedonalignmentofclinicalperformancewithpatientsafetyandpro-activereductionofrisk.

• Leadsand/orparticipatesincross-functionalgroupsand/orcommitteestoachievequality,regulatory,andaccreditationgoalsandobjectives.

• Researchesandincorporatesbestpracticemethodologytodrivechangeandperformanceimprovementinitiatives.

• Coordinateswithhospitalclinicalriskmanagementtoidentifyadverseevents,communicatetheeventstothetransplantprogramleadershipandstaff,andsupporttherootcauseanalysisandimprovement/remediationrelatedtotheseevents.

RegulatoryReadiness

• Responsibleforthecoordinationofaccreditationandregulatorystandardsforthetransplantprogram.Plansandimplementsprogramstoassessstateofreadinessforsurveys,focusinguponcontinualpreparation.

• Establishesandimplementsprocessestosupportongoingcomplianceandconstantsurveyreadiness.

• Collaborateswithleadershipand teammemberstomeetaccreditationandcompliancegoalsandobjectives.

• Coordinates surveyvisits/activities andpost-survey follow-up activities. Preparesandcoordinates

a timely responsetoregulatory agenciesoncorrectiveactionplans,inquiries,andotherrequestedinformation.

• Guidesandcoordinatespolicy/practicereviewtoensurealignment withregulatoryandaccreditingstandards,bestpractices,and evidence-basedpractice.

• Measuresinternalcompliancethroughdatacollection, tracking/trending,analysis, andmonitoring. Presentsfindingsand recommendations for performance improvement.

• ContinuallyreviewsandmonitorsJointCommission, CMS and UNOSdataandchangesininterpretations;communicatesnewormodifiedregulatorystandardsasappropriate;makesrecommendationstoensurecompliance.

• ServesasthesubjectmatterexpertandresourceforCMS andJointCommissionaccreditation

standardsandaccreditationrequirements specifictotransplantprograms.

• Coordinates data submission to various regulatory agencies as required;

Management & Consultative

• Develops,delivers,andcoordinatestraining,education,andcommunicationsforteammemberstocomplywithregulatoryandaccreditationstandards.

•Participatesasateamleaderormemberinsystemorfacilityperformanceimprovement/regulatoryreadinessorqualityteams.Buildsmutualtrustandencouragesrespectandcooperationamongteammemberstosupportmovementfromcurrentstateofpracticetodesiredstateofpractice,addressandmutuallyresolveissues.

• Supervisessupportstaffasassigned.MonitorsAssociateperformanceandclarifiesworkexpectations,andassistswithgoalsetting;promotescooperationamongindividualsandgroups.

Contacts
  • Regularcontactwithclinicalandoperationalleadership. Worksinpartnershipwithadministrators,departmentleaders,and healthcare professionals.
  • Contactwithprofessionalsfromalldisciplinesacrosstheregion,state,andlocallevel.Regular contact withvendors,professionalcolleagues,andregulatoryandaccrediting agency staff.

    General Responsibilities:

    · Employee’s conduct must reflect the Company’s values and a commitment to the Code of Conduct ethics and compliance program.

    · Employee reflects SDH Service Excellence standards in every interaction.

    · Must be able to demonstrate understanding of national patient safety initiatives by strict compliance to all safety protocols and procedures as required by both HCA and St. David’s North Austin Medical Center.

    · Other duties as assigned.

    KNOWLEDGE, SKILLS AND ABILITIES:

  • General understanding of the renal transplant process as well as alternative therapies for end-stage renal disease. A particular competence in the renal transplant evaluation process for both recipients and donors.

  • Knowledge of transplantation, quality metrics, and medical ethics.
  • Ability to comply with documentation standards in a timely fashion. Knowledge and abilities essential to the successful performance of the duties assigned to the position.
  • Demonstrates resourcefulness, effective written and oral communication, diplomacy, and organizational and analytic skills.
  • Self-directed, assertive and creative in problem solving, systems planning analytics knowledge.
  • Ability to work effectively and collaboratively with interdisciplinary teams.
  • Excellent computer and communication skills.

    · Soundworkingknowledgeofconcepts,practices,andproceduresrelatedtoqualityimprovement functionsgainedfromatleast2 year'sdirectworkexperiencemanaging qualityimprovementprojectsorqualityprograms preferred.

    EDUCATION AND EXPERIENCE:

    REQUIRED:

  • Holds a BA or BS in Nursing, Health Administration or related business clinical healthcare field; Master’s degree preferred in Healthcare administration.

  • Three to five years’ experience in medical field required; minimum of one year in quality background in a hospital or physician practice setting preferred;
  • Transplant experience in a transplant setting or dialysis center preferred.

    LICENSES AND CERTIFICATES:

    Required: Texas RN License or a Compact RN license from a NCLA Compact State

Title: Registered Nurse - Transplant Quality Coordinator Days

Location: Texas-Austin-North Austin Medical Center

Requisition ID: 08224-54137