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Quality Improvement Program Coordinator

Website BIDMChealth Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center, a teaching hospital of Harvard Medical School, is renowned for excellence in patient care, biomedical research, teaching and community service. Located in the heart of Boston’s Longwood Medical and Academic Area, it hosts nearly three quarters of a million patient visits annually in and around Boston.

The Transplant Service provides care to patients requiring a kidney, liver or pancreas transplant and to patients who are live kidney or liver donor. Transplant programs are very highly regulated by the Centers for Medicare & Medicaid (CMS) and the United Network for Organ Sharing (UNOS).

Reporting to the administrative director of the Transplant Institute and working closely with physician leadership, the Quality Improvement Program Coordinator supervises 2 data entry analysists and will work to develop, implement, and maintain a comprehensive, data-driven quality assessment/improvement program designed to monitor/evaluate quality performance of all organ transplantation services and prepare/help present quarterly reports to the medical center’s senior leadership team.

Job Location: Boston, MA

Req ID: 28087BR

Job Summary: The QAPI Coordinator provides support to the Transplant Team to ensure compliance with the CMS and UNOS requirements for a Transplant Program. The position works collaboratively with all disciplines involved in the care of liver, kidney and pancreas transplant patients and live kidney and liver donors to design, implement, measure and document quality improvement initiatives.

Essential Responsibilities:
Direct Supervision of 2 Data Coordinators.
Working with Co- Medical Directors of the QAPI committee – prepare meeting agenda, maintain meeting minute, coordinate follow-up/action items, prepare annual Hospital Presentation. Maintain knowledge of CMS QAPI requirements, coordinate implementation of changes.
Provide data on key indicators as determined by Committee to identify areas for improvement. Collaborate with team leader improvement project to provide data, suggest methods for analysis, prepare presentations. Maintain log of activity for CMS survey.
Centralize and improve compliance by serving as liaison with all donation and transplant-related regulatory agencies, including CMS, UNOS, JCAHO, and others. Provides documentation and assistance for all regulatory audits (on-site or desk audits).
Assist in the preparation and ongoing monitoring of action plans in response to regulatory surveys. Develop and manage Transplant Center’s work plan to achieve constant readiness for regulatory site visits and surveys.
Required Qualifications:Bachelor’s degree required.
3-5 years related work experience required in a clinical setting ( hospital or outpatient experience).
Knowledge of regulatory and compliance issues including but not limited to Joint Commission, UNOS, CMS, DPH, and OSHA
Performance Improvement and Patient Safety Knowledge.
Ability to multi-task, meet deadlines, and professionally manage pressure situations.
Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
Preferred Qualifications:Knowledge of Transplant regulations.
Competencies:Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally.

We offer a competitive total rewards package, health and welfare benefits selection including a generous earned-time program, 401(k)/403(b) retirement plans, subsidized T-pass program, and more!  BIDMC is proud to be the Official Hospital of the Boston Red Sox and our employees are eligible to purchase discount tickets based on availability. EOE AA M/F/Vet/Disability

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