Ensure that processes within the organization are designed and performed to continually improve the organization’s effectiveness.
Ensure that processes with the organization are performed to meet or exceed organizational standards of safety.
Facilitates interdepartmental functions and synergizes quality processes.
Ensures thorough and accurate compliance with all pertinent federal, local, national, and state regulatory agencies. Acts as Continuous Quality Improvement Team facilitator. Collaborates with Chief Operating Officer to direct organizational and departmental data monitoring and analysis to ensure compliance. Collaborates with department directors to initiate and maintain accreditation status with applicable professional trade agencies and regulatory bodies. Collaborates with, assists, and provides Quality Systems department staff support to all Leadership Team members for preparation for site surveys and audits by external regulatory and trade agencies.
Collaborates with the CEO and COO on the organization’s quality improvement process. Conducts ongoing monitoring of internal and external process occurrences for trends analysis and reporting (i.e. PDSA’s, LEAN & Value Stream Mapping, or R-3).
Conducts compliance monitoring of departmental and organizational processes to ensure that quality is consistently maintained. Reports findings to the CEO and COO, and the appropriate department director.
Directs, initiates, and analyzes medical review reporting.
Monitors and analyzes information release and activity pertaining to federal, state, and industry standards as it relates to regulatory compliance and organizational operation.
Oversees the medical records function by ensuring that release of information requests are responded to in a timely manner while maintaining confidentiality.
In collaboration with theVice President of Human Resources and the Director of Education and Development, provides education to staff regarding the quality improvement process.
In collaboration with the Vice President of Human Resources, assists with and directs periodic auditing measures to ensure compliance with Occupational Safety Hazard Association (OSHA).
Coordinates and monitors the collection and distribution of data required for quality assurance and improvement reporting and independently interprets reported data for accuracy. Develops trend analysis of organizational performance and reports to the Leadership Team.
Presents reports on quality indicators including occurrences and corporate compliance matters to the Board on an annual basis as directed by the CEO.
Presents reports and data analyses to the Medical Advisory Committee as requested by the COO, Director of Clinical Services, and Vice President of Medical Services.
Collaborates with COO and Director of Clinical Services to maintain all required data collection and analysis systems and tools including iTransplant and a variety of spreadsheets.
Collaborates with Director of Clinical Services to ensure interdepartmental synergy, efficiency, and policy compliance.
Chairs the Quality Committee.
EDUCATION AND WORK EXPERIENCE QUALIFICATIONS:
Bachelor’s degree is required, preferably in health care administration, public health, nursing, or business. Master’s degree preferred.
A minimum of ten years’ experience in the management of Quality Systems to include reporting and analytics.
Previous QA experience in an organ/tissue procurement organization, transplant center, or related industry regulatory agency is preferred.
iTransplant, UNet/Donor Net system experience preferred.
Demonstrated working knowledge of CMS AOPO and UNOS standards.
Ability to work in a 24/7 environment.
Proficient in MS Office, including Word, Excel, and PowerPoint.
Must demonstrate highly effective analytical, interpersonal, and time management skills.
Excellent communication skills required. Must have the ability to communicate effectively with all levels of personnel and to represent the organization publicly.
Ability to work both independently and as part of a team required.
Ability to cope with high levels of stress and able to handle a heavy workload.
Ability to travel in light and commercial aircraft, or drive his/her personal auto in order to meet all job duties and responsibilities. Current Driver’s license required.
About Southwest Transplant Alliance
Southwest Transplant Alliance (STA) is a Dallas based nonprofit and one of the largest organ procurement organizations in the United States. STA saves lives through organ and tissue donation and transplantation. Each and every day, our passionate team offers hope to those facing the devastating loss of a loved one. We work in hospitals to guide grieving families through organ and tissue donation and provide the clinical services needed to recover, prepare and transport organs and tissues for those awaiting a lifesaving transplant.
STA is also committed to educating the community about the need for donation and the importance of donor registration.
More than 114,000 individuals are awaiting a life-saving organ transplant – 10,000 in Texas alone. As families experience unspeakable grief, Southwest Transplant Alliance helps give hope.
Learn more at organ.org
Register to be an organ donor at donatelifetexas.org