Transplant Quality Coordinator | THOR
3 months ago
Houston
At Houston Methodist, the Transplant Quality Coordinator position a registered nurse, responsible for working collaboratively with medical/surgical staff, department leadership, hospital leadership, and hospital quality and accreditation team members to ensure the regulatory compliance with CMS Conditions of Participation for Transplant Centers, United Network of Organ Sharing (UNOS), Texas Department of Health Services (TDHS) and hospital accreditation agencies. This position assists program leadership with continuous assessment and improvement of the quality of care delivered to the pre, post and LVAD patient populations through monitoring of clinical outcomes, of Transplant/VAD services including organizing, collecting validating compiling, analyzing, and reporting results of these services/programs. The Transplant Quality Coordinator position oversees development of policies and procedures and creating quality improvement processes associated with Transplantation/VAD while facilitating adherence with regulatory agencies. This position supports and promotes the organization-wide quality program. PEOPLE ESSENTIAL FUNCTIONS • Communicates in an active, positive, and effective manner to all transplant team members, physicians and staff who are part of the interprofessional transplant program in order to facilitate quality activities and regulatory compliance goal attainment., • Collaborates with management in monitoring and evaluating quality of care and patient outcomes for the transplant/VAD patient population based on standards of care as well as the findings of nursing research, hospital policies/procedures and applicable patient care protocols., • Promotes department/service line understanding of the Transplant CMPI program. Supports and assists management and physicians in coordinating and facilitating CPI committee meetings and maintaining the MCPI documentation for the transplant center., • Maintains ongoing clinical data in support of assessment and improvement of quality of care. Prepares internal or external clinical data requests., • Collaborates with Transplant Services leadership and staff to ensure ongoing compliance with the requirements, regulations, and laws of local, state, and federal regulatory agencies for transplant, including UNOS and CMS. Updates department policies in collaboration with team to reflect current laws, regulations and requirements of the regulating bodies and works to ensure practice is consistent with regulatory requirements., • Facilitates an interprofessional approach to identify opportunities for performance improvement, facilitates change, assist with follow-up and evaluation of performance improvement activities as evidenced by defined metrics and achievement of defined outcomes. Facilitates the development of action plans in collaboration with staff and management. Makes recommendations for change in practice to improve patient outcomes., • In collaboration with administrative and physician leaders, develops and implements reporting processes regarding clinical quality across all organ transplant/VAD programs., • Analyzes and confirms data reported by the Scientific Registry of Transplant Recipients (SRTR) including overseeing UNOS data entry audits in preparation for SRTR report publication., • Participates in the development, implementation, evaluation and revision of order sets, policies, and other documentation. Monitors outcomes of current policy, process/system changes and reports variances to appropriate management and staff., • Maintains and submits accurate data for hospital-based statistics and regulatory agencies such as UNOS/UNET, CMS, and Medicaid in order to ensure proper department financial management., • Five years of nursing experience, which includes two years Transplant or Quality experience or Five years' experience as a physician, • Experience with managing regulatory reporting and audit processes, • RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR, • RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND, • Magnet - ANCC Recognized Certification (ANCC) -- For RNs, in Quality Transplant within 18 months OR, • MD - Physician - State Licensure AND, • ABMS-CCM - ABMS-Critical Care Medicine (ABIM) -- For Physicians OR, • ABMS-ABIM - American Board of Internal Medicine-General (ABIM) -- For Physicians KNOWLEDGE, SKILLS, AND ABILITIES, • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations, • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security, • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles, • Demonstrates strong knowledge of organ failure clinical processes, • Demonstrates knowledge of hospital or specialty services regulatory reporting, accreditation, and audit processes, • Demonstrates knowledge and application of process improvement tools and techniques (statistical process control tools and team tools), • Ability to define problems, collect data, establish facts and draw valid conclusions and evidence performance improvement via measurable results, • Ability to enter and abstract data, as well as the ability to utilize data to facilitate the improvement and change in processes. Able to navigate transplant applications and data systems (UNET, DonorNet, Tiedi) WORK ATTIRE • Uniform No, • Scrubs No, • Business professional Yes, • May require travel within the Houston Metropolitan area No Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world. Houston Methodist is an Equal Opportunity Employer.