Program Coordinator- Transplant Quality & Data - Kidney Transplant - Sharp Memorial Hospital - FT - Days

Sharp Healthplan•San Diego, CA

53d•$72 - $104

About The Position

This position will lead and assist in the implementation of an effective transplant quality program which includes leading the Multi Organ Transplant Committee (MOTC), policy development, monitoring auditing, process improvement initiatives, etc. Coordinates the interdisciplinary, hospital-wide Sharp Kidney/Pancreas and Heart Transplant/LVAD Programs. Responsible for transplant data, management for risk identification, prevention and mitigation of patient safety events through the application of expertise in safety and reliability science. Leads patient Quality, Data, performance improvement and program safety initiatives. Coach's leaders, staff and physicians in fostering and sustaining a strong safety culture.

Requirements

Bachelor's Degree in Nursing
5 Years Clinical experience (PCU or ICU preferred)
Experience entering, analyzing and interpreting transplant data.
Experience interacting, in oral and written forms, with staff, leaders, physicians, patients and families.
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
Certified Clinical Transplant Coordinator (CCTC) - American Board for Transplant Certification is required within 1 year of hire. The department is responsible for tracking and maintaining this certification.
Knowledge of regulatory requirements including: UNOS, OPTN, TJC, CMS, CDPH are required.
Operational knowledge of computer software applications, including MS Office (Excel, Visio, Word, Powerpoint), Publisher and EPIC is required.

Nice To Haves

3 Years Experience in healthcare risk reduction/quality/safety
Leadership experience
Certified Clinical Transplant Coordinator (CCTC) - American Board for Transplant Certification -PREFERRED
Knowledge of safety and reliability science, Lean Six Sigma, Just Culture and infection prevention is preferred.

Responsibilities

Develops reports to effectively communicate findings with the ability to professionally present results in writing or verbally.
Utilizes full range of software tools for dissemination of data and results.
Presentation of information is clear, concise, and tailored to the level of the user.
Data are complete and accurate with a keen attention to detail.
Trains and coach's leaders and staff on the use of RL Solutions.
Utilizes TeamSTEPPS, Just Culture and HRO skills at Sharp HealthCare system level and mentors other at the entity level.
Coordinates annual programs and other patient safety educational programs as assigned (entity related assigned areas).
Creates and disseminates Safety Alerts and Great Catches.
In collaboration with front-line staff, leaders and physicians, responsible for the analysis of clinical process opportunities and the development of strategies to maximize program quality and safe practices.
Responsible for coordinating the deployment of process improvements that support the reduction of risk and medical/clinical errors and other factors that contribute to unintended adverse patient outcomes.
Lead and mentors others on the use of A3, Failure Mode Effect Analysis (FMEA), and other process improvement tools to improve patient progress/outcomes.
Monitors trends in patient quality and coordinates action plans to improve performance.
Utilizes best practice strategies and methods within safety science and PI to improve all aspects of patient quality and safety.
Collaborates at the entity level to plan, develop, implement and evaluate patient safety program elements:
Culture of Safety Survey: Resource to leaders for promoting survey, interpreting results and creating targeted action plans.
Safety Assessments.
Reporting of events and near misses: a) Daily review of safety events; b) Identification of events for Patient Safety Event Review Team (PSERT); and c) Prepare reports for external reporting.
Cause Analysis, Response and Evaluation (CARE) Program: a) Safety Debriefs; b) PSERT Processes; c) Cause Analysis: i) Apparent Cause Analysis (ACA): Leads and mentors others; and ii) Root Cause Analysis (RCA): Leads and mentors others; d) Corrective Actions to Prevent Recurrence; e) Action Plan Monitoring for long-term sustainment; and f) Spread and adoption of best practices.
Safety Event Classification: a) Serves as expert and mentors others; and b) Tracks cases to help maintain inter-rater reliability and consistency over time.
Common Cause Analysis: a) Categorizes events accurately; and b) Analyzes and interprets results and identifies corrective action plans.
Coordinates defective device response in collaboration with Clinical Effectiveness, Biomed, Safety Officers, Regulatory, Legal, Pharmacy, Supply Chain and other stakeholders.
Monitor and comply with updates/changes in regulatory standards and timely communication of changes to relevant depts.
The Quality and Data Program Coordinator is a required member at QAPI and selection committee meetings.
Also responsible for leading and maintaining the regulatory compliance and process improvement initiatives of the transplant center as set by the Organ Procurement Transplant Network (OPTN) / United Network for Organ Sharing (UNOS), CMS, Joint Commission, Intermacs, and the ESRD Network.
Monitors and tracks compliance with UNOS requirements and responsible for data submission.
Prepares and maintains materials and documents utilized for surveys by UNOS, Joint Commission and CMS.
Update UNOS forms, providing data pulled from Epic, OPTN and UNET for presentation to various committees.
Prepares and responds to multiple regulatory audits from various organizations.
Develop and implement a process to analyze and predict patient and graft survival as will be reported via SRTR cohorts.
Participates and role models during huddles.
Works collaboratively with leaders to help local leaders identify and hardwire behavioral norms (briefs, debriefs, learning boards, TeamSTEPPS skills) that promote culture of safety.
Applies expert knowledge of transplant quality and data to mentor leaders in the organization through appropriate use of resources to achieve and/or maintain top decile performance in all program metrics.
Review and contribute to improving key policies and processes related to risk prevention, identification, reporting, mitigation, and correction.
Collaborate with and serve as a transplant quality and data expert consultant to the medical staff, leadership team and staff.
Mentors staff in order to enhance learning from errors and defects, to promote second-order problem solving and to advance proactive team-oriented communications.
Certified Professional in Transplant Coordinator (CCTC) is required within 1 year of hire. Documentation and tracking of this certification is the responsibility of the department and will be maintained by the department.
Maintains working knowledge of requirements related to CMS conditions of participation, Joint Commission Disease Specific Certification for VAD, OPTN/UNOS.