About The Position

Under the direction of the Pathology Quality Assurance and Regulatory Compliance Director, the Quality Assurance Coordinator develops, implements, and monitors the Quality Improvement Program for Anatomical Pathology, the Clinical Laboratory, Point of Care (POC), and Safety Programs. The role interprets, designs, and implements laboratory quality assurance standards to support quality patient care and oversees compliance standards for twelve cost centers. It creates policies and procedures to ensure state and federal compliance and works with management and faculty to determine compliance audits, including audits of problem-prone, high-risk, and high-volume procedures. The coordinator analyzes statistical data and prepares narrative reports summarizing quality assurance findings, leads and reports monitors at Pathology Services, Clinical Laboratory Services, and hospital quality assurance meetings, and maintains working relationships with clinics and providers and the Magnolia Main, MIP, McKinley, and MIOMS locations. The role directs implementation of solutions, manages allocation of work to appropriate resources, and motivates resources to meet quality standards and deadlines.

Responsibilities

  • Support faculty and staff through all phases of pre-, post-, and analytical testing, training, and inspections.
  • Consult with programs, clinics, agencies, and others to manage and define laboratory compliance needs and requirements.
  • Determine the scope of investigations needed to address performance expectations, including plans, safety, POC, timelines, and metrics.
  • Analyze data to verify results and provide solutions or alternate methods and procedures.
  • Design and implement process changes and risk mitigation strategies across pathology sites.
  • Perform Root Cause Analysis and Failure Mode and Effects Analysis for high-risk and problem-prone areas; report findings and solutions to QA Department Chairs, Risk Management, Compliance, and regulatory agencies.
  • Direct staff toward compliance with federal, state, and hospital regulatory guidelines.
  • Advise clients on alternate ways to solve a need or problem, or recommend specific solutions.
  • Coordinate and cooperate with third-party vendors and consultants as required.
  • Create databases and metrics to track QA monitors.
  • Develop, review, and revise departmental SOPs and processes.
  • Analyze statistical data and write narrative reports summarizing quality assurance findings.
  • Lead and report monitors at Pathology Services, Clinical Laboratory Services, and hospital quality assurance meetings.
  • Manage compliance standards for twelve cost centers and create policies or procedures to ensure state and federal compliance.
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