Transplant and Cellular Therapy Quality Coordinator

American Addiction Centers • Park Ridge, IL

6d • $41 - $62

About The Position

Department: 37339 Advocate Lutheran General Hospital - Administration: Bone Marrow Transplantation (BMT) Status: Part time Benefits Eligible: Yes Hours Per Week: 20 Schedule Details/Additional Information: 0.5 FTE. 3 eight-hour shifts one week/2 eight-hour shifts one week for a total of 40 hours every two weeks. No holidays, no weekends. Pay Range $41.10 - $61.65 Major Responsibilities: Quality Assurance 1)Recognizes changes in clinical situations, evaluates, and implement changes to the Standard Operating Procedures and contributes to the design and collection of data for required transplant reporting. 2)Facilitates monthly BMT Quality meetings, analyzing and managing all the required data to be reported at the meeting. 3)Participates in quality management activities to improve the quality of the bone marrow transplant program, following Foundation for the Accreditation of Cellular Therapy (FACT). 4)Actively participates in the quality improvement and quality management program activities including FDA, FACT, NMDP, CIBMTR. Attends and participates in BMT meetings and process improvements. 5)Participates in preparations for accreditations not limited to Foundation for the Accreditation of Cellular Therapy (FACT), Center for International Blood and Marrow Transplant Research (CIBMTR), National Marrow Donor Program (NMDP) Be the Match, Illinois Department of Public Aid, and various insurance groups. 6)Works with hospital's legal and risk management departments as needed to ensure patient safety and accurate reports of transplant events and the development of program forms, SOPs and consents used for treatment. 7)Participates in abstracting internal and external data used to develop departmental flow sheets and information graphs for educational presentations and required regulatory documentation 8)Participate in Standard Operating Procedures management. Works with program's Medical Director, Director, Manager and team members to update and introduce new SOPs as needed to maintain program efficiency and patient safety following FACT standards. CONSULTATION: 1)Uses current evidence to analyze data and develop recommendations and strategies to address complex issues and identify opportunities for improvement. Communicates recommendations and facilitates team members understanding to effect appropriate evidence based change. 2)Demonstrates appropriate critical thinking and effective communication skills to engage in collaborative relationships and involve stakeholders and other members of the team. 3)Provides comprehensive support to transplant patients to assist in navigating the delivery of optimum and safe patient care. 4)Communicate with patients and families providing clinical support and expertise to guide through the healthcare experience OPERATIONAL IMPLEMENTATION: 1)Oversees and participates in the systematic and purposeful collection of data, information, and knowledge to facilitate comprehensive assessment of projects and identify opportunities for improved program outcomes in the pursuit of performance distinction. 2)Utilizing clinical expertise participates in chart abstraction for various clinical outcome measures and databases in accordance with established data definitions and programs. 3)Uses current clinical knowledge and expertise to assist with reports of team activity by using appropriate visual tools to display outcomes. Documents opportunities for improvement and highlights achievements as compared to current evidence. 5)Identifies and uses appropriate clinically relevant sources of evidence for projects assigned. 4)Serves as an expert resource to team in analyzing and interpreting data based on clinical expertise and current evidence based literature identifying patterns, trends, opportunities for improvement and highlighting best practices found. Utilizes current evidence to guide the team in developing recommendations and strategies to address identified opportunities and improve patient outcomes. Assists the team, in understanding methods used for data collection and data definitions. COLLABORATION/LEADERSHIP 3)Contributes to an environment that fosters continuous quality improvement and the pursuit of excellence. 4)Partners with team members to share knowledge and skills related to quality and patient safety. Provides pertinent education to effect appropriate evidence based change and adherence to regulatory requirements. 5)Appropriately utilizes various quality methods based on project. (ie CAP, LEAN, 6th Sigma, etc) 6)Implement quality initiatives to improve clinical outcomes. 1)Supports evidence based practice and research activities within the department. 2)Contributes to a supportive, healthy, and safe work environment that fosters mutual respect. Provides expert knowledge in clinical excellence to promote excellent quality patient outcomes. REGULATORY COMPLIANCE 1)Continually enhances knowledge related to regulatory agencies such as FACT and governmental regulations. 2)Ensure compliance with all regulatory requirements and changes through education of team members of the BMT program. 3)Conducts tracers to establish compliance with regulatory requirements and agencies. Identifies opportunities for improvement and best practices. Shares information with team to enhance patient outcomes and achieve clinical excellence. 4)Works collaboratively with leadership to explore opportunities to move data acquisition to a different status or function so that optimization can occur. PROFESSIONAL PRACTICE/COMPETENCY 1)Meets all continuing education requirements. 2)Uses current research findings and other evidence to expand knowledge, enhance role performance that supports areas of assignment. Promotes achievement of excellent clinical outcomes and performance distinction. 3)Seeks experiences to continually develop and enhance knowledge related to current methods of performance improvement. 4)Evaluates own performance on a regular basis, identifying areas of strength as well as areas in which professional development would be beneficial. Takes action on opportunities for professional growth. Education/Experience Required: • Bachelor of Science Degree in Nursing or other healthcare related bachelors degree. • 2-3 years of clinical practice quality management in a hospital setting or health related setting (Oncology/BMT preferred) • Knowledge in quality improvement activities and use of current evidence based practice Knowledge, Skills & Abilities Required: • Experience in the use of quality management software. Proficient in statistical application and performance analysis. Proficient in spreadsheet, word processing, database, and graphic software. • Proficient in evidence based practice, critical thinking, statistical knowledge, analytical skills. • Excellent interpersonal skills with the ability to interact with a wide variety of healthcare individuals and teams. • Effective written and verbal communication skills. • Excellent organizational and prioritization skills • Ability to work with diverse teams and individuals • RN/ CPHQ or other healthcare certification Physical Requirements and Working Conditions: • Ability to work in a fast-paced environment with established time constraints. • Innovative, self-motivated, detail oriented. • Resiliency and flexibility to work within a rapidly changing environment. • Ability to travel on occasion to other Advocate sites. • Ability to interact with computer systems over extended time periods. • Ability to communicate with patients, families, and caregivers. N/A This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Requirements

• Bachelor of Science Degree in Nursing or other healthcare related bachelors degree.
• 2-3 years of clinical practice quality management in a hospital setting or health related setting (Oncology/BMT preferred)
• Knowledge in quality improvement activities and use of current evidence based practice
• Experience in the use of quality management software. Proficient in statistical application and performance analysis. Proficient in spreadsheet, word processing, database, and graphic software.
• Proficient in evidence based practice, critical thinking, statistical knowledge, analytical skills.
• Excellent interpersonal skills with the ability to interact with a wide variety of healthcare individuals and teams.
• Effective written and verbal communication skills.
• Excellent organizational and prioritization skills
• Ability to work with diverse teams and individuals
• RN/ CPHQ or other healthcare certification
• Ability to work in a fast-paced environment with established time constraints.
• Innovative, self-motivated, detail oriented.
• Resiliency and flexibility to work within a rapidly changing environment.
• Ability to travel on occasion to other Advocate sites.
• Ability to interact with computer systems over extended time periods.
• Ability to communicate with patients, families, and caregivers.

Responsibilities

• Recognizes changes in clinical situations, evaluates, and implement changes to the Standard Operating Procedures and contributes to the design and collection of data for required transplant reporting.
• Facilitates monthly BMT Quality meetings, analyzing and managing all the required data to be reported at the meeting.
• Participates in quality management activities to improve the quality of the bone marrow transplant program, following Foundation for the Accreditation of Cellular Therapy (FACT).
• Actively participates in the quality improvement and quality management program activities including FDA, FACT, NMDP, CIBMTR. Attends and participates in BMT meetings and process improvements.
• Participates in preparations for accreditations not limited to Foundation for the Accreditation of Cellular Therapy (FACT), Center for International Blood and Marrow Transplant Research (CIBMTR), National Marrow Donor Program (NMDP) Be the Match, Illinois Department of Public Aid, and various insurance groups.
• Works with hospital's legal and risk management departments as needed to ensure patient safety and accurate reports of transplant events and the development of program forms, SOPs and consents used for treatment.
• Participates in abstracting internal and external data used to develop departmental flow sheets and information graphs for educational presentations and required regulatory documentation
• Participate in Standard Operating Procedures management. Works with program's Medical Director, Director, Manager and team members to update and introduce new SOPs as needed to maintain program efficiency and patient safety following FACT standards.
• Uses current evidence to analyze data and develop recommendations and strategies to address complex issues and identify opportunities for improvement. Communicates recommendations and facilitates team members understanding to effect appropriate evidence based change.
• Demonstrates appropriate critical thinking and effective communication skills to engage in collaborative relationships and involve stakeholders and other members of the team.
• Provides comprehensive support to transplant patients to assist in navigating the delivery of optimum and safe patient care.
• Communicate with patients and families providing clinical support and expertise to guide through the healthcare experience
• Oversees and participates in the systematic and purposeful collection of data, information, and knowledge to facilitate comprehensive assessment of projects and identify opportunities for improved program outcomes in the pursuit of performance distinction.
• Utilizing clinical expertise participates in chart abstraction for various clinical outcome measures and databases in accordance with established data definitions and programs.
• Uses current clinical knowledge and expertise to assist with reports of team activity by using appropriate visual tools to display outcomes. Documents opportunities for improvement and highlights achievements as compared to current evidence.
• Identifies and uses appropriate clinically relevant sources of evidence for projects assigned.
• Serves as an expert resource to team in analyzing and interpreting data based on clinical expertise and current evidence based literature identifying patterns, trends, opportunities for improvement and highlighting best practices found. Utilizes current evidence to guide the team in developing recommendations and strategies to address identified opportunities and improve patient outcomes. Assists the team, in understanding methods used for data collection and data definitions.
• Contributes to an environment that fosters continuous quality improvement and the pursuit of excellence.
• Partners with team members to share knowledge and skills related to quality and patient safety. Provides pertinent education to effect appropriate evidence based change and adherence to regulatory requirements.
• Appropriately utilizes various quality methods based on project. (ie CAP, LEAN, 6th Sigma, etc)
• Implement quality initiatives to improve clinical outcomes.
• Supports evidence based practice and research activities within the department.
• Contributes to a supportive, healthy, and safe work environment that fosters mutual respect. Provides expert knowledge in clinical excellence to promote excellent quality patient outcomes.
• Continually enhances knowledge related to regulatory agencies such as FACT and governmental regulations.
• Ensure compliance with all regulatory requirements and changes through education of team members of the BMT program.
• Conducts tracers to establish compliance with regulatory requirements and agencies. Identifies opportunities for improvement and best practices. Shares information with team to enhance patient outcomes and achieve clinical excellence.
• Works collaboratively with leadership to explore opportunities to move data acquisition to a different status or function so that optimization can occur.
• Meets all continuing education requirements.
• Uses current research findings and other evidence to expand knowledge, enhance role performance that supports areas of assignment. Promotes achievement of excellent clinical outcomes and performance distinction.
• Seeks experiences to continually develop and enhance knowledge related to current methods of performance improvement.
• Evaluates own performance on a regular basis, identifying areas of strength as well as areas in which professional development would be beneficial. Takes action on opportunities for professional growth.

Benefits

• Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
• Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level