Emory Healthcare RN, BMT Quality & Regulatory Coordinator in Atlanta, Georgia
Job Title RN, BMT Quality & Regulatory Coordinator
Job Requisition ID 68389BR
Operating Unit/Division Emory Clinic
Campus Location North Decatur Bldg
Department 519520:TEC Hem Onc Bone Marrow Transp
Full/Part Time Full-Time
Work Shift Day
Specific Work Hours 8 AM - 4:30 PM
PRN Position? No
Job Description Manages and oversees quality assurance and improvement activities of the Adult Blood and Marrow Transplant Program (BMT) in conjunction with program leadership and hospital quality. The BMT Quality/Regulatory Coordinator will ensure compliance with the Foundation for Accreditation of Cellular Therapy (FACT) and other regulatory agencies with oversight of the blood and marrow transplant program's Quality Management Plan. Will establish systems to review, modify and approval all policies and procedures intended to monitor compliance and performance of the clinical program. Develops, reviews and updates Standard Operation Policies and Procedures (SOPs) and Quality Assessment Initiatives and provides staff training on updates. Audits and reviews the BMT Program's Quality Management Plan annually and revises as necessary. Assesses staff compliance and trains and educates organization in quality improvement techniques, tools and FACT standards. Coordinates development of a quality dashboard for the transplant program. Reviews changes in processes or procedures to assess projected impact on care quality. Coordinates the monthly BMT Quality Improvement Meeting. Responsible for collaborating with leadership and MD Champions to design and prepare the annual program report. The annual program report includes: clinical program outcome analysis (audits, process improvements, deviations, adverse events and corrective action plans), and quality improvement goals for the upcoming year. Reviews aggregate data for the Center for International Blood and Marrow Transplant Research (CIBMTR) reports, the American Society of Blood and Marrow Transplant (ASBMT) RFIs, and other entities such as the NMDP Collaborates with BMT Data & Clinical Research and regularly audits data within StemSoft and Advantage to ensure all CIBMTR reporting and research reporting on the same patients is consistent. Maintains current knowledge of requirements related to the Foundation for Accreditation of Cellular Therapy (FACT). Provides regular updates to leadership and staff regarding the accreditation process. Prepares application for renewal for FACT. Prepares necessary communication and responses to inspections including development and action plans. Prepares and facilitates site visits from outside regulatory agencies, including, but not limited to FACT and NMDP (National Marrow Donor Program). Collaborates with hospital quality and risk management departments, and responsible for upward reporting to institutional Quality Compliance. May perform other job related duties as requested or assigned.
MINIMUM QUALIFICATIONS: Minimum of 3 years experience in hematology/oncology or in Blood and Marrow Transplant. Experience in process or quality improvement. Performance improvement/quality assurance background preferably with experience in hematology/oncology or BMT. 5+ years experience in healthcare environment; experience at national healthcare organization would be preferable. RN, BSN degree preferred. Special knowledge and experience in quality management, familiarity with Blood and Marrow Transplant/Hematologic Malignancies. Customer Service, Communication, Partnering, Problem-Solving. Communicates effectively with members of the Blood and Marrow Transplant/Hematologic Malignancies team, Excellent written oral and written communication skills. Ability to read, interpret and follow detailed oral written and illustrated instructions. Knowledge of computer based data management programs.
PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
EEO/AA/Individuals with Disabilities/Veteran Employer