Director Lab Quality and Business Operations

Summary:

Provides leadership in the areas of quality assurance quality control proficiency testing quality related training and standardization compliance within the laboratory. This position is also responsible for project management activities as they relate to identified areas within the laboratory requiring standardization to improve quality and efficiency of laboratory operations. Provides support related to the RI and MA Pathology faculty professional practice activities reporting with a dotted line relationship to the Chief of Pathology. On behalf of the Chief works with the department*s MDs and PhDs to enhance their quality of services productivity revenue generation and efficiency. Conducts faculty-related financial and operational analyses and gathers financial and qualitative data to prepare the faculty-related component of business plans for new or expanded programs and services. Works to ensure collaboration and alignment between Pathology operations and faculty.

Responsibilities:

• • Defines establishes and coordinates the overall quality strategy and approach to determine investigate and resolve quality issues in collaboration with the Laboratory Director.
  • Develops implements and coordinates the Total Quality Plan including Quality Control for all depts in collaboration with the Laboratory Director.
  • Utilizes incident reports quality tools and various other data sources in order to determine causes of quality issues and concerns trends this data and develops action plans with mgmt.
  • Conducts root cause analyses for adverse events or quality issues/concerns and conducts prospective analyses (such as failure modes and effect analysis) for new processes and systems or changes to workflow.
  • Oversees the Lab compliance to all regulatory standards including but not limited to CLIA CAP The Joint Commission and the RI Dept of Health.
  • Develops training competencies and other in-service programs and materials as needed to educate dept directors managers and staff on quality control proficiency testing and other regulatory issues.
  • Orders receives reviews monitors proctors and coordinates all phases of proficiency testing and alternative testing.
  • Coordinates and reviews instrument verifications validations linearity calibration verifications and analytical measurement ranges.
  • Ensure compliance with laboratory accreditation regulatory standards and information management policies by providing leadership and guidance to staff to ensure that quality policies processes and procedures are established current and adhered to by all laboratory staff.
  • Oversee internal audit processes external assessments proficiency testing programs; document control systems; competency assessment; training and other quality processes.
  • Identify training needs as well as design and implement training programs specific to the quality system.
  • Recommend best practices to maintain and improve project outcomes or laboratory functions; facilitate laboratory improvement activities.
  • Analyze data identify trends monitor prevention and correction of quality deviations and develop reports for management utilizing technical knowledge and laboratory experience.
  • Monitor customer satisfaction and performance metrics.
  • Identify and report quality issues and problems to management with recommendations for resolution.
  • Establish processes and policies for effective and professional communication between laboratory staff and among other interested parties.
  • May supervise others and provide input into financial safety and procurement decisions.
  • Work with the safety officer and security/biosecurity officer to align quality practices including data analysis monitoring of trends prevention corrections and continuous quality improvement.
  • Ensure that the laboratory*s organizational structure is committed to achieving and maintaining quality advocating for a culture of quality safety and ethics and analyzing quality measures to evaluate the costs of maintaining quality.
  • Ensure that laboratory personnel and instrumentation meet performance standards (QMS
  • Ensure that operational processes meet organizational requirements through the application of workflow processes or the development of method validation and performance verification processes and procedures.
  • Ensure that there is an effective system to control and manage documents and records.
  • Develop and ensure that processes and procedures are in place for detecting and managing nonconforming events and performing internal audits and external assessments.
  • Develop and ensure mechanisms for continuous quality improvement.
  • Working with the Chief supports efforts for recruitment and retention of faculty including business plans for new programs and positions and drafting offer letters. Handles LIAMS and Lifeworks access requests/process for faculty.
  • Works with Brown Health Contracting the Chief and the Director of Pathology Administration to develop faculty-related data for new contracts for services; manages faculty-related components of contracted relationships.
  • Works with the Chief and assists division/section chiefs to establish faculty-related productivity goals for clinical research and academic activities revenue operational and service quality efforts; supports the development and implementation of action steps to achieve faculty-related goals.
  • Recognizes and develops opportunities for new faculty business for departmental divisions and programs; analyzes faculty-related projected costs financing and reimbursement. Seeks input and assists in the implementation of improvement initiatives for existing faculty business activities. Formulates recommendations for changes as appropriate. Prepares written reports/presentations of analyses and proposals presents information to Chief department leadership Hospital management and other pertinent parties.
  • Ensures that all professional billing opportunities are being identified and maximized. Ensures the effectiveness and accuracy of the professional fee-related billing processes (including consult billing).
  • In conjunction with the Chief develops implements and monitors the department*s faculty-related annual operational and capital budgets. Oversees professional allowance monies and special/restricted funds used for faculty-related expenditures.
  • Performs other duties as assigned.

Other information:

EDUCATION:

* Bachelors Degree in Biology Life Sciences Medical Technology or Degree with 24 credits of sciences is required

* Masters Degree in Chemistry Biology or Other Medical Science is preferred

* Cerified in ASCP BSBB and PMP is preferred

EXPERIENCE:

* 3 Years experience with clinical laboratory quality programs is required

*3 Years of progressive leadership. Preferably on an enterprise level

* 5 Years experience in a clinical laboratory preferably in an academic medical center setting is required.

* Previous experience and extensive knowledge of regulations including CLIA CAP TJC and DOH is required.

* Previous experience with process improvement techniques is preferred.

SUPERVISORY RESPONSIBILITY:

• Supervisory responsibility for over 9 FTEs

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Rhode Island Hospital USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union

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