DescriptionTexas Childrens Hospital has an opening for a Pathology Quality Assurance Coordinator position in The Woodlands TX. Duties Include:
1. Conducts Proficiency Testing Program
- Maintains a proficiency testing plan that includes: annual order of proficiency testing samples a process for how surveys are handled a schedule of the ship dates of the surveys and shipping notifications and assignment of surveys to staff.
- Ensures that results are submitted by the deadline.
- Reviews proficiency testing results and responds to unsatisfactory results. Ensures corrective action including staff retraining is implemented as needed based on the investigation findings.
- Generates quarterly Proficiency Testing reports.
2. Administers the Quality Assurance programs.
- Reviews tech logs and completed worksheets daily identifies reporting errors and ensures that quality controls were performed as needed. Corrects results as needed and provides feedback to technicians.
- Reviews Laboratory quality control logs monthly; identifies outliers and implements corrective actions; provides feedback as needed; creates and distributes monthly reports as applicable; documents all findings and corrective actions.
- Maintains QA calendar to ensure required QA actives are performed per policy. Reviews validation/calibration/QC reports as applicable.
- Reviews and analyzes the quality indicator scorecards monthly. Presents data at quality operations or hospital quality meetings as applicable. Ensures implementation of the associated action plans and monitors for effectiveness.
- Maintains quality assurance policies and procedures f. Attends meetings; participates on work teams for new process improvement initiatives or projects as needed.
3. Facilitates Process Improvement (PI) Projects.
- Set monthly meetings with the lab team as applicable
- Assist with setting the agenda for the meeting; compile quality assurance data to be reviewed
- Ensure to follow the DMAI2C (define measure analyze improve innovate and control) process improvement methodology
- Ensures thorough meeting minutes are documented
- Facilitate other team member has the opportunity to contribute to the project
- Maintain project worksheet until the end of the project
- Gather data and create reports for analysis; obtain current state and future state reports
- Maintain performance improvement (PI) database and track performance
- Assists staff with preparing and delivering the presentation to leadership team.
- Coordinate implementation with process owners and managers
- Post results on the Balanced Scoreboard-Connect site
4. Maintains Laboratory Accreditation Processes
- Maintains CAP (College of American Pathologist) checklist spreadsheets to ensure compliance to CAP standards. Keeps abreast of regulatory requirements and develop plans to maintain compliance.
- Conducts Regulatory Readiness Process; coordinate tracer audits collate data and produce reports recommend corrective actions and assist in the implementation monitors outcomes to ensure regulatory compliance.
- Conducts CAP self-inspection process documents deficiencies and ensures implementation of appropriate corrective actions.
- Provides support to on-site CAP inspectors. Assists with timely submission of response to cited deficiencies.
- Serves as a QA contact person for CAP.
- Conducts CLIA/CAP Certification
- Is engaged in other regulatory/accreditation processes as applicable (i.e. AABB FDA JC etc.)
- Works closely with the Laboratory Director and Leadership to ensure consistency in Laboratory policies and procedures. Coordinates the Laboratory Document Control System: provides user training and support performs monthly back-ups manages the department structures within the application generates and reviews compliance reports as applicable.
- Coordinates the Laboratory competency assessment program
- Coordinates lab product recall notices and ensures timely completion of responses to recall alerts
5. Safety
- Maintain safety policy and procedures
Requirements: Employer will accept a Bachelors degree in clinical laboratory science health administration biology or a related science field and 36 months of laboratory setting experience. Experience should include the following:
o Experience with equipment used in the following settings: blood bank chemistry hematology microbiology and virology.
o Experience with carrying out analysis of laboratory data to track trends.
o Certification in one of the following:
i. Certification as a Medical Technologist (MT) by ASCP NCA AMT or CLS
ii. Certification as a Medical Lab Scientist (MLS) by ASCP
iii. Certification as a Clinical Lab Specialist (CLS) by NCA
iv. Certification in Molecular Biology (MB) Molecular Pathology (MP) Blood Banking (BB) Chemistry (C) Hematology (H) or Microbiology (M) by ASCP; or
v. Valid Medical Technologist license from any state.
To Apply: You MUST apply through the Apply Link on this page referencing job code 8752. Include complete contact information (e-mail day/evening phone and mailing address) on resume/application.