Quality Manager Solid Organ Transplant
Department: University Hospitals
Full/Part Time/PRN: Full-Time
Experience and Education
Requires 2 years experience in quality improvement, Lean Six Sigma, and/or other improvement methodologies.
Working knowledge of process improvement methods, statistical control techniques, and database applications.
Experience manipulating large relational databases.
Knowledge of regulatory standards (TJC Standards and CMS Conditions of Participation) and data collection methodologies.
Preferred two or more years of previous supervisory experience
Preferred Registered Nurse
Preferred Education MHA, MBA or MPH
1. Demonstrates continuous performance improvement in targeted areas of responsibility in alignment with the overall annual Hospital performance improvement targets.
2. Meets or exceeds financial goals and objectives of the department.
3. Ensures compliance with TJC, CMS, UNOS and other regulatory standards
4. Responsible for monitoring the Transplant Program's QAPI Program. Works with each Team to design, maintain, monitor, revise and report on the organ specific QAPI Program. Provides expertise in data collection, reporting methodologies and ongoing monitoring to ensure sustained improvement in processes; collaborates with faculty, service line leaders and staff to proactively identify opportunities for improvement.
5. Ensures accurate and timely data submission for national registries including ACC/CathPCI, ICD, ACTION, Tiedi, and others. Provides registry outcomes/performance reports to key stakeholders including Division Chiefs, Medical Directors, Administration, and appropriate Quality and Regulatory committees. Develops recommendations from these outcome reports and works with the Team to develop action plans for improvement.
6. Leads Process Improvement Teams, documents progress and monitors ongoing status. Works across all departments as necessary. Participates with colleagues in the Office of Health System Quality to ensure flow of information, planning, and alignment with strategic direction.
**Other Duties: Performs other duties as assigned.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.