Senior QAPI Specialist - BIDMC Heart Transplant (Hybrid)

Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Exempt

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Job Description Summary:

The Heart Transplant Senior QAPI Program Specialist works to strengthen the department's quality outcomes and performance improvement initiatives by providing leadership and analytical support to the QAPI, regulatory, and data aspects of the BIDMC heart transplant program, encompassing heart transplant, VAD, and ECMO. Working closely with the Advanced Heart Failure and Heart Transplant leadership as well as the clinical teams, this position is responsible for leading Quality Assessment and Performance Improvement activities, including coordination of QAPI initiatives, data analysis and management, and project management. The Heart Transplant Senior QAPI Specialist will collaborate with the Abdominal Transplant Program Quality Team to further enhance all of BIDMC's transplant-related quality initiatives.

Job Description:

Principal Responsibilities:

• Collaborates with heart transplant medical directors and operational leadership to develop and monitor quality assurance and performance improvement strategies to ensure compliance for heart transplant, VAD, and ECMO programs.

• Leads QAPI workgroups and transplant quality projects with data analysis and recommendations regarding quality tools and methodologies (such as PDSA, project charter formatting, etc.).

• Conducts regular audits of QAPI and regulatory required information and follows up with the manager to develop corrective action plans when discrepancies are identified.

• Performs medical chart reviews to analyze quality trends and develop QAPI improvement strategies with the manager.

• Continuously monitors and analyzes QAPI data for signs of irregularity and to preemptively bring issues with a mitigation plan forward to the manager.

• Works internally and externally to investigate quality and data trends; leads the entire project cycle with related projects.

• Responsible for heart transplant QAPI meetings.

• Responsible for developing and maintaining a plan of constant readiness for regulatory site visits and surveys.

• Collects data through chart reviews and analysis to produce the monthly quality scorecard and other reports as needed in coordination with the manager.

• Demonstrates ability to create/utilize flowcharts, spreadsheets, and statistical tools to identify improvement opportunities. Works with the manager to build reports as needed.

• Prepares forms and reports, analyzes and compiles data, and statistics as needed.

• Prepares special compliance reports as necessary.

• Demonstrates ability to creatively problem-solve to analyze and resolve process and system issues.

• Provides coordination and leadership in the development and implementation of various projects under the direction of the transplant manager.

• Assists in the coordination of regulatory agency requests and surveys.

• Collaborate with external stakeholders as needed for project work.

• Serves as subject matter and improvement methodology expert with internal data collection and regulatory software (Ottr/XynQAPI).

• Senior-level expertise with data abstraction specifications and emerging trends in hospital quality, reporting initiatives, and regulatory compliance readiness.

Education

• Master's Degree in healthcare administration, quality, public health, informatics, business administration, or equivalent combination of education and experience.

Experience

• Five years of experience in healthcare with progressively increasing responsibilities in QAPI, regulatory requirements, and data.

• Demonstrated knowledge of QAPI initiatives, data analysis, and project management.

• Prior experience in organ donation and/or transplantation, and/or transplant quality assessment and performance improvement preferred.

• Familiarity with UNOS/CMS data and reporting requirements is required.

• Experience working in a large, complex academic medical center.

• Significant knowledge of regulations specific to external reporting mandates.

Skills

• Strong analytical aptitude with a proven ability to analyze/interpret and manipulate data.

• Senior-level expertise with data abstraction and interpretation.

• Experience with performance improvement methodology, including statistical concepts and applications.

• The ability to coordinate complex multi-disciplinary processes in order to facilitate satisfaction of internal and external goals.

• Strong project management skills encompassing the entire project lifecycle.

• Excellent organizational skills and planning.

• Ability to independently lead and train other employees as needed.

• Strong communication skills and the ability to effectively interact with all levels of staff, including clinicians, administrative, internal, and external clients, patients, regulatory agency representatives, and others.

• The ability to work both independently and in a group setting with high integrity, reasoned and thoughtful judgment, a strong sense of urgency, and impeccable analytical and intuitive skills.

• Knowledge of preparing and interpreting spreadsheets and reports.

• Must demonstrate proficiency in Word, Excel, and PowerPoint.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled