Quality and Regulatory Affairs Manager - UPMC Hillman Cancer Centre

Location: UPMC Whitfield Hospital
Job type: Fixed Term

Overview of role:

UPMC Hillman Cancer Centre are recruiting a Quality and Regulatory Affairs Manager on a 23-month fixed-term contract. The position of Quality and Regulatory Affairs Manager will ensure that quality improvement activities are directed toward continuous quality improvement. The Quality and Regulatory Affairs Manager identifies opportunities for improvement based on evidence-based practices, understanding of data, regulatory and accrediting agency requirements, and monitoring of high risk, high volume and / or problem prone processes by supporting the design, monitoring, analysis and improvement of patient care and organisational functions while implementing the day-to-day Quality Management Program functions. The Quality and Regulatory Affairs Manager will work across all Hillman Cancer Centres and integrate with the multi-disciplinary teams and management within the departments.

Primary Duties and Responsibilities:

Continuous Quality Improvement:

The Quality and Regulatory Affairs Manager performs, coordinates, and facilitates quality improvement, patient safety activities, and clinical effectiveness initiatives to achieve organizational goals. This involves performing the assessment and analysis of operations and processes and working collaboratively with staff and managers to promote, design and implement quality improvements and innovations.
Utilize and develop valid internal and external standards to measure quality.
Works to promote quality improvements and innovation and monitors progress towards goals by collecting accurate, timely data to display the quality, cost, and service outcomes.
Provides content knowledge in the interpretation, implementation, and maintenance of all accreditations, national quality assurance standards or regulatory standards to match external requirements.
Supports the management and teams across all Hillman Cancer Centres regarding regulatory affairs and inspections from both HIQA and the EPA, as well as accreditation.
Maintains accountability for ongoing self-development activities, especially related to presentation facilitation, change management and application of quality improvement activities.
In order to achieve defined outcomes, the Quality and Regulatory Affairs Manager engenders commitment, encourages cultural changes, disseminates information, and provides support for behavioral safety process changes.
Promotes the UPMC positive patient experience and manages the associated quality metrics. Liaison with UPMC International Quality teams, to standardise and maintain quality metrics.

Clinical Data:

Co-ordinate the capture of data and analyses clinical information from a variety of internal and external sources relating to patient safety, utilization of resources, system problems, and other quality functions.
Identifies trends, variances, deficiencies, and problems utilizing aggregated data and information and works with multidisciplinary teams on improvement efforts.
Supporting Departmental statistical data analysis. This includes providing meaningful statistics that describe the day-to-day operations of the unit, identify strengths and opportunities for clinical outcomes improvement.
Ensure quality assurance data is kept updated to meet all accreditation, regulatory and national quality assurance programme requirements while ensuring the integrity of data quality.
Ensure clinical indications are collated and reported as required for governance.

Quality Improvement Projects:

Liaises with the Project Management Office and Business & Process Improvement Manager Consults with Managers to deliver organisational projects.
Liaises with department leads and critical committees as appropriate to finalise and advance the quality project goals.
Leads or co-facilitates teams by coaching and advising team members to fulfil their role in a project team.
When assigned, completes special projects and performs other related duties according to agreed upon goals and parameters.
Utilize Lean Six Sigma tools in quality improvement projects.

Risk Management:

Provide the leadership for creating a culture of patient safety and works across departments to ensure compliance to accreditation standards, International Patient Safety Goals, and promotes Proactive Risk Management activities.
Work with the Hillman Cancer Centre departments to develop departmental risk registers.
Engage in Audit and coordinate data.
Review all incidents to ensure corrective and preventative actions are implemented, incidents are graded, and learning is communicated.

Complaints:

Review all complaints to ensure corrective and preventative actions are implemented, and learning is communicated.
Where required meet with all complainants to hear their complaint and to communicate close out actions.

Education:

Develop and deliver education and training regarding quality and risk issues.

Qualifications & Experience:

Degree or Higher-level Healthcare qualification.
Post graduate education in Quality in Healthcare.
A minimum of 6 years of previous healthcare experience.
Previous experience of quality improvement projects in healthcare.
Ability to work on own initiative, independently, but also as part of multi-disciplinary team.
Must have good working knowledge of data collection, and dissemination.
Willingly puts forth effort in starting job duties on a regular basis; contributes new ideas; seeks self-improvement; masters new job duties.
Ability to deliver training and education.
Acts in accordance with the vision, mission, and values of UPMC and in compliance with hospital policies.
Knowledge of quality improvement concepts and methodology, knowledge of The Joint Commission standards and regulatory requirements with HIQA and the EPA.
Good understanding of or willingness to learn Lean Six Sigma methodology.
Self-initiative, ability to do detailed work, with accuracy and uphold confidentiality standards.

Equal Opportunity Statement and Benefits

UPMC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

At UPMC we provide a total rewards program that is not only market competitive, but fair and provides growth opportunities for all our colleagues.

Compensation – Competitive pay for the work employees do – base pay, performance related pay and premium pay where applicable.

Benefits – Fully paid maternity and paternity leave for new parents. Competitive Pension Plan, company funded Death in Service Benefit x 3 times. Critical Illness cover for all employees up to the age of 66.

Performance and Recognition – Rewards for performance that supports the goals and mission of UPMC through our annual ACES programme.

Work-Life Balance – Enhanced annual leave up to a maximum of 27 days. Flexible working opportunities to support you to work around external family commitments.

Development and Career Opportunities – Opportunities for each employee to reach their career goals through continued learning and/or advancement.

About UPMC

UPMC is a renowned multinational academic medical centre committed to delivering people-focused care that’s close to home. Headquartered in Pittsburgh and affiliated with the University of Pittsburgh Schools of the Health Sciences, UPMC shapes the future of health through clinical and technological innovation, research and education. UPMC expands its expertise globally, bringing world-class care across continents through its UPMC International division — an owned and operated network of hospitals and ambulatory care centres in Italy, Ireland and Croatia. UPMC International brings new access to the signature specialty services of UPMC Hillman Cancer Centre, UPMC Sports Medicine and others to more people in more places around the world.

In Ireland UPMC has provided high-quality healthcare in the South East since 2006. UPMC’s operations in Ireland now include UPMC Whitfield Hospital in Waterford, UPMC Sports Surgery Clinic in Dublin, UPMC Kildare Hospital in Clane, and UPMC Aut Even Hospital in Kilkenny. Outpatient care is available at the UPMC Carlow Outreach Centre, UPMC Hillman Cancer Centre radiotherapy locations in Waterford and Cork, UPMC The 4th Practice in Mallow, and across UPMC Sports Medicine Clinics in Dublin, Waterford, Limerick, Tipperary, Cork, and Mayo. UPMC has also established a nationwide Concussion Network. UPMC's Global Technology Operation Centre is based in Kilkenny.

Quality and Regulatory Affairs Manager - UPMC Hillman Cancer Centre

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