Department: Lab - Admin
Posting #: 526966
Date Posted: 9/14/2020
Employee Type: Regular
This position manages all aspects of the clinical laboratory
quality assurance (QA) program. The position ensures the ongoing
compliance with lab regulatory agencies (FDA, AABB, CAP/CLIA, and
JCAHO) through the establishment of a system-wide lab quality
management program. Ensures that monthly lab-wide quality reports
are developed to establish/maintain focus on delivering a mature
quality culture. The position oversees quality coordinators to
ensure the following tasks are completed. Initiates, monitors and
analyzes trends in Laboratory performance to test performance,
turnaround time, customer service and other established lab KPI
system and process audits. Position serves as lab liaison to PCH's
internal quality and patient safety committees.
Family-Centered care that focuses on the need of the child first
and values the family as an important member of the care team
Excellence in clinical care, service and communication
Collaborative within our institution and with others who share
our mission and goals
Leadership that set the standard for pediatric health care today
and innovations of the future
Accountability to our patients, community and each other for
providing the best in the most cost-effective way.
Effectively Manages Laboratory Quality Management
a. Customizes the Laboratory's quality improvement and
safety/hygiene reports on a regular basis so the information
relayed will be pertinent and timely to each audience reviewing the
b. Develops and implements solutions to improve services and
creates methods to quantify these levels of improvement to
demonstrate the potential level of quality achieved.
c. Recognizes, monitors, and analyzes trends in Laboratory
activities for the purposes of improving process flow, enhancing
productivity, and/or increasing patient and employee
d. Assists in developing and writing Laboratory policies and
procedures, as pertinent to job duties.
e. Serves as a liaison between Laboratory and other hospital
areas to coordinate all quality improvement activities for optimal
efficiency and effectiveness; recommends process changes as
f. Uses effective process improvement techniques to identify
outliers in all processes of Laboratory services, to include
communications, order entry, specimen collection, processing and
testing, and results reporting and billing.
Manages the Laboratory Safety and Chemical Hygiene Plans.
Maintains a safe environment for Laboratory staff and comply
with governmental and institutional regulatory policies.
Partners with Laboratory Information System Analyst(s) with
changes, modifications, and enhancements to the Laboratory
a. Provides guidance to the IT team to initiate and test related
quality improvement enhancements.
b. Ensures that lab test dictionaries are maintained in an
accurate and current format.
c. Ensures that lab billing practices meet or exceed regulatory
and commercial payer standards.
Manages programmatic implementation of accreditation
Provides oversight for inspection activities. Serves as liaison
for activities involving regulatory (i.e., government) bodies and
internal patient safety committees, root cause analyses.
Oversees system and process audits of a multi-site lab
To ensure consistency of technical performance and regulatory
Performs miscellaneous job related duties as requested.