DIRECTOR LABORATORY QUALITY & ACCREDITATION

Establishes, coordinates, evaluates, and reports on Centra Laboratory quality program

Ensures accreditation with The College of American Pathologists (CAP), and readiness for scheduled accreditation inspection, self and mock inspections, and focused periodic process, department, or site-specific mock inspection.

Prepares and reports annual assessment of Laboratory Quality and Safety

Prepares and presents quality assurance reports and performance improvement, reports for inter-departmental quality initiative and committees, root cause analysis, turn-around-times, and other quality metrics to ensure continual improvement of laboratory operations

Evaluates data associated with instrumentation such as correlation studies, AMR verifications, quality control, and acceptable limits to ensure compliance, accuracy, understanding of all analytical processes, and suggest improvements

Prepares and maintains adequate worksheets and programs to ensure QA performance

Works closely with Laboratory Informatics System to formulate, prepare, and present reports

Oversees laboratory safety consistent with CAP standards and hospital safety program

Organizes and assists in system wide audits

Oversees support equipment including timers, refrigeration, centrifuges, and calibration of volumetric devices through assigned staff to ensure functionality and compliance

Maintains oversight of all related policies and procedures. Ensures that appropriate updates are completed and communicated

Collaboratively with peer directors, ensures that staff credentials are available and up to date

Oversees laboratory proficiency testing with peer directors to ensure that all reported analytes are covered

Maintains organizational presence and demographics on the CAP website including but limited to test menus, test volume, laboratory, and non-laboratory personnel rosters, CLIA role designations, and credentials

Establishes, coordinates, evaluates, and reports on Centra Laboratory quality program

Ensures accreditation with The College of American Pathologists (CAP), and readiness for scheduled accreditation inspection, self and mock inspections, and focused periodic process, department, or site-specific mock inspection.

Prepares and reports annual assessment of Laboratory Quality and Safety

Prepares and presents quality assurance reports and performance improvement, reports for inter-departmental quality initiative and committees, root cause analysis, turn-around-times, and other quality metrics to ensure continual improvement of laboratory operations

Evaluates data associated with instrumentation such as correlation studies, AMR verifications, quality control, and acceptable limits to ensure compliance, accuracy, understanding of all analytical processes, and suggest improvements

Prepares and maintains adequate worksheets and programs to ensure QA performance

Works closely with Laboratory Informatics System to formulate, prepare, and present reports

Oversees laboratory safety consistent with CAP standards and hospital safety program

Organizes and assists in system wide audits

Oversees support equipment including timers, refrigeration, centrifuges, and calibration of volumetric devices through assigned staff to ensure functionality and compliance

Maintains oversight of all related policies and procedures. Ensures that appropriate updates are completed and communicated

Collaboratively with peer directors, ensures that staff credentials are available and up to date

Oversees laboratory proficiency testing with peer directors to ensure that all reported analytes are covered

Maintains organizational presence and demographics on the CAP website including but limited to test menus, test volume, laboratory, and non-laboratory personnel rosters, CLIA role designations, and credentials

Required Education : Bachelors Degree in Laboratory Sciences

Required Experience : Five or more (5+) years of experience in all aspects of Laboratory Medicine. Three or more (3+) years of experience in laboratory leadership.

Ability to work within clinical areas at the familiarity level.

Preferred Experience : Working knowledge of MS Office and data reduction software. Understanding of, and ability to adapt to, laboratory informatics and computer software through self-directed initiatives.

Understanding of data reduction process, lean event, six-sigma, and root cause analysis, and implementation. Effective verbal and written communication skills.

Evidence of strong organization skills. Evidence of emotional maturity. Evidence of self-directed continuing education. Evidence of data evaluation and presentation analysis.

Required Certifications and Licensures : Certification as a Medical Laboratory Scientist through ASCP or equivalent