UNIV - Accreditation Program Coordinator - COM Dean's Office : GME

Accreditation Program Coordinator - COM Dean's Office : GME

The GME Accreditation Coordinator II is responsible for developing and analyzing accreditation tracking and monitoring processes for our institution and over 100 programs including ACGME, Non-ACGME, CODA, and Non-MD programs. This position will counsel program leadership on education quality and compliance concerns and provide administrative leadership support for GME committees and subcommittees. This position will work closely with GME leadership, hospital leadership, and program leadership.

Program Accreditation Coordinator. This includes annual GME program activities such as ACGME survey completion, Accreditation Data System (ADS) submissions, tracking of submission deadlines. In addition, this position will coordinate Special Reviews and Site Visits including monitoring of outcomes and improvement plans. Remain current with accreditation requirement standards and communicate changes to GME leaders and support staff. 30%

Annual Program Evaluation (APE) Committee Co-Chair. Create annual standards and templates for all programs. Maintain a timeline for review including feedback given to programs. Communicate with all APE reviewers ensuring compliance with timely reviews. Create a reviewer scorecard and provide education and quality assurance for reviewers. Create a final dashboard of program performances for the DIO and the Annual Report to monitor. 25%

Data Analysis. Collect, analyze and report program and institution-level data. Review program outcomes including survey results, accreditations status, site visit outcomes. Consider areas of opportunity and trends for further development. Consider potential accreditation issues and select programs that require special review. Consult with GME Accreditation Manager and applicable programs regarding opportunities for improving documentation and develop dynamic methods for tracking of data. Contribute to the GME Annual Report by developing the accreditation section of data review and analysis. 15%

Annual Institutional Review (AIR) Manager. Provider ownership of the AIR process including institutional data review and analysis, creation of action items, and monitoring and reporting of action items, and submission to the ACGME annually. Coordinate with the GME office and DIO Cabinet as needed to prepare the review documents. 10%

Accreditation Manager Proxy. This position will regularly make decisions on behalf of the Manager, within prescribed limits of authority and represent the Manager to other hospital offices, the public or outside agencies in administrative matters. This position will exercise good judgment, decision making and problem-solving skills, discretion, and diplomacy in communications with internal (e.g., Program Directors, Program Coordinators, Office of International Affairs, Office of Legal Affairs, etc.) and external stakeholders. 5%

GME Office Collaboration & Ongoing Education. Collaborate with GME staff at all levels and with Training Programs. Assists with the planning and support of special GME projects and events, such as New Resident and Fellow Orientation, Residency-wide events (oyster roast). Consider professional development opportunities such as webinars provided by ACGME. Attending external annual conferences as needed. Provides continuous innovation as relates to job duties. Other responsibilities as directed by the Accreditation Manager in support of the work of accreditation. 5%

Committee Participation. Prepare materials for the GMEC, PC, and Chief Resident meetings. Follow-up on action items. Coordinate with the Accreditation Manager and Assistant regarding roles and responsibilities. Communicates with committee members to ensure timely and accurate completion of all documentation for meetings, responds to inquiries, troubleshoots issues related to accessing information, and identifies missing information / documentation. 5%

Accreditation Budget Preparation. This includes projections of future needs and other financial processes of the Division / Unit. 5%

Preferred Requirements (Education, Work, Experience, Licensure, Registry and / or Certifications) :

• Proficiency with Microsoft Office and Office 365 applications, including Word, Excel and PowerPoint, OneDrive for Business, SharePoint and Teams. Familiarity with MedHub and the ACGME ADS system is preferred.
• Ability to follow instructions, as well as to generate and maintain written process documentation.
• Excellent organizational skills and attention to detail.
• Demonstrated ability to learn and adopt new technologies and processes.
• Demonstrated ability to work both independently and collaboratively as a member of a team, including managing multiple tasks and priorities.
• Ability to communicate effectively and professionally with colleagues and external stakeholders both verbally and in writing.
• At least five years of experience with Graduate Medical Education is preferred.

Minimum Requirements : A bachelor's degree and two years relevant program experience.

Physical Requirements : (Note : The following descriptions are applicable to this section : Continuous - 6-8 hours per shift; Frequent - 2-6 hours per shift; Infrequent - 0-2 hours per shift)

Ability to perform job functions in an upright position. (Frequent)

Ability to perform job functions in a seated position. (Frequent)

Ability to perform job functions while walking / mobile. (Frequent)

Ability to work indoors. (Continuous)

Ability to work outdoors in all weather and temperature extremes. (Infrequent)

Ability to work in confined / cramped spaces. (Infrequent)

Ability to perform job functions from kneeling positions. (Infrequent)

Ability to squat and perform job functions. (Infrequent)

Ability to perform 'pinching' operations. (Infrequent)

Ability to fully use both hands / arms. (Frequent)

Ability to perform repetitive motions with hands / wrists / elbows and shoulders. (Frequent)

Ability to reach in all directions. (Frequent)

Possess good finger dexterity. (Continuous)

Ability to maintain tactile sensory functions. (Continuous)

Ability to lift and carry 15 lbs., unassisted. (Infrequent)

Ability to lower objects, up to 15 lbs., from height of 36 inches to floor level, unassisted. (Infrequent)

Ability to push / pull objects, up to 15 lbs., unassisted. (Infrequent)

Ability to maintain 20 / 40 vision, corrected, in one eye or with both eyes. (Continuous)

Ability to see and recognize objects close at hand. (Frequent)

Ability to see and recognize objects at a distance. (Frequent)

Ability to determine distance / relationship between objects; depth perception. (Frequent)

Good peripheral vision capabilities. (Continuous)

Ability to maintain hearing acuity, with correction. (Continuous)

Ability to perform gross motor functions with frequent fine motor movements. (Frequent)