Director, External Quality and Safety Programs and Reporting - Quality & Safety

Pay Range

$193,800.00-$329,500.00

Company Overview

The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe. 

 

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Job Description

Director, External Quality and Safety Programs and Reporting - Quality & Safety

 

The Director, External Quality and Safety Programs and Reporting is an excellent leadership opportunity with our Quality & Safety team.

 

Role Overview:

• In partnership with the VP of Quality and Safety and in partnership with MSK Clinical Departments and Regulatory Affairs, this role is responsible for the oversight, strategic direction, and leadership for the following programs: Center for International Blood and Marrow Transplant Research (CIBMTR), the Foundation for the Accreditation of Cellular Therapy (FACT), and other external programs as determined.
• The Director provides leadership to and oversees compliance with regulatory requirements, development and implementation of standards, policies, and procedures, coordination of external program Quality Management initiatives and serves as liaison with outside agencies and contracted payers.
• This role also coordinates the collection of and analysis of relevant data with other MSK teams collecting similar data for other reporting needs.

Clinical Quality and Performance Improvement Strategy and Execution for Relevant External Programs -

• Provides leadership and oversees the external reporting of the Blood and Marrow Transplant Clinical Program, the Foundation for the Accreditation of Cellular Therapy (FACT), and other external programs as determined.
• Ensures compliance with regulatory requirements, development and implementation of standards, policies and procedures, coordination of BMT Quality Management initiatives and serves as liaison with outside agencies and contracted payers.  Ensures ongoing FACT accreditation.
• In collaboration with Regulatory Affairs, responsible for departmental compliance with New York State Department of Health regulations, The Joint Commission (TJC) Performance Improvement and National Patient Safety Goals chapters, CMS Conditions of Participation, NY and NJ Departments of Health codes rules and regulations and other regulatory/external agency requirements (e.g., FACT) by ongoing monitoring and evaluation, establishing work plans as required and prioritizing their implementation.
• Acts as designated contact person for relevant external programs and agencies (i.e., FACT, CIBMTR).
• Facilitates FACT site visits. Provides support for scheduled and unscheduled site visits with regulatory bodies such as the DOH, TJC, CMS, etc., as needed.
• In conjunction with Dept. of Nursing, responsible for interpreting and reporting Magnet nursing metrics to Quality and Hospital Leadership.
• Reviews, develops, and implements policies and procedures to enhance Quality and Safety with external programs.
• Collaboratively leads the identification and development of Performance Improvement initiatives to enhance the management and execution of programs that require external certification.

System, Operational, Data, and Project Management Oversight and Execution for Relevant External Programs -

• Responsible for the collection, validation, and analysis of performance data required for external stakeholder submissions (regulators, registries, accreditors, certifications, etc.). Coordinates with leaders of other programs who collect similar data for different reporting purposes etc.
• Directs the collaboration with internal and external stakeholders to ensure accurate, complete, consi