Oncology Accreditation Coordinator

JOB SUMMARY

At Houston Methodist, the Oncology Accreditation Coordinator position is responsible for coordinating and overseeing the Oncology service line’s compliance with the American College of Surgeons (ACOS) accreditation programs to include but not limited to, the Commission on Cancer’s (COC), National Accreditation Program for Breast Centers (NAPBC) and National Accreditation of Program for Rectal Cancer (NAPRC) regulations, and other regulatory/accreditation programs as determined by leadership. This position coordinates and manages the Cancer Committee comprised of physician leadership within the Oncology service line including its subcommittees and Cancer Conferences. The Oncology Accreditation Coordinator position serves as a subject matter expert for all standards associated with these entities.

PRIMARY JOB RESPONSIBILITIES

Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 25 %

1. Supports management to plan program initiatives to ensure that the goals of the program are met. Promotes program compliance with stakeholders, management and the medical staff, as appropriate. (EF)
2. Coordinates and oversees the Cancer Committee comprised of physician leaders within the oncology service line and the various sub-committees. Partners with physician leadership to effectively manage committee work and achieve goals. (EF)
3. In collaboration with management, recommends opportunities for improvement projects to support accreditation standards. (EF)

SERVICE - 20%

1. Develops analysis and reporting, as necessary, to leadership and other key stakeholders on progress of program. Creates materials, presentations and reports program status for senior leadership, directors and managers, and front-line staff. (EF)
2. Facilitates various Cancer Committee meetings (e.g. NAPBC, NAPRC, etc.) and related Cancer Conferences/Tumor Boards including organizing, tracking attendance, recording minutes, and coordinating conference space. Manages the CEU process for the physicians at the conference events. (EF)
3. Implements change management strategies to ensure successful execution of program and to improve targeted outcomes. (EF)

QUALITY/SAFETY - 25%

1. Contributes to the development of the program standards and guidelines; implements and monitors program initiatives that improve designated compliance. Ensures appropriate data is collected and submitted to appropriate databases for program supported. (EF)
2. Supports leaders to drive improvements in program outcomes by coordinating the day-to-day quality efforts of the program in collaboration with patient safety, quality, and other relevant partners. (EF)
3. Supports program strategic direction and uses appropriate and evolving methodologies to drive quality program initiatives. Utilizes outstanding relationship skills to partner with key stakeholders to promote program success. Provides data/reports and related analysis to requesting stakeholders. (EF)
4. Identifies key measures to periodically assess outcomes and metrics and continuously enhances and improves training to drive improved outcomes for the patient and/or employee experience. (EF)
5. Completes pre-review questionnaires for accreditation surveys and assists management with coordination of survey accreditation visits. (EF)

FINANCE - 10%

1. Participates in decisions impacting operational and capital needs as appropriate to support program goals. (EF)

GROWTH/INNOVATION - 20%

1. Coordinates the introduction, development and implementation of all new aspects of the program in consideration of physical environment, staff competencies, quality outcomes, efficiencies, best practices, and cost. Supports the research and education missions of the program. (EF)
2. Assists the development of outreach and communications strategies and plans, including assessing needs and opportunities relating to all external outreach, marketing, and communications within scope of role. (EF)
3. Seeks opportunities to identify self-developmental needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis. (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS

o Bachelor’s degree or higher in business, healthcare administration, clinical or related field to include experience executing strategic programs to drive business success OR Associate’s degree with two additional years of experience (in addition to the minimum experience requirements listed below).

EXPERIENCE REQUIREMENTS

o Two years experience related to business, healthcare administration or medical records/cancer registry