Associate Administrative Director at the Hospital of the University of Pennsylvania

Responsibilities:

• Technical Services: With Medical Director sets strategic direction of section(s); Establishes and implements guidelines for each section to Monitor pre-analytical, analytical and post analytical phases of test systems; Keeps abreast of technical development in areas of specialization; Assumes overall responsibility for the formulation and monitoring of a Quality Control/Quality Improvement program; Ensures enrollment in appropriate Proficiency Testing programs which meet federal, state and accrediting agency requirements; Assists clinicians and researchers in utilizing lab services in support of special projects and research protocols. Meets with clinical research sponsors/auditors to review lab service support for various clinical trials; Collates and reviews complaints/incidents involving laboratory services from physicians, nurses, other health care providers and patients. Collaborating with representatives from other departments as necessary to facilitate or initiate changes in operational systems which will improve delivery and quality of patient care and/or improve efficiency; Function as liaison with Office of General Counsel in resolving issues related to subpoena and/or search warrant requests for lab specimens or patient lab records. Participates in hospital/health system committees as needed to represent lab operations.
• Regulatory Compliance: Works with Administrative Director in functioning as liaison to accrediting / regulatory agencies in preparation for inspections, site visits, documentation of compliance, deficiency corrections, status changes and licensing renewals; Maintains an updated database related to Federal, State and local government agencies and professional accrediting agencies’ regulatory requirements impacting lab operations including: AABB, CMS(Center for Medicare/Medicaid Services), DOH (Appropriate state Dept. of Health), DOH (Bureau of Laboratories), CAP (College of American Pathologists), CLSI (Clinical laboratory Standards Institute), FDA, FACT, TJC (The Joint Commission), OSHA (Occupational Safety and health Act), NRC (Nuclear Regulatory Commission), DEA (Drug Enforcement Agency), DOT (Dept. of Transportation: Shipment of Hazardous Material); Ensures that all quality control, instrument records, test records and other documentation are maintained in a manner which complies with all regulatory requirements; Ensures that review of department operating policies and processes are performed within required time limits; Monitors and participates in department efforts to maintain a safe working environment through development of safety policies, ongoing surveillance of environment and work practices; Ensures deficiencies noted are corrected.
• Fiscal Management: Works with Administrative Director to coordinate and collate department(s) annual capital, payroll and non-payroll budget projection; Prepares appropriate justification and/or ROIs for new program or replacement item funding; Reviews monthly expense reports and variance reports and devises strategies for minimizing expense variances by taking corrective action to resolve unfavorable budget variances; Establishes guidelines for technical managers to develop and maintain updated database of cost/test for all tests performed in the laboratory section; Reviews monthly financial reports and monthly workload volume reports to ensure appropriate billing; Collaborates with management to establish competitive pricing for business development by reviewing competitor pricing and recommending adjustments as needed.
• Staff Development: Ensures all staff involved in moderately complex or highly complex testing meet personnel qualification requirements as defined by federal, state and accrediting agency regulations; Ensures that staff have completed the required annual competencies required to meet regulatory compliance; Completes annual performance review for all individuals under his/her supervision; Mentors and provides opportunities for team members to develop existing and new competencies through routine and on-going coaching and feedback; Guides team in fostering an environment that supports diversity and promotes trust, integrity and high performance; Ensures completion of UPHS mandatory health screenings, annual training programs and performance evaluations for all employees; Collaborates with Human Resources in staff recruitment process; Conducts regular staff meetings to share information, solicit feedback and build productive relationships; Plans and coordinates continuing education programs designed to maintain and increase the technical skills and knowledge of self and assist staff to reach full potential; Continuously communicates to staff the importance of patient satisfaction, quality of care, and sound financial performance; Establishes and implements guidelines to ensure that practices/ actions related to personnel performance management are uniformly applied and consistent with UPHS policies and practices.

Credentials:

• LEAN or SSBB
• Certification in Six Sigma and LEAN methodologies

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required)
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