Pathology Quality Assurance Coordinator

Texas Children’s Hospital has an opening for a Pathology Quality Assurance Coordinator position in The Woodlands, TX.

• Conducts Proficiency Testing Program
• Maintains a proficiency testing plan that includes: annual order of proficiency testing samples, a process for how surveys are handled, a schedule of the ship dates of the surveys and shipping notifications, and assignment of surveys to staff.
• Ensures that results are submitted by the deadline.
• Reviews proficiency testing results and responds to unsatisfactory results. Ensures corrective action, including staff retraining, is implemented as needed based on the investigation findings.
• Generates quarterly Proficiency Testing reports.
• Administers the Quality Assurance programs.
• Reviews tech logs and completed worksheets daily, identifies reporting errors and ensures that quality controls were performed as needed. Corrects results as needed and provides feedback to technicians.
• Reviews Laboratory quality control logs monthly; identifies outliers and implements corrective actions; provides feedback as needed; creates and distributes monthly reports as applicable; documents all findings and corrective actions.
• Maintains QA calendar to ensure required QA actives are performed per policy. Reviews validation/calibration/QC reports as applicable.
• Reviews and analyzes the quality indicator scorecards monthly. Presents data at quality, operations, or hospital quality meetings as applicable. Ensures implementation of the associated action plans and monitors for effectiveness.
• Maintains quality assurance policies and procedures. Attends meetings; participates on work teams for new process improvement initiatives or projects as needed.
• Facilitates Process Improvement (PI) Projects.
• Sets monthly meetings with the lab team as applicable.
• Assists with setting the agenda for the meeting; compiles quality assurance data to be reviewed.
• Ensures following of the DMAIC (define, measure, analyze, improve, control) process improvement methodology.
• Ensures thorough meeting minutes are documented.
• Facilitates other team members’ opportunity to contribute to the project.
• Maintains project worksheet until the end of the project.
• Gathers data and creates reports for analysis; obtains current state and future state reports.
• Maintains performance improvement (PI) database and tracks performance.
• Assists staff with preparing and delivering presentations to leadership team.
• Coordinates implementation with process owners and managers.
• Posts results on the Balanced Scoreboard‑Connect site.
• Maintains Laboratory Accreditation Processes.
• Maintains CAP (College of American Pathologists) checklist spreadsheets to ensure compliance with CAP standards. Keeps abreast of regulatory requirements and develops plans to maintain compliance.
• Conducts Regulatory Readiness Process; coordinates tracer audits, collates data and produces reports, recommends corrective actions and assists in implementation, monitors outcomes to ensure regulatory compliance.
• Conducts CAP self‑inspection process, documents deficiencies and ensures implementation of appropriate corrective actions.
• Provides support to on‑site CAP inspectors. Assists with timely submission of responses to cited deficiencies.
• Serves as a QA contact person for CAP.
• Conducts CLIA/CAP Certification.
• Is engaged in other regulatory/accreditation processes as applicable (i.e., AABB, FDA, JC, etc.).
• Works closely with the Laboratory Director and Leadership to ensure consistency in Laboratory policies and procedures. Coordinates the Laboratory Document Control System: provides user training and support, performs monthly back‑ups, manages the department structures within the application, generates and reviews compliance reports as applicable.
• Coordinates the Laboratory competency assessment program.
• Coordinates lab product recall notices and ensures timely completion of responses to recall alerts.
• Safety
• Maintains safety policy and procedures.

• Employer will accept a Bachelor’s degree in clinical laboratory science, health administration, biology, or a related science field and 36 months of laboratory setting experience. Experience should include…