Coordinator Quality​/Patient Safety

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The Coordinator Quality/Patient Safety reports to the Director of Oncology with strong collaboration with leadership across the oncology service line. This position supports the delivery of high-quality, patient-centered cancer care by overseeing clinical quality initiatives, regulatory accreditation readiness, and performance improvement activities.

This role is responsible for collecting, analyzing, and reporting oncology quality metrics while ensuring compliance with standards from the Commission on Cancer (CoC), National Accreditation Program for Breast Centers (NAPBC), Quality Oncology Practice Initiative (QOPI), ASTRO, and other governing bodies.

The Coordinator Quality/Patient Safety partners closely with clinical, administrative, and leadership teams to maintain accreditation, improve outcomes, and support data-driven decision-making.

• MISSION:
  We deliver outstanding care, inspire health, and connect with heart.
• VALUES:
  Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:
  Personally connect. Keep everyone informed. Be on their team.

• Maintain ongoing readiness for CoC, NAPBC, QOPI, and other oncology-related accreditation standards.
• Coordinate required accreditation activities, documentation, audits, and site visits.
• Monitor changes to regulatory requirements and communicate updates to relevant teams.
• Support development, implementation, and evaluation of cancer program quality initiatives.

• Develop data collection instruments for abstraction of relevant clinical data from medical records.
• Collect, validate, and analyze oncology quality data from multiple sources (e.g., cancer registry, EMR, patient experience data, NCDB).
• Develop and maintain dashboards, scorecards, and reports to measure key performance indicators.
• Provide data insights to clinical teams and leadership to support decision-making.
• Review and monitor quality measures (e.g., accountability, quality improvement, and surveillance measures for CoC).
• Prepare and present findings for quality committees, tumor boards, accreditation reviews, and leadership meetings.
• Utilize strong interpersonal skills to work directly with physicians and other health system personnel to understand and support their data needs.
• Research and assist in the interpretation of medical data to maximize presentations and help clinicians/physicians make conclusions and recommendations.

• Partner with clinicians and leadership to identify performance improvement opportunities in the cancer program.
• Assist with workflow assessments and process development to optimize patient outcomes and efficiency.
• Collaborate with nurse navigators, registrars, physicians, and interdisciplinary teams to address gaps in care.
• Provide primary support to Oncology Services Committee. Assist the chair Manager/Director with development of the agenda, preparation of materials and data, and follow through on actions taken by the Committee.
• Design, develop, and assist with the implementation of quality improvement programs including tools such as the PDCA (Plan Do Check Act) model, rapid cycle improvement processes, value stream mapping, involvement with LEAN teams, and waste reduction strategies.
• Collaborate with multidisciplinary team on problem identification and resolution, cost containment issues, implementation of new services and systems/performance measures.
• Analyze and report on data collected from a variety of sources. Develop detailed quality financial reports for specific groups and service lines.
• Serve on Oncology co‑management committee to help support and provide data on quality and safety initiatives.

• Complete other job-related assignments and special projects as directed.

• Attend and participate in department meetings and be accountable for all information shared.
• Complete mandatory education, annual competencies, and department‑specific education within established time frames.
• Complete annual employee health requirements within established time frames.
• Maintain license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers must maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilize appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adhere to regulatory agency requirements, survey process, and compliance.
• Comply with established organization and department policies.
• Be available to work overtime and additional shifts when required.

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and…