Mammography Quality Improvement Specialist

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• The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Reporting directly to the Clinical Director of Breast Imaging with a dotted line to the Division Chief and/or Lead Interpreting Physician (LIP), incumbent independently and competently prepares, reviews, and maintains all pertinent records and required submissions to maintain compliance with state, federal and accrediting body regulations. Must be organized and solution oriented, and exemplify professional, respectful, and inclusive behavior in all interactions. Actively participates in and, at times, leads departmental quality initiatives. Assumes responsibility for designated tasks as assigned. Incumbent periodically works clinically as assigned and maintains required licensure to remain qualified to practice mammography. Responsible for the maintenance of all documentation to ensure a consistent state of regulatory readiness for all expected and unexpected inspections or regulatory visits. CO/PO Acts as primary representative of Breast Imaging, supported by the Clinical Director and LIP, during scheduled or unscheduled regulatory visits (i.e., annual state/MQSA inspection). Acts regularly as needed as communications’ liaison between Breast Imaging department/Department of Radiology and regulatory and/or accrediting agencies, building and maintaining effective and professional relationships with all stakeholders. CO/PO Familiarizes self and regularly reviews all involved regulation to ensure continued content knowledge with intent to communicate and educate leadership and staff as needed. CO/PO Establishes rapport with technical staff who perform daily/weekly/monthly/biannual/annual QC testing; creates monthly schedule to review and update all site-specific QC records. CO Acts as Subject Matter Expert (SME) on vendor/state/federal QC testing recommendations for mammography equipment and reading workstation monitors. Reviews recommendations regularly to ensure continued content knowledge with intent to communicate and educate leadership and staff. Performs and trains on QC testing as required; makes recommendations to practice as needed. CO Establishes quarterly QC review/meeting schedule with Clinical Director, Physicist and LIP, prepared to present updated documentation. Identifies and corrects any gaps or issues discovered in review in a timely manner. Communicates findings to leadership and educates as needed to ensure immediate and sustained resolution. PO/CO Centralizes, monitors, and ensures all Radiologist and Physicist CME, Technologist CEU, licensure, read or performance counts, training verifications, initial and continuing qualifications, and completed equipment surveys are on file and consistently up to date to ensure continuous qualification to practice. Communicates promptly and proactively to individual and respective leadership if qualification is in jeopardy or disrupted. PO Prepares new and re-accrediting applications for submission to the accrediting body, working with LIP and Clinical Director to ensure image quality and accuracy in application prior to submission. Coordinates specific submission with Clinical Director to ensure all required fees are promptly submitted. CO Uses Hospital and Radiology Information Systems to prepare statistics at request of LIP or other Breast Imaging Division Radiologist and for presentation of Medical Audit at annual state/MQSA inspection. Also uses these systems proficiently when working as mammographer. PO Maintains records of all physicist acceptance testing, annual and new equipment surveys, as well as all vendor service records for all equipment, including reading workstation monitors. CO Participates in meetings with purpose to present and educate regularly on regulatory requirements and findings. CO Works clinically several times per month (determined in conjunction with Clinical Director and keeping primary regulatory schedules in consideration). Maintains own active ARRT and state licensure to remain qualified to clinically practice mammography and exemplify the profession. CO Accurately identifies problems and takes rapid initiative to propose /implement solutions. Is transparent in communication if issues arise. CO/PO Independent contributor. Practices professionally and positively at high level in all verbal and written communications, using sound judgement, ingenuity, and initiative in a variety of situations without constant supervision. Understands, appreciates, and practices high level attention to detail and maintains composure under pressure. Recognizes when collaboration is necessary. Assists in Research, Quality Improvement, and pilot projects as requested CO/PO Performs other duties as assigned. Medical Audit work PO Qualifications Graduate of an accredited school of Radiologic Technology. 4-5 years’ experience as a Mammographer or prior Breast Imaging Manager preferred. The following license/certification requirements must be actively possessed and maintained: