Accreditation Coordinator - Medical Education (Detroit, MI)

This non-exempt (hourly) position will require up to five (5) days in person at the Detroit hospital main campus with availability to travel occasionally to Wyandotte, Macomb, and Jackson as needed.

GENERAL SUMMARY:

Under the direction of the Accreditation Manager and the Designated Institutional Official (DIO), oversees the planning, implementation, and tracking of accreditation-related projects throughout Henry Ford Health Graduate Medical Education (GME). In collaboration with leadership, works with stakeholders to define the scope of the project, create a detailed work plan, determine resources, objectives, and metrics of success. Serves as a consultant and content knowledge expert for the interpretation of accreditation requirements and procedures for Henry Ford Health GME. Demonstrates initiative, resourcefulness, and problem-solving skills.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Works in concert with leadership to determine the appropriate focus and direction of department initiatives and projects.
• Creates, designs, and manages project plans and timelines.
• Assigns tasks related to project work to other administrative staff as appropriate.
• Develops and implements solutions to improve current processes and procedures related to project work.
• Responsible for leading and serving on cross-functional teams across the organization representing the department.
• Project management/coordination activities to ensure all process workflows are being handled within the established time parameters by both internal departments and outside stakeholders.
• Performs administrative follow-up by keeping track of major projects and tasks assigned by departmental leadership.
• Creates and manages budgets related to department projects and initiatives and monitor spending.
• Designs reports and distribute them to appropriate parties.
• Develops and maintains strong professional relationships across operational departments and with both internal and external stakeholders.
• Serves as key contact between the department and other internal and external customers.
• Safeguards and protects confidential information.
• Works in concert with GME leadership to ensure compliance and readiness with GME Accreditation Requirements across Henry Ford Health, includes onsite activities at Henry Ford Hospital, Henry Ford Macomb Hospital, Henry Ford Jackson Hospital and Henry Ford Wyandotte Hospital.
• Determines the appropriate focus and direction of GME initiatives utilizing data analysis related to accreditation outcomes, projects, and program performance to determine program and institutional compliance. Evaluates the outcomes of the project to determine success.
• Coordinates project plan in preparation for Program, Institutional and Clinical Learning Environment Review (CLER) Site visits from ACGME, CPME, CODA and other accrediting bodies. Mobilizes plans with limited advance notice; maintains communications with the visiting team and ACGME.
• Communicates and assigns tasks related to accreditation projects to other GME staff as appropriate and reviews the quality of the work completed with the project team regularly to ensure that it meets the project standards and accreditation compliance.
• Monitors the infrastructure necessary to assure ongoing compliance with accreditation regulations/guidelines. Develop and implement solutions to improve
  current processes and procedures related to project work.
• Coordinates all work of the Graduate Medical Education Committee (GMEC), its Subcommittees and Task Forces. Schedules meetings and rooms, creates agendas, takes minutes, tracks action items and communicates post-meeting assignments.
• Facilitates GMEC reviews of GME training programs according to the established policies and practices of graduate medical education. Collects and reviews program information, advises program of changes, and monitors follow up to ensure ongoing compliance.
• Supports the analysis and organization of the Annual Program Evaluation (APE) and Annual Institutional Review (AIR) to ensure all process workflows are being handled within the established time parameters by both internal departments and outside stakeholders, when necessary, adapts scope or timeline to achieve optimal results.
• Maximizes productivity of accreditation-related initiatives by conducting needs assessments, developing curriculum, tools, and documentation to meet accreditation requirements.
• Leverages experience and accreditation functional knowledge to provide education and support to programs through educational workshops and comprehensive program reviews including assisting with the development of performance improvement plans.
• Develops and maintains strong professional relationships across operational departments and with both internal and external stakeholders as well as establish a communication schedule to update stakeholders on the progress of the project.
• Exercises sound judgment and discretion while managing highly confidential material for training programs, individuals, and the institution.
• Maintains and updates databases and program information on designated websites.
• Exceptional communicator and change agent with the ability to simplify sophisticated issues to make them easily comprehensible for a broader audience.
• Serves as an interface between the DIO, Program Directors, and Program Coordinators.
• Maintains oversight of all accreditation related policies, including implementation, ensuring they are current and when needed make recommendations for changes.
• Regularly participates in scholarly activities, including presentations, papers, and posters, at the institutional, regional, and national level.