|Department of Health and Human Servicesand Tasmanian Health Service
Statement of Duties
Focus of Duties:
To lead and improve the Quality Management System in Pathology through the provision of expert advice to management and staff. Management of laboratory accreditation, certification, patient safety initiatives and any regulatory and legislative requirements relating to the quality system.
1. Provide expert advice, assistance and direction to executive management, supervisors and employees of Royal Hobart Hospital Pathology on quality management issues, including international certification (ISO) and national accreditation (NATA and TGA) requirements, and any other regulatory requirements that impact on the service provided by the unit.
2. Interpret relevant standards and provide leadership in the coordination, development, implementation and management of policies, procedures, documentation and systems that support the delivery of an accredited pathology quality system.
3. Responsible for the pathology internal auditing processes including performance of audits, training of auditors as necessary and the ongoing scheduling, reporting and review of audits.
4. Oversee the incident reporting system, ensuring that relevant policies and procedures are maintained and follow up and review is completed. Implement and maintain a preventative action procedure to ensure continual laboratory quality improvement.
5. Provide expert input into the utilisation and maintenance of the quality information system (QPulse) and provide training in the use of the system.
6. Communicate as the authorised representative for Royal Hobart Hospital Pathology with all external assessment bodies (NATA, ACHS, RCPA QAP programs such as KIMMS, and TGA). Provide authoritative counsel and coordination functions for external assessments. Collaborate and negotiate as necessary, with external assessment bodies, Pathology Executive, Laboratory Directors and Scientists in Charge.
7. Develop maintain and manage external relationships and networks with national bodies. Proactively monitor and report to senior management and other relevant stakeholders on significant quality issues.
8. Lead the development and delivery of training and education activities on quality issues. Develop associated competencies, in order to ensure that staff knowledge is current and maintained.
9. Actively participate in and contribute to the organisation’s Quality & Safety and Work Health & Safety processes, including the development and implementation of safety systems, improvement initiatives and related training, ensuring that quality and safety improvement processes are in place and acted upon.
10. The incumbent can expect to be allocated duties, not specifically mentioned in this document, that are within the capacity, qualifications and experience normally expected from persons occupying positions at this classification level.
Scope of Work Performed:
Broad direction provided by the Director of Pathology Services.
Provide direction and leadership in quality issues to all pathology employees.
Responsible for ensuring Pathology compliance with the relevant standards including ISO15189.
Responsible for ongoing accreditation and quality improvement in pathology.
Responsible for management review of the quality system.
Comply at all times with THS policy and protocol requirements, in particular those relating to mandatory education, training and assessment.
Registration/licences that are essential requirements of this role must remain current and valid at all times whilst employed in this role and the status of these may be checked at any time during employment. It is the employee’s responsibility to ensure that registration/licences remain current and to advise the Employer if their circumstances change. This includes notifying the Employer of any new criminal convictions and/or if a registration/licence is revoked, cancelled or has its conditions altered.
Satisfactory completion of an *appropriate course of study from a recognised tertiary institution.*the "appropriate course of study" is: science degree or an alternative approved qualification.
The Head of the State Service has determined that the person nominated for this job is to satisfy a pre-employment check before taking up the appointment, on promotion or transfer. The following checks are to be conducted:
1. Conviction checks in the following areas:
a) crimes of violence
b) sex related offences
c) serious drug offences
d) crimes involving dishonesty
2. Identification check
3. Disciplinary action in previous employment check.
Experience in management of quality systems in medical laboratories.
1. Demonstrated extensive postgraduate, experience in a relevant accredited pathology testing laboratory with demonstrated experience in laboratory accreditation and quality management
2. Ability to provide expert knowledge of the accreditation, certification and the regulatory environment of scientific and technical organisations, including the requirements of International Organisation of Standardisation (ISO) standards, National Association of Testing Authorities (NATA) standards and guidelines, Therapeutic Goods Administration (TGA) standards and Biosercurity Import Conditions System (BICON) regulations.
3. Ability to implement, manage and improve a pathology laboratory quality management system and to ensure the maintenance of national standards and established policies and procedures.
4. Advanced consultative, negotiation, communication and interpersonal skills with both internal and external clients.
5. Demonstrated ability to work as a member of a team.
The Department of Health and Human Services (DHHS) and Tasmanian Health Service (THS) are committed to improving the health and wellbeing of patients, clients and the Tasmanian community through a sustainable, high quality and safe health and human services system, and value leading with purpose, being creative and innovative, acting with integrity, being accountable and being collegial.
State Service Principles and Code of Conduct: The minimum responsibilities required of officers and employees of the State Service are contained in the State Service Act 2000. The State Service Principles at Sections 7 and 8 outline both the way that employment is managed in the State Service and the standards expected of those who work in the State Service. The Code of Conduct at Section 9 reinforces and upholds the Principles by establishing standards of behaviour and conduct that apply to all employees and officers, including Heads of Agencies. Officers and employees who are found to have breached the Code of Conduct may have sanctions imposed.
The State Service Act 2000 and the Employment Directions can be found on the State Service Management Office’s website at http://www.dpac.tas.gov.au/divisions/ssmo
Fraud Management: The Department of Health and Human Services and Tasmanian Health Service have a zero tolerance to fraud. Officers and employees must be aware of, and comply with, their Agency’s fraud prevention policy and procedure and it is the responsibility of all officers and employees to report any suspected fraudulent activity to their Director or line manager, the Director HR Management and Strategy or to the Manager Internal Audit. DHHS and THS are committed to minimising the occurrence of fraud through the development, implementation and regular review of fraud prevention, detection and response strategies, and are conscious of the need to protect employees who advise management of suspected fraudulent activity from reprisal or harassment, and to comply with its obligations under the Public Interest Disclosure Act 2002. Any matter determined to be of a fraudulent nature will be followed up and appropriate action will be taken. This may include having sanctions imposed under the State Service Act 2000.
Delegations: This position may exercise delegations in accordance with a range of Acts, Regulations, Awards, administrative authorities and functional arrangements mandated by Statutory office holders including the Secretary. The relevant Unit Manager can provide details to the occupant of delegations applicable to this position. DHHS and the THS have a zero tolerance in relation to fraud and in exercising any delegations attached to this role the occupant is responsible for the detection and prevention of fraud, misappropriation and other irregularities, and for ensuring that all officers and employees are aware of their Agency’s fraud policy and reporting procedures.
Blood borne viruses and immunisation: Health Care Workers (as defined by DHHS and THS policy) with the Department of Health and Human Services and Tasmanian Health Service are expected to comply with their Agency’s policies and procedures relating to blood borne viruses and immunisation, including against Hepatitis B. Depending on the level of risk associated with their duties, Health Care Workers may be required to demonstrate current immunity, previous seroconversion to Hepatitis B or immunity following vaccination.
Records and Confidentiality: Officers and employees of the Department of Health and Human Services and the Tasmanian Health Service are responsible and accountable for making proper records. Confidentiality must be maintained at all times and information must not be accessed or destroyed without proper authority.
Smoke-free: The Department of Health and Human Services and the Tasmanian Health Service are smoke-free work environments. Smoking is prohibited in all State Government workplaces, including vehicles and vessels.
|Position Title: Quality Manager - Pathology||Position Number: 510203||Effective Date: December 2016|
|Group and Unit: Tasmanian Health Service (THS) - Clinical Support|
|Section: Pathology||Location: South|
|Award: Allied Health Professionals (Tasmanian State Service) Agreement||Position Status: Permanent|
|Position Type: Part Time|
|Level: 4||Classification: Allied Health Professional|
|Reports To: Director, Pathology Services|
|Check Type: Annulled||Check Frequency: Pre-employment|