Item 4.C-September 12, 2014
ADMINISTRATIVE FACULTY POSITION DESCRIPTION QUESTIONNAIRE
To expedite and facilitate the PDQ review process, please send the PDQ and Org Chart electronically to
marshag@unr.edu for discussion and for initial review before routing PDQ for approval signatures.
Questions - call UNR Faculty HR at 682-6114
INSTRUCTIONS: See http://www.unr.edu/hr/compensation-and-evaluation for complete instructions.
Incumbent(s) Name (if applicable): Kristen Stout
Position #(s): CL41881
Current Title: Program Officer I
Current Range: CL 31
(JCC: 07.649;NE)
Department:Graduate Medical Education (Las Vegas)
College/Division: University of Nevada
School of Medicine / VP, Health Science
Account #(s): 1108-119-001P
Action Proposed: (check all that apply) CLASSIFIED TO ADMINISTRATIVE FACULTY
3
(X) New position: Proposed Range:
Proposed Title: Coordinator, Graduate Medical Education (GME)
Institutional Performance
( ) Title Change, Proposed Title:
( ) Proposed Reassignment from Range
to Range
( ) Revised PDQ only (no change in range or title)
JCC (Current
( ) Line of Progression (show titles below)
or new HR
Range:
assigned):
I certify that the statements in this description are accurate and complete to the best of my knowledge.
____________________________________________________________
Employee’s Signature
__________________
Date
I/we have reviewed the statements in this form and they accurately reflect the job assignments.
____________________________________________________________
__________________
Immediate Supervisor’s Signature Miriam Bar-on, Assoc Dean, Grad Med Educ
Date
____________________________________________________________
Director/Chair/Dean Thomas Schwenk, VP, Health Science / Dean, UNSOM
__________________
Date
Approved for Salary Placement Committee review
____________________________________________________________
__________________
Pres / Vice Pres / Vice Prov Signature Stacy Burton, Vice Provost, Faculty Affairs Date
Action Approved by the Provost/President (Completed by Faculty HR):
67618 Range:
3
Pos #(s):
JCC:
EEO: 3A
Eff: 9/1/2014
Approved Title: Coordinator, Graduate Medical Education (GME) Institutional Performance
Employee signs on “final” stamped approved PDQ and sends to HR for personnel file.
Employee Signature:_______________________________________________ __________________
Date
Printed Name: ____________________________________________________
Rev: 10/1/2012
Position Description – Coordinator, GME Institutional Performance
Page 2
1. Summary Statement: State the major function(s) of the position and its role in the
university. Attach an organizational chart with positions, ranges, and names for the division
which reflects the position in it as well as those supervised in the department. (This section is
used for advertisement of the position.)
The Coordinator, Graduate Medical Education (GME) Institutional Performance, at the University of
Nevada School of Medicine (UNSOM) is responsible for the coordination and management of
assessment data for accreditation. The incumbent will communicate performance measures to
department staff, coordinate the collection and compilation of data, analyze data to identify
deficiencies and areas for improvement, and implement new procedures and processes to improve
quality in the performance measure areas. The position will also oversee/participate in accreditation
activities at both the institutional and departmental levels. The Coordinator provides fiscal oversight
for hospital reimbursements, review duty hour reports for fiscal accuracy, and coordinate data sharing
with UNSOM Budget and Finance. The position reports to the Associate Dean, GME.
2. List the major responsibilities, including percentage of time devoted to each. Provide
enough detail to enable a person outside the department to understand the job (percentage
first with heading and then bulleted information).
45% - ACGME Accreditation and Compliance
 Work with the GME team to maintain Accreditation Council for Graduate Medical Education
(ACGME) accreditation and compliance
 Acquire constantly changing knowledge and expertise relating to the regulatory program
requirements and interpretation of the requirements for the UNSOM GME programs and all
programs affiliated with the school
 Develop and update GME templates using internal best practices and/or national outstanding
models (benchmark practices) to assist the institution and the GME programs in meeting and
exceeding compliance with ACGME standards
 Track residency review committee citations in collaboration with the Associate Dean: supply
templates for documentation by the program, revise their documents if they do not meet
standards, track progress to ensure recommendations are addressed
 Organize and attend along with the associate dean and the institutional coordinator the GMEC
meetings
 Oversee compliance with ACGME and GME program and institutional requirements
associated with duty hours, score cards and resident/faculty surveys
 Collaborate with the institutional coordinator and the associate dean the annual institutional
report
 Work with associate dean and the institutional coordinator to plan orientation programs for
incoming residents/fellows
 Participate in long-range and short-term strategic planning for the GME department
40% - Performance Measures Development
 Develop and design performance measures for programs to maintain substantial compliance
with ACGME requirements
 Track performance measures using a variety of sources of data (ACGME faculty and resident
surveys, UNSOM annual program survey, APE, etc.)
 Determine needs for special review of programs according to their data and in concert with the
GMEC policy on special reviews
 Perform special reviews with the institutional coordinator and/or the Associate Dean
Position Description – Coordinator, GME Institutional Performance
Page 3
15%- Fiscal Oversight
 Provide fiscal oversight for the hospital reimbursement of the school of medicine for resident
salaries and stipends ($60 million dollar reimbursement)
 Supervise/work with staff to review duty hours reports for accuracy before submission to
budget and finance for invoice generation
 Oversee accuracy for hospital Interns and Residents Information System (IRIS) reports
 Create and track the Full Time Equivalent (FTE) spreadsheet for reimbursement
 Determine hospital allocations of residents with representatives of hospital partners and the
Associate Dean
3. Describe the level of freedom to take action and make decisions with or without
supervision and how the results of the work performed impact the department, division and/or
the university as a whole.
Level of Freedom:
The Coordinator develops performance measures based on ACGME standards and requirements to
be implemented across programs. The Coordinator shares drafts with the Associate Dean for GME
and the GME staff. Once developed, the incumbent introduces and employs the measures with
program directors and associate program directors. These measures are used in the accreditation
process in accordance with institutional policy. The Coordinator works with program directors and
coordinators in the special review process reporting to the Associate Dean. With respect to financial
oversight, the position works collaboratively with the Budget and Finance staff.
Impact:
Failure to meet objectives will put the institution at risk along with its programs in losing accreditation.
The Next Accreditation System (NAS) places new requirements in place for assessment of
performance as part of the accreditation process. Further, failure to provide accurate financial
statements to the hospitals and the institution will result in loss of funding – from CMS for hospitals
and for UNSOM from the hospitals.
4. Describe the knowledge, skills (to include cognitive requirement and verbal and written
communication), and abilities (to include task complexity, problem solving, creativity and
innovation) essential to successful performance of this job (in bullet format).
Knowledge of:
 Regulatory requirements for AGCME accreditation of graduate medical education training
programs at the institutional and program level
 Performance measures for the institution and affiliated programs
 Application of fiscal management and program FTE allocations
 Comprehensive financial accounting skills including cost accounting, accounts payable and
receivable systems, budgeting, cash management and financial forecasting
 The medical education process, including clinical medicine
 Academic community and medical environment
 Program/project management
 Strategic planning process
Skills:
 Analytical, decision-making, and problem-solving skills - research issues/situations, develop
and provide solutions, make appropriate decisions, and implement solutions; bring concerns to
management
Position Description – Coordinator, GME Institutional Performance




Page 4
Proficiency in use of a personal computer and current software applications including but not
limited to Microsoft Office Suite (Word, Access, Excel, PowerPoint, and email); specifically
utilization of specialized software programs, i.e., New Innovations, etc.
Excellent verbal and written communication
Interpersonal and human relations skills
Time management skills for managing multiple tasks simultaneously, achieving results and
objectives, and completing work within allocated time frames
Ability to:
 Establish work priorities, delegate assignments as appropriate and follow through to ensure
completion of activities
 Plan, organize, implement and coordinate administrative activities
 Work with and communicate effectively with individuals with diverse training and backgrounds
as well as all levels of management in both a written and verbal capacity
 Apply regulatory requirements for accreditation of programs at the institutional and program
level
 Apply performance measures to the institution affiliated programs
 Maintain confidentiality of sensitive information
 Work with diverse populations and be sensitive to gender, disabilities, and cultural and ethnic
diversity issues
 Understand and interpret formalized policies, guidelines, rules, and regulations
5. Describe the type of personal contacts encountered in performing the duties of the job.
Explain the nature and purpose of these contacts: i.e., to provide services, to resolve
problems, to negotiate.
Internal
UNSOM program directors,
associate program directors and
coordinators.
UNSOM Budget and Finance
Department Chairs
Dean’s Office
Office of Academic Affairs
Reason for Contact
To communicate and coordinate assessment, review and
compliance activities
External
ACGME
Reason for Contact
To ensure compliance with institutional ACGME accreditation
regulations and to provide information regarding same to faculty
and staff
To facilitate IRIS reporting and FTE distribution
To understand current GME legislative and educational initiatives
nationally and across the continuum
Affiliated program sites
Association of American Medical
Colleges – Group on Resident
Affairs
To coordinate fiscal activities
To explain performance outcomes
To participate in a variety of meetings
Share office suite
Position Description – Coordinator, GME Institutional Performance
Page 5
6. Indicate the minimum qualifications which are necessary in filling this position should it
become vacant. Please keep in mind the duties/responsibilities of the position rather than the
qualifications of the incumbent.
a.
Minimum educational level, including appropriate field, if any.
Master’s Degree from a regionally accredited institution
b.
Minimum type and amount of work experience, in addition to the above required
education necessary for a person entering this position.
Master’s Degree and two years of experience in leading and managing a highly
complex and accountable work environment
Preferred Licenses or Certifications: None
c.
Indicate any license or certificate required for this position.
Nevada State Driver’s License