Essential Duties and Responsibilities :
- Develop and implement best practices in patient safety and risk mitigation initiatives practices driving a proactive approach and prevention of patient harm.
- Supervises the investigation of errors and then plans for resolution of all safety related incidents, including those involving employees, patients, and situations posing a threat to the health care setting and equipment.
- Maintains records of patient-related errors and evaluates this information to identify the cause of the error.
- Collects, reviews, and analyzes information from the facility's safety programs to identify corrective action and programs as necessary.
- Recommends changes, policies, or programs that could prevent future errors.
- Designs and presents training programs meant to increase awareness of patient safety initiatives.
- Ensures compliance with state and federal regulatory requirements.
- Typically reports to a head of a unit / department. Manages subordinate staff in the day-to-day performance of their jobs.
- Ensures that project / department milestones / goals are met and adhering to approved budgets.
- For the implementation for the safety through the policies, procedures and guidance and serve as the facilitator for the program sites providing strategic, investigative approach in monitoring daily tasks and activities.
- Reviews and analyzes facility occurrence reports to identify clinical risk issues.
- Conducts Root cause analysis, Apparent cause analysis, Incident analysis, and Health care failure mode and effect analysis
- Assists with regulatory survey and planning as needed
- Facilitates the investigation and follow-up on events with the appropriate Directors
- Analyzes occurrence data for frequency and severity of events
- Identifies trends necessitating intervention and works with Executive staff in planning and implementing actions to address identified issues
- Initiates Probable Claims Report (PCR) as appropriate Coaching, counseling, conflict management, consulting and influencing skills
- Other duties as assigned
Qualifications :
- Clinical experience required, Bachelor’s Degree, Master’s Degree preferred,
- Certifications : CPPS, or CPHQ or CPHRM designation is preferred.
- Demonstrable experience with relations required.
- Ability to work independently and maintain accountability for work.
- Must have excellent computer skills to include word processing and spreadsheets.
- Ability to provide leadership and direction within his / her duties.
- Must be able to maintain acceptable attendance and adhere to scheduled work hours.
Experience :
This position requires a minimum of two to five years of experience in acute hospitals and / or integrated healthcare delivery systems, and a broad knowledge of hospital operations.
Position requires extensive experience in patient safety, and risk management, performing these activities in a healthcare setting.
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