Director Patient Safety Clinical Risk

McLaren Health Care•Michigan, ND

63d

About The Position

This position is responsible for Clinical Risk and Patient Safety at two McLaren facilities. The Director of Clinical Risk & Patient Safety reports to the Chief Medical Officers with a dotted line to the Corporate VP of Patient Safety, Risk & Insurance and provides administrative leadership, direction, and supervision in the integration of the overall Risk and Patient Safety program for the facility. Supervises and evaluates the McLaren-Flint Risk Analyst. Responsible for development of annual site specific Patient Safety Plan. Coordinates patient safety improvement programs that reduce the risk of injury and promote reporting of incidents. Develop and deliver education programs based on incident reporting data. Administers the Safety First Program for both sites including the performance of investigations and Root Cause Analysis. Essential Functions and Responsibilities: Provides leadership and oversight for all patient safety endeavors at the site including: Prevention, Detection and Correction of Patient Safety events Staff education in error reduction Culture of Safety Just Culture Daily Check-ins Assists in the development and implementation of Patient Safety Annual Goals and Objectives in line with McLaren Strategic Plan Responsible for development of the Patient Safety Plan and Areas of Focus Patient Safety Identification/Event Management Reviews incident trends for patients, employees and visitors and makes recommendations to administration for case status Identify adverse trends or individual patient safety concerns through Safety First, chart abstraction, referrals from management or hospital personnel, and any others identified. Notifies administration of quality or regulatory issues as appropriate when negative trends or events occur which need intervention and monitoring. Responsible for identifying and aggregating adverse trends and/or patient safety concerns for presentation to CMO and Patient Safety & Quality Committee Reports trends and recommendations to the appropriate executive and safety committees Compiles information from staff, managers, unit managers, site administrators and physicians on patient safety concerns and provides recommendations to leadership for next steps Conducts initial investigation of all potential patient safety events and provides summaries and recommendation to CMO and site administration ongoing. Investigations include but are not limited to: internal and external medical record review, staff and witness interviews, and other communication as appropriate Facilitates the Root Cause Analysis process in conjunction with CMO & CNO Works independently to promote patient safety to various hospital staff, hospital administration and to physician groups, utilizing culture of safety information. Develops/manages and presents education programs and other educational materials addressing areas of concern in patient safety Provides risk and patient safety orientation to newly hired employees Provides consultation regarding crisis situations (sentinel events, medical events, internal disaster, external disaster) Acts as system resource for disclosure process and learnings Initiates and oversees the development of a patient safety improvement program inclusive of the analysis and trending of data related to hospital initiatives. Proactively address patient safety utilizing data, information from Patient Safety Committees, Executive Rounding and other reports to analyze issues and determine their root causes. Collaborates with clinical leadership to develop strategies to minimize incidents. Develops programs and services that produce measurable improvements processes and practices that affect patient safety. Serves as a liaison to ensure clinical services are provided in accordance with safety standards established by federal and state regulatory agencies and the Joint Commission accreditation standards, including the National Patient Safety Goals. Communicates with and educates leadership and staff regarding patient safety initiatives and activities. Co-chairs the patient safety committee with CMO. Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole

Requirements

Bachelor's Degree Required with Clinical Degree or other related field.
Minimum seven years of healthcare experience preferably in risk and patient safety management.
Certified Professional in Healthcare Risk Management (CPHRM) or other Patient Safety training/certification desired (CPPS, IHI Executive Development).

Nice To Haves

Master's Degree in Clinical Field

Responsibilities

Prevention, Detection and Correction of Patient Safety events
Staff education in error reduction
Culture of Safety
Just Culture
Daily Check-ins
Assists in the development and implementation of Patient Safety Annual Goals and Objectives in line with McLaren Strategic Plan
Responsible for development of the Patient Safety Plan and Areas of Focus
Reviews incident trends for patients, employees and visitors and makes recommendations to administration for case status
Identify adverse trends or individual patient safety concerns through Safety First, chart abstraction, referrals from management or hospital personnel, and any others identified.
Notifies administration of quality or regulatory issues as appropriate when negative trends or events occur which need intervention and monitoring.
Responsible for identifying and aggregating adverse trends and/or patient safety concerns for presentation to CMO and Patient Safety & Quality Committee
Reports trends and recommendations to the appropriate executive and safety committees
Compiles information from staff, managers, unit managers, site administrators and physicians on patient safety concerns and provides recommendations to leadership for next steps
Conducts initial investigation of all potential patient safety events and provides summaries and recommendation to CMO and site administration ongoing.
Facilitates the Root Cause Analysis process in conjunction with CMO & CNO
Works independently to promote patient safety to various hospital staff, hospital administration and to physician groups, utilizing culture of safety information.
Develops/manages and presents education programs and other educational materials addressing areas of concern in patient safety
Provides risk and patient safety orientation to newly hired employees
Provides consultation regarding crisis situations (sentinel events, medical events, internal disaster, external disaster)
Acts as system resource for disclosure process and learnings
Initiates and oversees the development of a patient safety improvement program inclusive of the analysis and trending of data related to hospital initiatives.
Proactively address patient safety utilizing data, information from Patient Safety Committees, Executive Rounding and other reports to analyze issues and determine their root causes.
Collaborates with clinical leadership to develop strategies to minimize incidents.
Develops programs and services that produce measurable improvements processes and practices that affect patient safety.
Serves as a liaison to ensure clinical services are provided in accordance with safety standards established by federal and state regulatory agencies and the Joint Commission accreditation standards, including the National Patient Safety Goals.
Communicates with and educates leadership and staff regarding patient safety initiatives and activities.
Co-chairs the patient safety committee with CMO.
Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole