Patient Safety and Risk Consultant

JPS Health Network•Fort Worth, TX

4d•Onsite

About The Position

The Patient Safety & Risk Consultant assists Leadership with development, planning, implementation, and evaluation of patient safety and continuous survey readiness strategies. This role is responsible for the reviews and evaluation of safety events and incidents for both ambulatory and inpatient care, including the identification and prioritization of serious events for further evaluation. The consultant facilitates Root Cause Analysis, FMEA, and other tools to support multidisciplinary teams to achieve clinical and regulatory performance improvement goals. They provide timely information to TJC when an untoward event occurs, whether by accident or not, that causes serious harm to a patient. The consultant partners with staff to identify and implement solutions that address contributing factors to adverse patient events via process improvement activities, policy development, etc. They participate in managing serious incidents and follow up actions to ensure implementation of system changes. The role contributes to the development and implementation of a robust Continuous Survey Readiness and Patient Safety program as a District-wide system. They assess compliance standards regarding regulatory changes via tracers, case reviews and chart reviews. The consultant acts as a resource to JPS leadership to provide overviews of status of clinical regulatory compliance and readiness. They facilitate all surveys, including mock surveys, and function as a member of the onsite survey management team during regulatory and licensure surveys by the Department of Public Health, Department of Mental Health, Centers for Medicare and Medicaid Services and The Joint Commission or other regulatory/licensing bodies. The consultant works with leadership to implement programs designed to maximize patient safety, clinical risk prevention, and continuous survey readiness performance and evaluation as established by organizations/programs such as NQF/Leapfrog Program and TJC NPSGs and Sentinel Event Alerts. They round, educate, and collaborate with assigned area leaders and frontline staff on patient safety/regulatory efforts, reporting events or concerns, and loop closure of prior events/concerns, per agreed upon time frames/schedule. The consultant utilizes best practice information from external organizations (e.g., ISMP, ECRI, IHI), to develop materials for inclusion in educational resources and programs. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Requirements

Bachelor’s degree from an accredited college or university.
1-3 years of experience in regulatory/performance improvement/nursing education/patient safety/risk management, or other applicable role.
3-5 years of experience in an acute care hospital setting or enterprise-wide health system.
Must have one of the following: Current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state within 90 days.
Registered Respiratory Therapist by the National Board for Respiratory Care and licensure by the Texas Medical Board as a Respiratory Care Practitioner.
Registered by the American Registry of Radiologic Technologists (ARRT) in Radiology (R) and certified by the Texas Medical Board as a Medical Radiologist Technologist (MRT).

Nice To Haves

Master's Degree in Nursing, Health Administration, Risk Management, or a related field of study from an accredited college or university.
Lean Six Sigma Designation.
Certification through a National Accreditation Board in Health Care Risk Management (CPHRM) or Patient Safety (CPPS) or must be obtained within 36 months from date of hire through the American Society for Healthcare Risk Management (ASHRM) or other accrediting body.

Responsibilities

Reviews and evaluation of safety events and incidents for both ambulatory and inpatient care, including the identification and prioritization of serious events for further evaluation.
Facilitates Root Cause Analysis, FMEA, and other tools to support multidisciplinary teams to achieve clinical and regulatory performance improvement goals.
Provides timely information to TJC when an untoward event occurs, whether by accident or not, that causes serious harm to a patient.
Partners with staff to identify and implement solutions that address contributing factors to adverse patient events via process improvement activities, policy development, etc.
Participates in managing serious incidents and follow up actions to ensure implementation of system changes.
Contributes to the development and implementation of a robust Continuous Survey Readiness and Patient Safety program as a District-wide system.
Assesses compliance standards regarding regulatory changes via tracers, case reviews and chart reviews.
Acts as a resource to JPS leadership to provide overviews of status of clinical regulatory compliance and readiness.
Facilitates all surveys, including mock surveys, and functions as a member of the onsite survey management team during regulatory and licensure surveys by the Department of Public Health, Department of Mental Health, Centers for Medicare and Medicaid Services and The Joint Commission or other regulatory/licensing bodies.
Works with leadership to implement programs designed to maximize patient safety, clinical risk prevention, and continuous survey readiness performance and evaluation as established by organizations/programs such as NQF/Leapfrog Program and TJC NPSGs and Sentinel Event Alerts.
Rounds, educates, and collaborates with assigned area leaders and frontline staff on patient safety/regulatory efforts, reporting events or concerns, and loop closure of prior events/concerns, per agreed upon time frames/schedule.
Utilizes best practice information from external organizations (e.g., ISMP, ECRI, IHI), to develop materials for inclusion in educational resources and programs.