About the position
The RN provides leadership for the design, implementation and coordination of the organization wide Risk Management and Patient Safety program across the facilities and service areas within St. Charles Health System with the objective of maintaining patient safety. The RN develops, coordinates, and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks. This position promotes and facilitates the transition from a retrospective and reactive model of risk management to a prospective and proactive approach for patient safety models consistent with the concepts expected of Enterprise Risk Management (ERM) and a High Reliability Organization (HRO). The RN serves as Subject Matter Expert for Root Cause Analysis, Safety Culture, National Patient Safety Goals, and other evidence-based programs as needed. This position is responsible for reviewing policy operational changes and making recommendations to the Director of Risk Management and Patient Safety. This position does not directly manage any other caregivers.
Responsibilities
- Maintains oversight of the Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events.
- Facilitates cross-functional/site process improvement endeavors to support elimination of errors and other factors that contribute to potential or actual adverse patient outcomes.
- Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety, and loss prevention activities.
- Identifies potential and actual sentinel events or serious safety events with prompt notification and debrief to key stakeholders including senior leadership.
- Leads investigation for a Sentinel or serious safety event investigation and analysis.
- Develops and provides education/communication to leadership, physicians, colleagues and other stakeholders on patient safety needs, initiatives, activities, and for shared learning.
- Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities.
- Collaborates with internal legal counsel to support their investigation and defense of claims against the Health System.
- Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications.
- Provides guidance to leadership as to acceptable bill adjustments under CMS stipulations.
- Reviews and supports the completeness of patient complaint and grievance response letters.
- Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families.
- Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities.
- Provides for 24/7 Patient Safety/Risk Management coverage and response for assigned areas of responsibility.
- Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on best practices.
- Refers clinicians and caregivers to Critical Incident Stress Management (CISM) when appropriate.
- Supports the vision, mission, and values of the organization in all respects.
- Supports lean with goal of continuous improvement with energy and enthusiasm.
- Conducts all activities with the highest standards of professionalism and confidentiality.
- Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
Requirements
- Bachelor's degree in related field.
- Current Oregon RN license.
- Three years experience with direct patient care at a health system, hospital, or other health care facility.
- Use of an occurrence reporting system and Microsoft Excel, PowerPoint and Word programs.
Nice-to-haves
- Master's Degree in related field.
- Certified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Risk Management (CPHRM).
- Three years experience in quality, regulatory, healthcare risk management and/or patient safety at a health system, hospital, or other health care facility.
Benefits
- Competitive Salary
- Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
- 403b with up to 6% match on Retirement Contributions
- Generous Earned Time Off
- Growth Opportunities within Healthcare
