In addition to the responsibilities listed above, this position is also responsible for providing consultation and education related to clinical quality and patient safety, accreditation, regulatory and licensing (AR&L), risk management, and infection prevention and control; evaluating, designing, developing, and implementing evidence-based guidelines, principles, and/or programs related to area of work as well as to reduce variation in clinical practice and optimize patient outcomes; collecting, analyzing, reporting, and presenting clinical data for a variety of users including for state, federal, and local agencies; facilitating education regarding the interpretation of compliance methods when preparing for regulatory reviews, the interpretation of regulatory requirements, and regional project goals; monitoring, reporting, and developing mitigation plans for all occurrences which may lead to medical center liability adjusting to remove barriers and/or issues, as necessary; supporting the medical centers continuous survey readiness program to maintain compliance with regulatory standards; and serving as a liaison with applicable government agencies, regulatory agencies, and other organizations.