RN Accreditation and Patient Safety Specialist Burlington NC
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About The Position
The Accreditation and Patient Safety Specialist is responsible for collaborating with leadership to prepare the organization with ongoing programs to promote continuous accreditation readiness, clinical compliance, and patient safety improvement for assigned facility(s). This role assists with coordination of accreditation and patient safety readiness meetings, discusses barriers to continual readiness, changes in regulations, develops action plans, measures sustainability and reassesses approach to maximize success. Works with leadership in defining key performance indicators and developing measurement tools to evaluate accreditation and patient safety process improvements; coordinates patient safety culture assessment efforts. Coordinates accreditation and patient safety readiness meetings, discusses barriers to continual readiness, changes in regulations, develops action plans, measures sustainability and reassesses approach to maximize success. Collaborates with team to complete required regulatory reports, such as investigating and developing an improvement response plan for regulatory complaints and sentinel events. Facilitates tracers, medical record reviews, and environmental assessments, compiles and distributes compliance reports to departments, as well as facility and system oversight teams. Maintains open communication and a close working relationship with facility leadership to optimize patient safety culture and to support a constant state of readiness for accreditation reviews. Utilizes facilitation skills with proactive risk assessments, and other patient safety process reviews to include assistance with root cause analysis for breakdowns. Responds to various non-licensed, regulatory, and insurance complaints and coordinates investigations to resolve safety incidents. Performs other duties as assigned.
