Corporate Director, Patient Safety - Nursing

Overview

Be valued. Be rewarded. Belong. At Emory Healthcare.

Join the only health system in Georgia with five Magnet-designated organizations - four hospitals and the first ambulatory care facility in Georgia - and the rest "on the Magnet journey." We'll fuel your professional journey with:

• Comprehensive health benefits that start day 1

• Student Loan Repayment Assistance & Reimbursement Programs

• Family-focused benefits

• Wellness incentives

• Ongoing mentorship and leadership programs

Description

• Responsible for the development and implementation of processes that support the organizations patient safety priorities, coordination/oversight of the completion of root cause & proactive analyses and tracking of appropriate organizational follow up and monitoring.

• This position also has oversight of the electronic incident reporting system.

• System coordinator maintains current knowledge of CMS, DCH and TJC requirements, provides timely communication to system leaders and operating unit leader and serves a subject matter expert to all operating units.

• Standardize patient safety plan & processes across all EHC operating units. Identifies and implements best practices for performing FMEAs, RCAs and other analyses of patient safety events.

• Reports trends and patterns based on events in SAFE. Sharing lessons learned with all operating units.

• In collaboration with the EHC PSO, participates in the development of the Patient Safety Plan and coordinates efforts to move concepts to operations.

• Participates in the annual evaluation of the Patient Safety Plan, annual goal setting and report to the Board.

• Develops and implements on-boarding training/education plans and modules for new EHC Patient Safety staff and Leadership.

• Develops and implements facilitation skills curriculum and training on FMEAs, RCAs and Human Factors.

• Provides professional development for OU Patient Safety Specialist/Coordinators.

• Assist Quality & Patient Safety Directors in hiring OU Patient Safety Specialists.

• Provides OU consultant services to assure compliance with patient safety standards and processes.

• Coordinates and oversees the completion of investigation, analysis and follow up of adverse clinical events, errors, outcomes, hazards and/or clinical quality or service topics in collaboration with the OU Patient Safety Specialist.

• Provides reports and system summaries to system leaders and operation unit leaders.

• Coordinates/facilitates information flow to/from Committees (CSCCo), Chief Quality Officers and Chief Medical Officers. Functions as liaison with Risk Management, Medication Safety designee, key process owners, and Nursing leadership to coordinate information flow.

• Coaches/influences individual leaders to achieve measurable improvements in patient safety and incorporate patient safety into daily work.

• Coordinates formal sentinel event review, reporting and follow up process as needed for external agencies (CMS, DCH, TJC, MCO).

• Serves as point person for submitting CMS/DCH reportable events.

• Manages system-level patient safety employees.

• Manager of the electronic incident reporting database

Minimum Qualifications:

• Master's degree from an accredited college or university in nursing, other health-related field or health administration.

• Knowledge of healthcare QM/PI and/or Risk Management concepts, theory & application

• Previous hospital clinical experience required.

• Three years experience in QM/PI and/or Risk Management programs within a hospital setting, root cause analysis methodology, team/committee facilitation and TJC/CMS / DHR accreditation

• Sentinel event reporting experience preferred.

• Must be a licensed RN.

• Must obtain Georgia Licensure within 6 months of hire.

• In lieu of a Master's degree, candidates with 10 years leadership experience in QM/PI and/or Risk Management may be considered.