Menorah Medical Center is a 175-bed, a full-service, acute care hospital and ER located in Overland Park and Leawood. The hospital serves the community's healthcare needs by providing compassionate care and some of the most advanced treatment options available in the Kansas City region.
Menorah has a world-class medical staff with more than 600 physicians who offer exceptional experiences and extraordinary medicine for adults, newborns, teens and children.
Oversees Performance Improvement throughout the facility.
Systems Thinking and Reliable Design Expectations:
Prevent future harm by initiating and overseeing proactive evaluation and redesign of systems to improve care processes (e.g. forcing functions, checklists, error causation thinking, human factors, applied informatics, culture).
Support improved outcomes by emphasizing both appropriate behaviors and robust systems that include concise accountability measures and follow-up.
Improve consistent delivery of evidence-based care and reduction in preventable harm by focusing on reliability and applying the principles of reliable design.
Reduce variation in care delivery. Partner with the Patient Safety Organization to explore identified variations when appropriate.
Utilize alerts and best practices (e.g. Sentinel Event Alerts) to perform gap assessments and implement strong actions that will alleviate identified gaps.
Identification and Mitigation of Patient Safety Risk Expectations:
Effectively report, investigate, and analyze patient safety incidents, medical errors and potential risks in the facility.
Facilitate thorough and credible serious event analysis that result in strong sustainable improvement strategies.
Facilitate thorough and credible failure mode effect analysis to identify and mitigate unintended adverse patient outcomes and evaluate effectiveness of process changes.
Perform Patient Safety Rounds that identify patient safety risks. Empower staff to identify and participate in resolution of patient safety concerns.
Coordinate disclosure of serious events to patients and/or families in accordance with organizational policy and regulations.
Assure timely reporting of Patient Safety Work Product (PSWP) to the Patient Safety Organization.
Actively participate in PSO learning collaboratives. Ensure implementation of best practices, alerts, and updates to drive patient safety improvement.
Safety Culture Advancement Expectations:
Champion completion of Culture of Safety Survey.
Facilitate analysis of culture of safety survey results such that data-driven action plans lead to targeted outcomes.
Support and encourage harm reporting throughout the organization through a nonpunitive just event reporting system.
Provide feedback that acknowledges both the value of event reporting and review of reported events.
Facilitate thorough and credible review of events that address both system and individual accountability.
Patient Safety Education Expectations:
Partnership with Executive and Clinical Leaders Expectations:
Work with facility leaders and managers to ensure thorough, credible and timely event management.
Join with facility leaders to identify and hardwire behavioral norms (e.g. use of briefs, debriefs, NPSGs) that promote a culture of safety.
Partner with facility leadership to establish activities that enable and sustain an open and fair environment promoting learning, safe systems, and appropriately managing behavioral choices related to patient safety (e.g. Patient Safety Rounds, Event Response, Disclosure).
Patient and Family Engagement Expectations:
Engage patients/families when appropriate in the patient safety program.
Seek input from patients/families involved in harm or close call events as appropriate.
Measureable Reduction in Avoidable Harm Expectations:
Oversee the management and use of event information to benchmark and track progress to zero avoidable harm.
Provide analysis and identifying trends from reports (e.g. PSIP data, SHARP report, Service Line Dashboards) to track progress of improvement strategies. Spread and sustain improvement.
Present informative and actionable patient safety reports to appropriate committees to include high level presentations to Leadership, Medical Executive Committee and Board of Trustees. Include the patient's story of harm.