This position is incentive eligible.
Job Summary and QualificationsThe Patient Safety Director assumes responsibility and authority for the direction, evaluation, and coordination of overall Patient Safety and Stroke/Sepsis program coordination. This position holds the responsibility for advancement of a patient safety program that promotes a culture of safety and the elimination of avoidable harm.
What you will do in this role:- 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.
- 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 collaborative. Ensure implementation of best practices, alerts, and updates to drive patient safety improvement.
- 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 non-punitive 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.
- Include patient safety in new hire orientation presentation (e.g. PSO membership, reporting expectations, safety culture).
- Provide ongoing education to leaders, clinicians and staff on the science of safety (high reliability, effective communication, sustaining awareness/alertness) and patient safety initiatives.
- Work with facility leaders and managers to ensure thorough, credible and timely event management.
- Join with facility leaders to identify and hardwire behavioral norms that promote a culture of safety.
- Work with facility leaders to ensure understanding of and compliance with the National Patient Safety Goals.
- 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).
- Partner with Quality to complete the NQF Safe Practices section of the Leapfrog Hospital Survey.
- Act as backup to the VP Quality.
- Resolve all patient complaints and grievances per CMS guidelines.
- Engage patients/families when appropriate in the patient safety program.
- Seek input from patients/families involved in harm or close call events as appropriate.
- 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. event reports, 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.
- Maintain primary oversight of Clinical Safety Improvement Program (CSIP) and all deliverables.
- Has primary oversight of Stroke/Sepsis program and all related certification activities.
- Notify HCI of all actual and potential claims.
- Work with security on procedures to reduce the frequency and/or minimize the severity of property loss or assets.
- Manage non-HCI cases: accept/process subpoenas, visitor events, property loss or theft, etc.
- Participate in Performance Improvement activities to assure continuous Quality Improvement as appropriate.
- Maintain appropriate awareness when dealing with patients, visitors, and other customers.
- Promote a supportive, team-work oriented environment.
- Fulfill departmental responsibilities with the long-range plan, mission, vision, and values at TriStar Greenview.
What qualifications you will need:- Bachelor's Degree in Healthcare related field required; Master's Degree preferred.
- Current licensure as a Registered Nurse (RN) in the state of Kentucky or compact state required.
- Certification in Patient Safety (CPPS) required or must be obtained within 12 months of hire.
- BLS required or must be obtained within 30 days of hire.
TriStar Greenview Regional Hospital is a 200+ bed facility serving Southern Kentucky and surrounding areas. Recognized by the Joint Commission as a Top Performer on Key Quality Measures®, TriStar Greenview is a national leader in providing quality healthcare.
Home of Kentucky's first CardioMEMS HF System, we are also an accredited chest pain center that provides state-of-the-art cardiac care to patients managing heart failure. The facility is also a Certified Primary Stroke Center.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Become a manager with an organization that invests in your career while giving to the community. We are seeking distinguished applicants for our Patient Safety Director opening. Help HCA Healthcare create healthier tomorrows for patients and communities.
