Department:OH1HS_68700_000 Risk Management
Expected Weekly Hours:40
Position Purpose:At Mount Carmel, we’re committed to making a meaningful difference in the lives of our patients and communities. Our colleagues – people like you – share our passion for always going above and beyond to provide the highest standards of care.
The Patient Safety/Risk Officer provides leadership for the design, implementation and coordination of the organization-wide Patient Safety/Risk Management Program across the facilities and service areas within Mount Carmel Health System and affiliated joint ventures businesses as assigned.
• Develops, coordinates, and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks.
• Promotes and facilitates the transition from retrospective and reactive model of risk management to a prospective and proactive approach for patient safety models consistent with the concepts expected of a high reliability organization.
• Provides leadership and support to Mount Carmel departments and to Mount Carmel affiliated joint venture businesses relative to analysis, preparation, and response to patient safety/risk issues and to patient/family complaints or grievances.
• Facilitates cross functional/site process improvement endeavors to support elimination of errors and other factors that contribute to potential or actual adverse patient outcomes
• Develops and provides education/communication for leadership, physicians, colleagues and other stakeholders on patient safety needs, initiatives, activities, and for shared learning across Mount Carmel Health System.
• Provides for 24/7 Patient Safety/Risk Management coverage and response for assigned areas of responsibility.
Job Description Details:
Proactively performs surveillance and evaluates patient safety risks. Accountable for oversight and management of incident reporting and response process. Conducts root cause analysis, apparent cause analysis, and learning from defects. Provides trend reports of incidents, liability cases, and serious safety events to leaders for identification of improvement/risk mitigation actions.
- Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures.
- Accountable for oversight and management of incident reporting and response process, including evaluation of all incidents, investigation, identification of risk exposures, follow-up and performance of trending analysis for assigned facilities/service areas.
- Accountable for oversight and management of the complaint/grievance process in accordance with MCHS policy and CMS requirements, including investigation, identification of risk exposures, timely resolution/response, and performance of trending analysis for assigned facilities/service areas.
Serves as ZeroHarm trainer for the organization. Coaches/mentors leadership and colleagues on use of Safety Behaviors. Participates on the MCHS Serious Safety Event Classification team and provides information on potential safety events for team review.
- Responsible for identification of potential and actual sentinel events with prompt notification of key stakeholders including senior leadership, site administration and Trinity Health and for conducting investigation of event and root cause analysis.
- Implements systems for tracking patient safety concerns and risks and reports significant findings to key stakeholders, including leadership/administration.
- Integrates information from a variety of sources for identification of trends/patterns, communication to leadership, and for development of risk mitigation and patient safety improvement actions.
- Proactively conducts failure mode and effect analysis for high risk or problematic care processes across Mount Carmel System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation.
- Conducts credible, thorough root cause analysis. apparent cause analysis, learning by defects, and case investigations.
- Provides leadership to the Mount Carmel Health System Safety Ambassador program including development of curriculum, provision of education, mentoring of safety ambassadors, and evaluation of the program.
- Reviews literature and professional organizations for new or revised evidence based best practices related to patient safety and healthcare risk management for identification of proactive mitigation strategies and to make recommendations to leadership.
- Serves as the primary hospital liaison with Trinity Health Insurance and Risk Management Services regarding actual and potential claims.
- Collaborates with Mount Carmel legal counsel and Trinity Health IRMS colleagues to support their investigation and defense of claims against Mount Carmel Health System. Provides defense attorneys requested information to prepare for pending litigation and/or claim reimbursement.
- Facilitates the processes for disclosure of medical errors, unanticipated adverse outcomes, and sentinel events to the appropriate parties, including discussion with patient/family.
- Provides guidance and support for patient care issues with patient safety/risk or legal implications, i.e. consent issues, adoption, guardianship, EMTALA, HIPAA.
- Serves as the Patient Safety/Risk Management representative on clinical and non-clinical committees within the organization as well as Trinity Health to provide patient safety/risk mitigation input. Participates in Trinity Health patient safety/risk management education seminars, task forces and improvement initiatives.
- Advises and assists the Mount Carmel Health System Environment of Care Council or site Safety Teams in the development and implementation of necessary programs to provide a safe environment for colleagues, patients, and visitors.
- Provides guidance to leadership as to acceptable bill adjustments under CMS stipulations. Initiates bill adjustments to mitigate potential claims in collaboration with IRMS claims management and in congruence IRMS policy and CMS limitations.
- All other duties as assigned.
- Education: Baccalaureate degree required; Master's or Juris Doctor (JD) degree preferred.
- Licensure / Certification: State of Ohio Licensed Registered Nurse required. Certified
- Professional in Healthcare Risk Management CPHRM required; those hired after January
- 2014 must agree to obtain designation within two years of hire.
- Experience: 2-4 years of experience in the field of Patient Safety/Risk Management or at minimum five years of recent progressive management and clinical leadership experience with knowledge of complex healthcare environments required
- Demonstrated leadership and management skills with ability to manage multiple, simultaneous projects
- Demonstrated success in tactical and analytical thinking to identify and address actual or potential patient safety/risk concerns
- Understanding of tools and techniques used to identify system or process failures that contribute to patient safety issues. Familiarity with tools such as Failure Mode and Effect Analysis, Root Cause Analysis, Apparent Cause Analysis, and Learning From Defects desired
- Knowledge of Federal, State, and Local regulations related to health care and of accrediting/certifying agencies such as The Joint Commission and CMS desired
- Knowledge of claims and reduction strategies desired.
- Ability to travel to multiple sites
Discovering opportunities, support and excellence – all while making a real difference in patients’ lives – begins at Mount Carmel. Find a new beginning and advance your career with us.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.