Emory Healthcare Patient Safety Program Director in Atlanta, Georgia

Job Title Patient Safety Program Director

Job Requisition ID 73542BR

Operating Unit/Division Emory Healthcare Inc.

Campus Location Emory University Hospital Midtown

Department 442160:EHI Office of Quality

Full/Part Time Full-Time

Regular/Temporary Regular

Work Shift Day

Specific Work Hours 8 AM - 5 PM

PRN Position? No

Job 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 and sentinel event reporting experience preferred. Must be Registered Nurse in the state of Georgia.

EEO/AA/Individuals with Disabilities/Veteran Employer