Director Patient Safety

  • HCA
  • Lee's Summit, MO, USA
  • Nov 19, 2017
Healthcare

Job Description

Job Code: 09724-50036

Full-time

No Weekends

Lee's Summit Medical Center is a 68-bed acute care hospital l ocated Lee's Summit Missouri. As our community grows, so does our campus. Current services include Level III trauma care, Level II Stroke state designations, Accredited Chest Pain Center, Sarah Cannon Cancer Care, and an orthopedic center for excellence. Future plans for our campus include additional expansion of service lines and in increase in our overall bed capacity

Major Responsibilities

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:
- 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.

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.

KNOWLEDGE/SKILLS/ABILITIES:
• Demonstrates good organizational skills; tendency to be organized, planful and
structured
• Knowledge of patient safety science principles, theory, methods, standards and
regulatory requirements
• Superior interpersonal skills (developing and maintaining positive relationships;
communicating clearly and effectively with people at all levels with verbal and nonverbal
communication; working with others to identify, define and solve problems)
• Strong leadership qualities (task completion, motivation, organization)
• Knowledge of and experience with patient safety analysis techniques (methods) Proven
team building skills in dealing with intra-professional clinical and operations teams
including medical staff in diverse settings
• Advanced computer skills with word processing and database competency.
• Excellent oral and written communication skills.
• D emonstrated ability to deliver educational and informational presentations on clinical
and/or patient safety topics.
• Ability to inspire others to believe in the culture of patient safety. Effective change
agent.
• Information management skills including flowcharting, data analysis and report
preparation.
• Knowledge of rapid cycle improvement theory

Minimum Requirements :

Education: Bachelor's degree required additional course work in risk management, patient
safety, law or healthcare preferred.

Licensure/Certifications: If RN, current Missouri RN license. RN not Required.
Certification in Patient Safety (CPPS) preferred;
If not already CPPS, must obtain certification within first year of
hire.

Experience: At least 2 years of clinical experience in a hospital in risk management, Patient
Safety, Quality, or law firm. Knowledge of and demonstrated expertise in all
aspects of risk management functions. Systems thinking, data base design,
management and decision-modeling experience in the hospital setting.

Last Edited: 11/18/2017

Reference

09724-50036