Patient Safety Manager

Onancock, Virginia
Overview
The Patient Safety Manager serves as a highly visible, energetic leader and champion for Patient Safety and team member safety and is responsible for implementation of the RHS safety program. Promotes high reliability for recommended evidence based safety behaviors and practices focusing on people, process and technology to improve safety related performance. Supports a learning environment focused on patient and team member safety and applies just culture principles to assure these principles are evident throughout the organization. Responsible for the daily management of the rCare safety event reporting system application, and related processes and business rules related to the components of the safety event feedback loop. Provides oversight and direction for safety related data management functions and processes consistent with RHS standards for data collection and reporting, and implements and supports the safety program. The Patient Safety Manager works closely and collaboratively with medical, nursing and clinical leadership to implement improvement strategies to continually improve patient and team member safety.
What you will do

• Responsible for the daily management of the rCare safety event reporting system application, and related processes and business rules related to the components of the safety event feedback loop that includes Detection of safety issues through case finding and surveillance, quality screens and other methods as identified; Capture of safety issues, assures events are reported in the rCare system and relevant facts are included and/or added to the (electronic) report; Classification of safety events in accordance with established standards, verifies for all reported safety events; Analysis of safety event data prepares a weekly summary report for review at the case review meeting, identifies critical safety events that require RCA, events that may require referral to medical peer review and events that are potentially compensable that require referral to risk management/legal. Prioritization of investigation(s). Conducts investigations applying just culture principles to identify root causes and contributory factors; Formulating safety solutions and system improvements; implementing changes in work systems to correct system and process vulnerabilities and Monitoring the effectiveness of solutions to prevent recurrence. Provides input into the optimization and use of the safety event reporting system and work processes and business rules. Assures ongoing and up to date knowledge of required safety reporting programs and specific safety reporting measures, such as the NQF safe practices and NQF serious safety event list. Knows where to obtain information on safety event measure specifications. Assures appropriate and up to date content for facility education, training and communication related to the rCare system and safety event management. Applies systems thinking and accounts for human factors in all aspects of the safety programs.
• Oversees facility safety program, assures structure supports required reporting for programs. Oversees and support safety risk assessment, and identifies risks and improvement opportunities based on analysis of facility data, emerging national, state and local quality of care trends and issues. Selects appropriate safety, quality, performance and process improvement methods and tools. Facilitates the use of process analysis tools to display data (e.g., fishbone, Pareto chart, run chart, scatter gram, control chart). Provides oversight of safety related improvement projects and efforts, assuring alignment and coordination throughout the facility. Facilitates establishment of priorities for safety improvement activities and development of safety performance improvement action plans and projects. Facilitates development of safety related policies, practices, work flow and guidelines incorporating safety behaviors, and human factor design and engineering.
• Maintains knowledge of safety culture survey tools and methods. Coordinates and participates in annual assessment of safety culture as needed and assigned. Promotes safety culture and supports system wide and facility wide efforts to assure just culture and safety culture principles and practices are supported and evident throughout. Assures appropriate distribution and communication of safety culture survey results. In collaboration with unit, department and facility leadership, develops, implements and monitors action plan based on safety culture results, that includes just culture training, team training such as TeamSTEPPS®and training related to safety event reporting. Designs and implements safety program that raises awareness and promotes just and safety culture principles.
• Oversees safety data management, assures data is accurate, timely and displayed in a meaningful way to end users. Has deep knowledge of safety data applications and serves as content expert on navigation and use of rCare (RL solutions). Oversees safety data analysis, assures appropriate data visualization tools and methods are utilized, such as basic statistical techniques to present data (e.g., mean, standard deviation) and use of statistical process control chart (e.g., common and special cause variation, random variation, trend analysis) Interprets data to support decision making (e.g., benchmarking, outcome data. Assures action is taken when improvement opportunities are identified.
• Develops annual plan for education and training. Designs, coordinates and provides just culture, safety and safety improvement related training to leadership and team members. Implements and supports the safety program that includes the safety culture survey and action planning that includes just culture training, team training such as TeamSTEPPS® training and training related to safety event reporting. Provides annual written evaluation of the effectiveness of training and education, along with progress toward goals and related achievements.

Qualifications
Education

• Bachelors Degree, Healthcare, Behavioral Science or related field (Required)
• Masters Degree, Healthcare, Behavioral Science or related field (Preferred)

Experience

• 3-4 years Hospital health care quality, safety and/or risk management experience (Required)
• 2 years Supervisory experience (Preferred)

Skills and Abilities

• Requires knowledge of project management and development
• Strong analytical skills
• Knowledge of clinical quality, Patient Safety and/or patient satisfaction performance measures and indicators, relevant national databases and benchmarks, healthcare quality, safety and satisfaction data design, collection, aggregation and summarization.
• Knowledge of performance improvement models, methods and systems

Licenses and Certifications

• Certified Professional Healthcare Risk Management (PHRM) - American Hospital Association Certification Center Preferred upon hire; required within 6 months of hire Upon Hire(Preferred) or
• Certified Professional in Healthcare Quality (CPHQ) - National Association of Healthcare Quality Healthcare Quality Certification Board Preferred upon hire; required within 6 months of hire Upon Hire(Preferred) and
• Six Sigma Black Belt - Riverside Health System (RHS) (Preferred)
• Healthcare Safety Certified Professional (HACP) (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.