This position is responsible for development and implementation of the clinical risk and patient safety program within the ProMedica Health System. Assists in leading system-wide initiatives that promote highly reliable care and eliminate harm. Identifies actual and potential loss exposures and directs loss control efforts to reduce exposure. Works closely with Legal, Enterprise Risk Management, Regulatory, Quality, Workforce Safety, and Clinical Leadership.

ACCOUNTABILITIES

*All duties listed below are essential unless noted otherwise*

1. Develop and implement a proactive, comprehensive clinical risk management and patient safety program. This includes incident investigations, risk audits, standardization of policies, and support to patient safety initiatives that will ultimately result in a reduction of patient injuries.

2. Coordinate with other system clinical risk and patient safety specialists on implementation of risk management and patient safety programs and policies. Implement and monitor policies and procedures for best practices in healthcare clinical risk management and patient safety. Assist with integration of new facilities into risk management and patient safety program.

3. Develop and encourage a reporting culture throughout the organization. Review RL-6 Safety Event and Risk Management Reporting, incident reports and supervisor follow-ups. Compile, analyze, and interpret statistical data related to errors and near misses. Prepare reports and offer recommendations for resolution to administration. Educate and assist departments in recognizing the causes of incidents and methods to prevent or reduce the number and severity of such incidents.

4. Lead teams in the analysis and scoring of safety events and implement action plans that support error prevention and a cultural shift to high reliability.

5. Report the Patient Serious Safety Event Rate for the business units and system, interpreting the data to facilitate changes in the safety culture. Report results and implement necessary changes based on the organization’s annual Safety Culture Survey across all business units and service lines.

6. Lead teams to conduct Root Cause Analyses of system-level and business unit events. Collect data from Root Cause Analyses to support Common Cause Analysis and corrective action initiatives.

7. Conduct routine, periodic risk inspections and audits. Develop loss control reports to department heads and administrators for correction. Follow-up on corrective measures.

8. Provide advisory support to clinical staff and leadership on matters of clinical risk and patient safety.

9. Explore industry methods for continuous improvement in patient safety and clinical risk management through data and research from safety and risk organizations, journals, and conferences. Determines feasibility of bringing new initiatives into the system.

10. Travels to business units as assigned to lead and participate in meetings, committees, councils, and rounding to promote clinical risk and patient safety initiatives and awareness.

11. Participates in system risk and safety on-call schedule as assigned.

12. Other duties as assigned.