Director Clinical High Reliability and Patient Safety
HonorHealth
Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Director of High Reliability and Patient Safety provides oversight and strategic direction of a comprehensive patient safety program across the HonorHealth network, inclusive of inpatient, outpatient, and ambulatory areas. Key goals include ensuring safety as a key priority for the organization, with a focus on Zero Harm as part of the patient experience and getting care right each time by preventing failure through processes and technology, and by leveraging the science of safety and human performance. Ensures a uniform, standardized, and effective approach to adverse event investigation and analysis, including operational oversight of the network patient safety resources. Ensures alignment of patient safety activities and provides opportunities for all staff to be educated and participate in patient safety and quality initiatives, such as Just Culture and High Reliability. Proactively addresses patient safety issues using data from the Quality Management System, information from the Patient Safety Committee, rounding and reports, to analyze issues and determine their root causes. Collaborates to develop programs and services that produce measureable improvements in processes and practices that affect patient safety, ultimately resulting in a decrease in numbers, costs and severity levels of healthcare-associated harm incidents and close calls. Oversees daily management of network patient safety team operations and provides consultative services to local and network leaders, physicians, and staff to reduce the risk of harm to patients and improve clinical outcomes. The Director of High Reliability and Patient Safety directly supervises and provides information regarding ongoing evaluation of performance of the campus Patient Safety Consultants. Facilitates prioritization of improvement activities, shares knowledge as a subject matter expert, and prioritizes improvement work to align with organizational strategy. Serves as a key leader for HonorHealth's HRO (Highly Reliable Healthcare Organization) work, including working across the network with hospital, medical group, and ambulatory leadership, as well as directly with key outside consultants. Oversees execution of RCA and ACA event analysis and coaches and develops the team in standard methodology. Collaborates closely with Pharmacy Leadership to ensure system medication safety priorities are met. Coordinates and facilitates CANDOR program execution and mentors Patient Safety Consultants on process to ensure standard and timely response to patient safety events. Develops and implements proactive mitigation efforts and innovative strategies improve patient safety, quality of work, quality of care, and clinical quality outcomes. Facilitates process, tools, and display for patient safety data sharing with stakeholders. Oversees and coordinates communication between facilities for patient safety trends and potential threats. Directs, manages and evaluates the work of patient safety consultants that support campus-based and ambulatory settings. Plans, establishes and revises work assignments so that deadlines are met, and work is accurate and available for leaders, teams and committees at all levels of the organization. Supports individualized professional development plans for assigned staff. Interviews, selects and hires personnel based on departmental personnel needs. Initiates changes in classification, salary action, promotion, demotion, transfer, and termination. Settles employee problems and administers appropriate disciplinary action. Facilitates and is the change agent toward building a Highly Reliable Health Care Organization, in collaboration with executive sponsorship and strong partnership across multiple areas of the organization. An HRO includes a strong culture of patient safety, and collaboration with Patient Safety Officer. Understands, articulates and supports Just Culture concepts. Partners with organizational leaders to develop tactics to address opportunities identified from culture of safety surveys. Supports activities and provides subject matter expert input on matters of transparency and disclosure of patient harm events. Educates staff on National Patient Safety Goals, National Quality Forum/Leapfrog Safe Practices. Facilitates change in support of organizational strategies to meet expectations of national patient safety benchmarking. Collaborates with Risk Management and Human Resources to oversee the CANDOR, Just Culture, and Care for the Caregiver programs. Facilitates education to all levels of the organization on patient safety improvement concepts and processes. Collaborates with external experts to identify best practices, such as Patient Safety Organizations, National Patient Safety Foundation, Agency for Healthcare Quality and Research, National Quality Forum (NQF), Medication Safety (ISMP), and Accreditation and Regulatory bodies (AZDHS, DNV, CMS). Acts as a subject matter expert for Communication and Resolution Program. Mentors and coaches' new PS Consultants. Standardizes the mechanisms for obtaining front line patient safety concerns (i.e., patient safety walk rounds, unit-based councils) and develops clear expectations for each campus. Recommends a uniform process for analyzing trends, identifying root causes, and ultimately developing solutions to issues identified during the rounding process. Ensures implementation and system-wide spread of best practices including teamwork training. Assists, as needed, in regulatory and accreditation activities and facilitation and tracking of improvements around of patient safety related non-conformities. Performs process walks and safety rounds. Co-Chairs and coordinates with the Patient Safety Officer the Network Patient Safety Committee including agenda planning and prioritization of initiatives. Ensures effective communication vertically and horizontally to all constituents within HonorHealth. In collaboration with analytics, develops and maintains a patient safety dashboard as a mechanism for tracking and reporting adherence to patient safety goals. Ensures effective measurement and reporting of safety culture. Provides regular reports to the Quality Committee of the Board and BEST Care Council. Performs other duties as assigned Qualifications Education Bachelor's Degree in Healthcare or Clinical Care Required Experience 2 years Supervisory experience managing staff and overseeing teams. Required 3 years Clinical or healthcare related experience and/or one (1) year quality/performance improvement. Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure or equivalent pharmacy (PharmD) or medical licensure in AZ (MD/DO) Required
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