Catholic Health Initiatives Job - 30644001 | CareerArc
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Company: Catholic Health Initiatives
Location: Lexington, KY
Career Level: Mid-Senior Level
Industries: Hospitals, Health Care


Full Time, Day, Quality Management, Saint Joseph Hospital

Your time at work should be fulfilling. Rewarding. Inspiring. That's what you'll find when you join one of our non-profit CHI facilities across the nation. You'll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we'll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives!

Job Summary / Purpose

The Program Manager for Patient Safety plays a prominent role in maintaining the strategic direction of the patient safety program and developing a workplace culture where safety is the utmost priority. The Program Manager works in collaboration with employee and environmental safety. The Program Manager develops the core components of the Healthcare Performance Improvement (HPI) Safety First Model and in partnership with Quality-Risk Management and Operational leaders, assumes responsibility for the implementation and subsequent monitoring of the results. The Program Manager provides education and training on safety behaviors and techniques that are proven to prevent errors and promote efficient and effective processes. The Program Manager utilizes data to proactively identify and address any patient issues to keep patients protected from unintended harm. The position has responsibility in coordinating and overseeing the development of comprehensive patient safety improvement initiatives to reduce healthcare errors and healthcare incidents. All leading to a safety culture that encourages communication of safety concerns and unsafe conditions.

Essential Key Job Responsibilities
  1. Apply the science of safety and human factors as care practices and processes are implemented.
  2. Support reduction of medical errors and other factors that contribute to unintended adverse patient outcomes.
  3. Recommend improvement strategies regarding issues identified and provide assistance for action plan implementation.
  4. Provide leadership to facility-based SafetyFirst culture transformation efforts.
  5. Provide leadership to facility-based safety huddles across the system and facilitate communication and knowledge transfer regarding patient and employee safety issues.
  6. Establish an effective internal communication plan to promptly notify key administrative and leadership stakeholders when an event is identified.
  7. Monitor, report and improve patient and employee safety performance.
  8. Partner with facility Risk Management and Quality to conduct investigations for reports that require interdepartmental and/or in depth investigations.
  9. Display knowledge and comply with National Patient Safety Goals, Patient Safety Systems Standard and other regulatory guidelines.
  10. Stimulate and direct cultural transformation of Patient Safety across CHI Saint Joseph Health.
  11. Proactively lead efforts to design system initiatives that will minimize the likelihood of future errors.
  12. Assist with the organization and development of the AHRS Culture of Safety Survey.
  13. Data Management, Analysis & Reporting:
  14. Analyze multiple data and information sources to identify safety initiatives.
  15. Maintain reports for all data collected and manage databases to obtain information.
  16. Review internal safety reports and utilize information from external reporting programs to mitigate risk & prompt safety (Institute for Safe Medication Practices (ISMP) Medication Safety Alerts, Emergency Care Research Institute (ECRI), Joint Commission Sentinel Events).
  17. Investigate and facilitate change to improve patient safety based on identified risks surfaced through occurrence reporting data and reports.
  18. Maintain a database of all incidents and produce tracking and trending reports as necessary.
  19. Write reports, summaries and assemble presentations that conform to prescribed style.
  20. Respond to common inquiries or complaints from patients, families, staff and general public.
  21. Committee and Performance Improvement Support:
  22. Develop and communicate Quality, Risk, and Safety alerts outlining lessons learned to all key stakeholders.
  23. Facilitate patient safety initiatives through chairing/participating in Patient Safety Committee.
  24. Recommend and facilitate change to improve patient and employee safety based on identified safety and risk evidence based practices.
  25. Serve as committee member for incident review and classification and assist with identifying each incident as a near miss, precursor event, or Serious Safety Event.
  26. Facilitate or participate as an employee for Root Cause Analysis (RCAs); and assist with completion of all associated reports and documents.
  27. Education, Training and Consultation:
  28. Foster strong relationship building and the ability to make and use connections to complete projects and maintain strong partnerships with other departments.
  29. Design educational presentations that facilitate the understanding and implementation of SafetyFirst principles.
  30. Oversee, develop and participate in orientation and educational endeavors, specific to Patient Safety provided to medical, nursing, pharmacy, and ancillary staff.
  31. Provide leadership, coaching and mentoring to Safety Coaches on the frontline who coach and mentor healthcare employees on the consistent use of the safety behaviors and techniques.
  32. Lead Human Error Prevention Training and SafetyFirst Team Training to improve communication and teamwork skills for all members of the healthcare team.
Minimum Qualifications

Required Education for Staff Job Levels

Bachelor's degree in healthcare related field preferred. (ie: healthcare administration, business administration, public health or related field)

Bachelor's degree in nursing preferred. Master's degree in clinical or healthcare related field preferred or three years leadership experience in the discipline without a Bachelor's degree.

Required Licensure and Certifications

Professional risk, quality or safety certifications preferred (ie: CPHRM , CPHQ, CPPS)

Required Minimum Knowledge, Skills and Abilities

Minimum 3 years working in risk management, quality assurance, safety and or compliance in a healthcare environment.

Experience in courses related to quality assurance, patient safety, process improvement, systems analysis, risk management, clinical quality improvement, organizational change helpful.

Experience with event/incident reporting and investigation preferred.

Experience in data collection and analysis preferred.

Additional Information
  • Requisition ID: 2019-R0251145
  • Schedule: Full-time
  • Shift: Day Job
  • Market: CHI Saint Joseph Health

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