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Other patient safety activities will focus on conducting proactive risk assessments and retrospective collaborative risk reviews.
Extensive, daily interaction with other Directors, Managers, hospital leadership, and staff in the Department of Quality and Safety is a key component of this role. The Patient Safety and Risk Specialist must also be able to coordinate projects and improvement activities across multiple academic and operational departments independently and mentor other patient safety and risk staff members. Because this role is in an active change management environment, this specialist will need to demonstrate flexibility and open mindedness as the contours of this position will evolve over time.
Job Summary
Summary:Responsible for ensuring the delivery of high-quality patient care and promoting a culture of safety within the hospital. This position involves monitoring and improving quality and safety metrics, conducting assessments, and implementing initiatives to enhance overall healthcare quality.
Does this position require Patient Care? No
Essential Functions: Develop, implement, and oversee quality improvement initiatives to enhance patient care and outcomes.
-Promote and cultivate a culture of safety within the hospital.
-Develop and implement strategies to engage staff in safety initiatives and reporting.
-Monitor and analyze quality metrics, including patient outcomes, readmission rates, and other performance indicators.
-Lead or participate in performance improvement projects related to patient safety and quality of care.
-Ensure compliance with healthcare regulations, accreditation standards, and quality reporting requirements.
-Collaborate with patient experience teams to assess and improve the overall patient experience.
-Analyze and report on quality and safety data regularly.
-Provide education and training to staff on quality improvement methodologies, patient safety principles, and regulatory requirements.
Principal Duties and Responsibilities
Responsible for the day-to-day coordination of adverse event management:
• Receives and reviews computerized safety event reports and telephone reports of safety events.
• Reviews all safety event reports to ensure timely and appropriate analysis and follow up.
• Identifies sentinel events, coordinates, and conducts sentinel event analyses.
• Works closely with the Patient/Family Relations department on risk and patient safety issues.
• Refers cases as directed to the CRICO for monitoring, investigation or defense and assists with the production of materials for defense.
• Ensures the institution is current with Joint Commission National Patient Safety Goals, identifies emerging trends in Patient Safety, and supporting improvement teams related to patient safety initiatives.
• Manages reporting of appropriate adverse events to regulatory agencies, including DPH, DMH, and BRM QPS division, and coordinates/supports unannounced hospital surveys by DPH/DMH/Joint Commission for cause visits, etc.
• Assists with on-site visits by regulatory agencies, including the DPH.
• Identification and development of information related to equipment failures to ensure compliance with the reporting requirements of the Safe Medical Devices Act.
• Reviews and evaluates aggregate safety events and claims data, as well as other hospital information to identify high-risk activities, procedures, and departments.
• Recommends corrective and preventive actions to reduce risk. Collaborates with CRICO and hospital-based improvement teams on interventions.
• Continually evaluates hospital safety event reporting system for potential improvement.
• Identifies, recommends, and independently manages innovative patient safety initiatives.
• Assists in review and development of hospital policies.
• Participates in hospital patient safety initiatives and activities.
• Directs improvement activities related to safety and quality vulnerabilities, the Joint Commission National Patient Safety Goals and develops innovative methods to monitor improvement.
• Performs as the content expert on improvement methodologies, including proactive risk assessments and imparts knowledge of improvement process to various safety projects.
• Assists hospital leaders in identifying barriers to implementing improvement plans and developing strategies to overcome these barriers.
• Recommends outcome measurement strategies and communication plans to hospital leadership.
• Develops the analytic and measurement strategy for all projects undertaken including development of key metrics, identification of data sources, and collection of baseline data.
• Works to transfer current patient safety concepts and initiatives throughout the organization, such as creation of culture change, increased reporting of adverse events and near misses, and increased transparency.
• Provides staff education to nurses, physicians, and committees regarding patient safety, non-punitive reporting, and error prevention.
• Works with Sr. Manager and clinical leaders to prepare regular presentations to board committees, patient care assessment committee, and other leadership and clinical groups, as needed.
• Participates in patient safety and risk assessment and management meetings.
Diversity, Equity, and Inclusion:
• Passionate about encouraging diversity, equity, multiculturalism, and inclusion in all aspects of work.
• Oriented towards promoting collaboration between every race, gender, sexual orientation, religion, ethnicity, national origin, and all the other community characteristics.
• Experience with diversity, equity, and inclusion work, and/or with strong interest in developing this expertise preferred.
• Eager to work closely with our Medical Director for Equity in the analysis of events and experiences proactively to reduce disparities.
• Emotional IQ, cultural dexterity, and ability to work across uniqueness to facilitate challenging conversations critical to improve our system.
Mentoring/Training:
Participates in the orientation, training, and mentoring of department of quality and safety team members.
• Participates in presenting for site visits and other inter- departmental training sessions.
• Participates in precepting of multidisciplinary trainees from multiple programs/universities.
Qualifications
Education
Bachelor's Degree Related Field of Study required
Can this role accept experience in lieu of a degree?
No
· Degree in Nursing, Pharmacy, or similar/related clinical field is highly preferred.
· Experience working in a large and complex health care organization preferred.
· A minimum of 5 years clinical experience preferred.
· Computer and Internet skills and experience required: A working knowledge of MS Office products is essential for success in this position (Word, Excel, PowerPoint, and Access).
Knowledge, Skills and Abilities
- Knowledge of healthcare regulations, accreditation standards, and quality improvement methodologies.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to collaborate effectively with multidisciplinary teams.
- Detail-oriented with a focus on accuracy in data analysis and reporting.
Additional Job Details (if applicable)
Remote Type
Hybrid
Work Location
66 Blossom Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$78,000.00 - $113,453.60/Annual
Grade
7
EEO Statement:
The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.