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Fosters a culture of safety management and risk reduction based on legal/regulatory rules, laws & standards, and our strategic goals, in collaboration with leadership & staff.
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Collaborates with the Patient Safety Program to lead the planning and implementation of a system-wide safety management program to minimize the risk of system and process failures.
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Demonstrates an understanding of PI principles of practice, helps set PI and patient safety priorities collaborating with the Patient Safety Officer and recommends adequate resource allocation to measure, assess, and improve performance and patient safety related to accreditation, law, regulation and risk.
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Collaborates with legal to provide risk perspective in the development of policies and procedures, processes, and protocols.
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Assists with coordination of organization wide state and federal government (CMS, DIA, IDPH) on-site investigations for reported patient care complaints.
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Ensures legal/regulatory compliance with safety and risk reduction standards.
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Serves as a resource for organizational leadership, physicians and staff regarding safety/risk management and risk reduction principles for patients and staff.
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Provides safety and risk management education and data to support operational leaders in their endeavors to effectively communicate, organize, coordinate and staff toward one standard of care, treatment and services throughout the organization.
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Collaborates and communicates with legal and the Patient Advocates to minimize risk exposure, patient complaints, and resolution of patient/family concerns and complaints.
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Coordinates the conduction of proactive risk assessment/risk reduction activities (Healthcare Failure Mode Effects Analysis/A3).
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Coordinates serious reportable and severe safety event analysis developing effective action plans to reduce risk and enhance patient and staff safety.
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Coordinates serious reportable and sentinel events analysis developing effective action plans to reduce risk and enhance patient and staff safety.
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Investigates, facilitates, and leads Structured Debriefings and Root Cause Analysis following adverse events (or good catches as indicated).
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Conducts annual enterprise risk assessment.
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Conducts risk management activities and processes for case reviews, compiling information for outside legal counsel, insurance carriers and claims administrators and acts as liaison to outside legal counsel as requested by the General Counsel to represent the hospital in litigation matters.
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Tracks risk management data and reserves, preparing potential loss statements and risk management reports.