Manager Patient Safety

Overview

CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health is once again the only hospital in the Chattanooga area to be named a Best Regional Hospital by U.S. News & World Report. We are proud to be the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia. We offer the following benefits to support you and your family: On-site childcare with extended hours Care@Work premium account for additional support with children pets dependent adults and household needs Employee Assistance Program (EAP) for you and your family Paid Time Off (PTO) Health/Dental/Vision Insurance Flexible spending accounts Voluntary Protection: Group Accident Critical Illness and Identify Theft Adoption Assistance Tuition Assistance for career growth and development Matching 401(k) and 457(b) Retirement Programs Wellness Program Additional incentives for eligible full time day shift and night shift opportunities

Responsibilities

JOB SUMMARY / PURPOSE
Oversees the facility Patient Safety Program, including the Patient Safety Plan requirements for the collection, analysis
and reporting of events and patient safety data, investigation of events and near misses, and ensuring all accreditation
and regulatory requirements for patient safety are fully met. Participates in system office initiatives and programs to
mitigate identified risks at various facilities which result in reduced costs, reduced adverse patient outcomes, and safer
patient care. Coordinates claim team requests and collaborates with other key stakeholders to implement learnings
from claims. Oversees the coordination of all legal documents related to hospital liability.

ESSENTIAL KEY JOB RESPONSIBILITIES
Implements and oversees the organization-wide patient safety program and manages the reporting, data analysis and
evaluation as outlined in the Patient Safety Plan. Ensures regulatory and accreditation requirements for patient safety
are fully met. Provides patient safety education at new hire orientation and ongoing to leaders, clinician presentations
(e.g. event reporting expectations, culture of safety, patient safety initiatives, etc.)

Oversees the events reporting process, root cause analysis, and event investigation/review. Supports and encourages
harm reporting throughout the organization through a non-punitive just event reporting system. Participates in system
office initiatives and programs to mitigate risks identified at other hospitals, resulting in reduced costs, adverse patient
outcomes and ultimately safer patient practices/care. Prepares and presents informative and actionable patient safety
reports (to include patient's story of harm) to appropriate committees to include high level presentations to leadership,
Medical Executive Committee and The Board.

Receives and oversees responses to patient complaints/grievances and investigates to solve issues promptly. Acts as an
intermediary between patients, staff and family to provide clear communication between all parties regarding any
outstanding issues. Seeks input from patients/families involved in harm or close-call events as appropriate.

Coordinates the requests from the system office claims team (related to litigated claims) and collaborates with other key
stakeholders to implement learnings from claims. Coordinates all legal documents related to hospital liability, including
the management of subpoenas, Summons and Complaints and other related activities.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within
this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required
of employees assigned to this job. Employees may be required to perform other duties as assigned.

Qualifications

MINIMUM QUALIFICATIONS
Required Education and Experience

• Bachelor's degree or five (5) years of related job or industryexperience in lieu of degree.
• Minimum of three (3) years of risk management, patient
  safety and/or other related professional experience and a
  minimum of two (2) years of experience managing/
  supervising employees and/or vendors.

Required Licensure and Certifications

• None specified.

Required Minimum Knowledge, Skills, Abilities
and Training

• Experience with the event reporting process, root cause
  analyses, and event investigation/review
• Experience with patient compliant/grievance investigations
  and prompt resolution
• Knowledge of the risks faced by patients in a healthcare
  environment, and the ability to take steps to reduce these
  risks
• Familiar with all legal documents related to hospital liability,
  including management of subpoenas, Summaries and
  Complaints and other related activities
• Knowledge of federal, state and local healthcare related laws
  and regulations; ability to comply with these in healthcare
  practices and activities
• Knowledge of the risks faced by patients in a healthcare
  environment, and the ability to take steps to reduce these
  risks.
• Experience with risk and the implementation of HPI and
  cause analysis
• Strong professional, organizational and interpersonal skills
  for working with teams, physicians, committees and senior
  management
• Excellent communication skills (oral and written),
  presentation style, including the ability to concisely present
  data to leaders, clinicians and staff at all levels of the
  organization