NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

9:00 A.M - 5:00 P.M

Job Description

PURPOSE OF POSITION:

This position has overall responsibility for the supervision and development of staff who facilitate organization improvement and support safety across NYC Health+ Hospitals/Metropolitan. The Associate Director of Health Care Standards Level I, will develop staff competencies, assess individual performance, evaluate program effectiveness and communication with key stakeholders. The Associate Director uses safety driven principles to support a just and reliable culture, and is responsible for monitoring project goals and milestones, achieving sustainable positive outcomes from improvement work, and for identifying opportunities to spread standardized best practices. The Associate Director will work closely with leaders across Metropolitan to understand strategic direction and priorities to promote Patient Safety.

Major Responsibilities:
• Help monitor, assure, and coordinate Patient safety activities are in compliance with requirements of regulatory and accrediting agencies identifying safety expectations. Identify and communicate need for corrective actions as appropriate.
• In collaboration with Regulatory, monitor Sentinel Event Alerts and facilitate team to analyze the safety of our organization based on the SE Alert information when needed.
• Responsible for working with Risk Management, legal counsel and others to create and ensure a robust process for monitoring, prevention, event mitigation, event reporting, and triaging.
• Work collaboratively with all levels of the organization including senior leadership to produce measurable improvements in patient safety in both process and outcome.
• Recommend and facilitate change within the organization to improve patient safety based on identified risks.
• Implement and evaluate a regularly scheduled Culture of Safety Surveys-frequency to be determined with leadership.
• Responsible for the RCA and Proactive Risk Assessment team process, including but not limited to initiating a team, creating, and communicating to the team, participation of teams, assuring standard reporting, meeting TJC Sentinel Event requirements and deadlines, ensuring team action items are completed, developing status reporting to RCA Subcommittee, and creating status reports for leadership committees.
• Administratively responsible for planning, management and implementation of patient safety initiatives across the organization, including TJC National Patient Safety Goals, among others, meeting milestones, deadlines, including education and communication plans.
• Lead selected organization improvement teams to stay current with skills.

Minimum Qualifications
1. Master's degree from an accredited college or university in Public Health, Public, Healthcare or Hospital
Administration or a related discipline and two (2) years of clinical experience in coordinating and monitoring
initiatives, activities, and programs related to patient safety and/or quality improvement or performing other
functions directly related to patient safety in a hospital or health care setting; or
2. Bachelor's degree from an accredited college or university in disciplines, as listed in "1" above and three (3)
years of experience, as described in "1" above; or
3. A satisfactory equivalent combination of training, education, and/or experience. However, all candidates must
have a minimum of a Bachelor's degree in disciplines, as listed in "1" above.
For Assignment to Level II:
1. Valid New York State license and current registration to practice as a Registered Professional Nurse or a
Physician Assistant issued by the New York State Education Department (NYSED) or is a Medical Graduate and
two (2) years of experience, as described in "1" of Assignment Level I above; or
2. Two (2) additional years of experience performing tasks, as described in Assignment Level I.

In addition, you can submit your resume to METCareers@nychhc.org with the Job Title and Job ID # of the job posting that you applied to in the subject line of the email.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs