Responsible for oversight of the system patient safety and risk management program including the coordination of all relevant activities as per the requirements of state statutes, CMS and The Joint Commission. The Program Manager - Risk Management & Patient Safety is responsible for facilitating the transition from a retrospective, reactive model for risk management to a prospective, proactive loss prevention, harm reducing patient safety program. Implements a risk management and patient safety model that is both proactive to identify potential risk or safety issues which could affect patients, caregivers, stakeholders or the medical staff and reactive to actual events/near misses to ensure that causative factors are identified, and actions implemented to reduce or eliminate recurrence.
Create and implement an effective Risk Management/Patient Safety program including:
A Risk Management/Patient Safety plan, with annual review, risk assessment and revision to meet organizational goals and changes in industry regulations/standards;
Develop metrics to track, trend and report on system risk and patient safety processes for common opportunities for improvements to mitigate risk.
Content expert for the system event tracking system, with oversight to ensure event capture, tracking, analysis and reporting
Responsible for managing all potential and actual litigation:
Reporting events to System Director QM, Sr. VP CMO and system Legal contacts;
Review of all actual/potential cases to identify risks and work with key internal stakeholders to develop mitigation strategies to prevent recurrence via risk mitigated corrective/preventive action.
Oversight of the organization's Root Cause Analysis (RCA) activities. Reports aggregate RCA events, findings and action plans to appropriate committees.
Works collaboratively with Health Outcomes and Analytics to support Patient Safety Organization requirements.
Responsible for the organization's policies and procedures related to risk management and patient safety activities
Serves as the organization's subject matter expert for risk management and patient safety regulations and processes
Maintains current knowledge of risk management and patient safety regulations, standards and practices
Ensure organizational compliance with Federal, State or Accrediting Body risk management and patient safety regulations and standards
Provides organization-wide education on risk management and patient safety topics
Coordinates all Enterprise-wide Risk Management/Patient Safety initiatives including National Patient Safety Week
Oversee Regulatory Compliance from a Risk Management perspective
Oversee all aspects of risk identification and management for the organization's loss control program
Provide comprehensive risk management education and orientation program
Increase Patient Safety Awareness and Practice among Clinicians and Staff
Track and analyze data for trending for appropriate action plans and risk modification strategies.
Bachelor's degree in a healthcare related field is required
Minimum of (3) years of current experience in healthcare risk management/patient safety is required, prior managerial experience is preferred
Certified Professional Healthcare Risk Management required or must obtain within one (1) year of hire is required
Registered Nurse is preferred. BSN Required. Master level education preferred.
Must possess excellent communication, organizational and human relation skills. Must have flexibility in dealing with changing job demands.
Works effectively in multi-disciplinary teams, leading and facilitating teams to move the organization to new areas of excellence.
Must have the ability to maintain confidentiality of information. Proven ability to function independently. Must have strong organizational, analytical and computer technology skills.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.