Responsible for coordinating, implementing, and directing the Risk Management, Patient Safety and High Reliability Program to maintain an environment where patients and staff are safe, losses are prevented and minimized by identifying risks, and to minimize and prevent claims of general and professional liability against the hospital. Supports projects and coordinates data collection and information gathering for the improvement of organizational or departmental systems and processes. Works in collaboration with quality and safety teams to provide clinical information and analysis independently
Ensures implementation of the facility-wide risk management program. The program's focus will be reduction of the hospital's exposure to loss, in an advisory capacity to management for the prevention/correction, and documentation of medical errors, establishing mechanisms for early identification of potentially litigious events, preservation of evidence, verification of personal recollections and identification of defensible issues.
Serves as a resource for staff and physicians on risk related issues
Notify the Liability Claims Manager of all actual and potential general and professional liability claims. Provide any required documentation and records. Report in a timely manner
Coordinates with claimants, attorneys, insurance companies, etc.
Demonstrates responsibility for the establishment of a loss prevention program and institutes actions to reduce areas of high-risk potential. Performs comprehensive risk assessments regularly.
Collect, evaluate and distribute relevant data concerning patient injuries, aggregate data summaries, monthly trend analysis of incidents, claims profiles and other risk management/patient safety data
Assist claims manager and attorney with lawsuit investigation, interviews, response to interrogatories and request for production, depositions, mediation, and attends trial as facility representative.
Ensures the delivery of quality patient care, promotion of safety and reduction of medical errors.
Prepares quarterly and annual patient safety reports for the QIC, MEC and Board. Maintains risk indicators and tracks monthly.
Directs the Patient Safety Program, including facilitating systems analysis to promote & improve patient safety, conducting and facilitating educational programs based upon identified needs, and compliance with regulatory, State and Federal laws and regulations and Accrediting Agencies standards, including National Patient Safety Goals.
Analyst in the Cause Analyses process in response to a safety event by investigating the event, determining the sequence of events and proximate causes, determining the individual and system failures and confirming the Root Causes. Assists and supports -Operational Leaders with developing root solutions to identified root causes.
Assures compliance with the Safe Medical Device Act policies by investigating and reporting to the FDA all mandatory equipment involved patient events individually and annually (only if a report has been made during the calendar year).
Develops and appropriately revises policies related to Risk Management/Patient Safety
Serve as co-chairperson of the Quality Improvement/Patient Medical Safety/Infection Control committee.
Provides content expertise related to quality and safety data management and performance.
Collects prescribed elements from medical records, identifies patterns and analyzes findings.
Maintains awareness of requirements for the collection of clinical information including definitions, deadlines and changes to submission requirements.
Supports institutional improvement initiatives by providing data and information.
Develops structured communication processes to maintain project awareness with internal and external teams and leaders.
Develops deliverables for the evaluation and planning phases of projects.
Assists in developing high level project plans and defining project objectives and success metrics Independently ensures completion of project tasks, making recommendations as issues arise.
Evaluates project outcomes to facilitate organizational memory and knowledge transfer.
Competent with the HCAHPS survey process and CMS reporting through Press Ganey.
Serve as Administrator for Press Ganey's Online Web tool (PGO) and grants appropriate PGO access for department leaders (excludes contract personnel) and to keep the leadership team focused on Patient Experience results down through the department or unit level.
Work closely with Senior Leadership team to review the Patient Perception results on hospital, state and national levels.
Serve as a coaching resource to the hospital leaders on achieving service and operational excellence by hardwiring the Community Cares tools, behaviors and techniques.
Chair Patient Satisfaction Committee
Help maintain open communication lines between the executive leadership team and the rest of the organization.
Keep the CEO on track for service leadership responsibility and coordinate the communications of results/wins/barriers to the CEO to ensure progress and results are communicated to all leaders and staff.
Consistently lead and role model the Standards of Behavior
Perform verification rounds with hospital leaders to verify effective rounding and service behaviors
The responsibilities listed are a general overview of the position and additional duties may be assigned.
Monday - Friday Day Shift
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Vanderbilt Bedford County Hospital:
Vanderbilt Bedford Hospital is your community healthcare provider: a 60-bed facility with a comprehensive range of inpatient, outpatient, medical, and surgical services.
Acquired by Vanderbilt Health in 2021, the hospital is the sole provider of inpatient medical services for Bedford County. We believe in the power of people to create great care. With more than 32 doctors and 250 hospital staff, Vanderbilt Bedford Hospital delivers personalized, high-quality health care close to home, in a modern, patient-friendly environment.
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
Vanderbilt University Medical Center is home to Vanderbilt University Hospital, The Monroe Carell Jr. Children’s Hospital at Vanderbilt, the Vanderbilt Psychiatric Hospital and the Vanderbilt Stallworth Rehabilitation Hospital. These hospitals experienced more than 61,000 inpatient admissions during fiscal year 2015. Vanderbilt’s adult and pediatric clinics treated nearly 2 million patients during this same period. Vanderbilt University Hospital and the Monroe Carell Jr. Children’s Hospital at Vanderbilt are recognized again this year by U.S. News & World Report’s Best Hospitals as among the nation’s best with 18 nationally ranked specialties. Vanderbilt University Medical Center is world renowned because of the innovation, work ethic and collegiality of its employees. From our health care advances to our compassionate care, Vanderbilt owes its accomplishments and reputation to staff and faculty who bring skill and drive and innovation to the medical center day after day. World-leading academic departments and comprehensive centers of excellence pursue scientific discoveries and transformational educational and clinical advances across the entire spectrum of health and disease.As t...he largest employer in middle Tennessee, we welcome those who are interested in ongoing development in a caring, culturally sensitive and professional atmosphere. Most of us spend so much of our lives at work, we want to be part of maintaining a workplace in which people support one another and encourage reaching for excellence. Many high-achieving employees stay at Vanderbilt because of the professional growth they experience and because of their appreciation of Vanderbilt’s benefits, public events and discussions, athletic opportunities, beautiful setting and, above all, sense of community and purpose.Vanderbilt and its employees share a set of mutual expectations that have been created with productivity, legality, fairness and safety always in mind. We believe that our investment in training and compensating employees multiplies in value when we enable individuals to deliver their best performance for the benefit of us all.