Healthcare, Healthcare Management

Boston, United States | Posted on 04/19/2024

• Education Requirement 4-Year Degree Required; J.D. Required

Position:
Director of Risk Management

Schedule:
Full Time

The Director of Risk Management oversees the operation of the Risk Management and Patient Safety programs and provides guidance to clinical staff. The Director will develop and maintain systems to detect, monitor, prevent, organize, measure investigate, report, and manage patient adverse events, malpractice claims, safety reports (RLs), and other indicators of potential patient harm. Key aims in this area are to be on the leading edge of improving health equity, outcomes, and service, increasing patient safety, and reducing errors in health care processes.

The Director responds in a timely fashion to patient harm events, learns from individual cases, identifies risk trends, and actively educates leaders, administration, clinicians, and staff regarding methods to maximize patient safety and simultaneously reduce professional liability claims.

• Directs the initial intake processes of adverse hospital and patient events and event reporting, ensuring timely analysis and follow-up.
• Provides advice, consultation, and support to hospital and professional staff on clinical, risk, and ethical issues.
• Responds to sentinel events and other serious occurrences and provide expert advice in the management and reporting of such events to administrative and clinical leadership and staff.
• Oversees the investigation of patient/visitor incidents that have the potential for litigation and financial loss. Ensures that all information necessary to prepare for the analysis and defense of claims is collected and provided to the Director of Claims.
• Oversees and participates in the 24/7 on-call system of accessibility by staff to provide immediate consultation, mitigation, and recommendations in responding to adverse events.
• Actively participates in the Daily Safety Huddle and ensures there is daily risk management presence
• Directs investigations related to targeted incidents and adverse events, including interviewing staff and reviewing medical records for evaluation of clinical data, measurement of improvement, and/or regulatory liability reporting.
• Proactively evaluates areas of organizational risk based on internal assessment and external benchmarking; and, implements strategies and policies, which promote patient and staff safety.
• Promotes the organization-wide online incident reporting process including, trending and reporting results, identification of problem-prone areas, and the facilitation of prevention initiatives.
• Actively engages with key stakeholders to resolve safety issues and trends that are identified at the Daily Safety Huddle and safety reports
• Collaborates with physician leadership on case reviews and the formal professional practice evaluation process
• In collaboration with our Captive leadership, reviews cases and determines events that are appropriate for our CANDOR process
• Designs and presents educational programs on patient safety and risk management for all leaders, employees, and physicians. Assists clinical chairs and department chiefs to design risk management programs specific to their areas.
• Manages an electronic database for tracking patient safety events. Analyzes data to identify trends and opportunities to improve patient safety and report findings.
• Consistently exemplifies behaviors that support a strong culture of safety.
• Actively participates in the development, revision, and maintenance of policies needed to prevent or reduce loss exposure. Ensures policies and procedures meet all regulatory and accreditation requirements.
• Leads the review of serious occurrences requiring Collaborative Case Reviews or Failure Mode & Effects Analysis.
• Meets regularly with Executive and Medical Staff Leadership to provide detailed reports on all serious incidents, claims, and risk-related issues.
• Develops risk management reports for the Boards, senior management, clinical leadership, and external boards and agencies as appropriate. Prepares and presents reports, cases, bench marking data, and other educational information to the Claims Committee.
• Coordinates claims investigation, medical record requests, and legal defense processes.
• Serves as a liaison to external regulatory agencies for purposes of appropriate adverse event reporting to the Department of Public Health, Board of Registration in Medicine, FDA, etc., and coordinates…