Manager, Patient Safety

Overview

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Manager, Patient Safety acts in conjunction with the department of patient safety and quality and reports directly to the VP for Patient Safety and Director, Quality Initiatives and System Improvement. Provides oversight and leads safety activities by identifying processes and systems requiring improvement to prevent harm. Directs event management to include grievance management to ensure that cost effective quality care is administered to all patients in compliance with the standards of all regulatory and accrediting agencies.

All functions will be guided by the requirement of external regulating and accrediting bodies and the network's as well as organization's performance improvement plan. Provides leadership in the implementation and integration of the Department of Patient Care Performance Improvement Plan and the HMH Safety Charter in addition to ensuring JCAHO & regulatory compliance at the medical center. Utilizing claims, quality and event data, coordinates focused departmental-specific risk assessments which include recommendations of best practices to reduce targeted risks and eliminate preventable harm.

Leads the daily activities of the teams designated to perform Root Cause Analysis and manages activities related to the patient safety organization. Oversees various activities of the Patient Safety and Quality Department while aligning with the Medical Center Performance Improvement Plan is assuring compliance with all Patient Safety Indicators, quality, mortality, peer review, staff development and Patient Safety Organization. Advances the integration of the science of patient safety and continuous learning throughout the medical center and HMH network.

This position will require some travel thoughout the network.

• Oversees the investigation, analysis and development of risk reduction strategies if necessary, of all referred cases.
• Ensures department compliance with all federal and state regulatory and licensing requirements and organizational bylaws, rules, regulations and policies and procedures.
• Directs event management, analysis and follow up activities. Ensures preliminary investigational review; facilitates additional and/or team meetings to perform root cause analysis; prepares response for appropriate review; tracks all cases investigated; maintains accurate documentation of all actions; monitors compliance in collaboration with appropriate review personnel.
• Oversee learning through conferences, continuing education and web based learning. Nurture and promote continuous learning inside and outside of the medical center. Employ various techniques to enhance performance including role play, presentation skill practice, use of project management tools to streamline work and permit scalability where appropriate.
• Ensures use of appropriate methodologies and relevant tools to opportunities to evidence rapid cycle improvement (i.e. PDSA, FMEA, reliability science, bundle science, process flows).
• Collaborates with Performance Improvement Department as well as with the VP Quality Initiatives and System Improvement and VP, Chief Quality/Safety to ensure that organizational wide safety initiatives are rolled out effectively and risk reduction strategies implemented wherever appropriate.
• Ensures trend analysis is performed and appropriate response to unfavorable trends are developed and deployed.
• Oversees and facilitates scheduled training sessions with the managers, team leaders and staff as needed to educate and implement patient safety and quality improvement principles and goals as a strategy.
• Ensure plans and designs are consistent with internal and…