PATIENT SAFETY MANAGER

LOCATION: Stroger Hospital

DEPARTMENT: Quality Assurance Administration

SHIFT: 8:30AM-4:30PM

Job Summary
Under the direction of the Director of Patient Safety for Cook County Health (CCH) the Patient Safety Manager will use his/her background in patient safety, clinical knowledge and healthcare operations to review, abstract, and manage patient safety data in accordance with guidelines provided by CCH Patient Safety policies, the Patient Safety Organization (PSO) in which CCH is a member, regulatory bodies, and accepted patient safety experts. The Patient Safety Manager establishes and oversees patient safety data and trending reports for CCH; prepares and provides reports and analysis to organizational committees and departments; supports patient safety improvement activities; participates in patient safety educational activities; and provides patient safety training and education to CCH personnel.

General Administrative Responsibilities

Collective Bargaining
* Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
* Participate in collective bargaining negotiations, caucus discussions and working meetings

Discipline
* Document, recommend and effectuate discipline at all levels
* Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
* Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision
* Direct and effectuate CCH management policies and practices
* Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management
* Contribute to the management of CCH staff and CCH' systemic development and success
* Discuss and develop CCH system policies and procedures
* Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
* Work with Labor Relations to discern past practice when necessary

Typical Duties
* Administers the patient safety program on a day-to-day basis by identifying safety concerns and works to correct them by developing safety plans with department managers.
* Coaches, mentors, and trains department manager on patient safety.
* Manages and analyzes patient safety data. Utilizes the EMERS system for reporting safety events or near misses.
* Facilitates performance improvement projects in patient safety to decrease and prevent safety events.
* Conducts patient safety educational programs, including new employees, residency orientation, monthly residency training, and error prevention training for all staff, etc.
* Cleanses data providing oversight, validation, and accuracy of all data submitted in the CCH safety event reporting system.
* Oversees safety processes with CCH operational and medical leadership.
* Complies with requirements of the PSO and regulatory bodies. Implements current standards and remains up to date on any changes.
* Reviews the Patient Safety and Evaluation System (PSES) protocols to support PSO protections.
* Formulates policy and organizational changes pertaining to patient safety improvements.
* Monitors patient safety program progress measuring primary metrics that pertain to the system as well as safety event specific measures.
* Works in cooperation with nursing, medical and other clinical or non-clinical staff to validate findings of patient safety investigation processes. Trains and/or teaches on how to recognize potential events to ensure a complete and accurate investigation is performed, i.e. cause analysis and human factor analysis.
* Performs other duties assigned.

Minimum Qualifications
* Bachelor's degree from an accredited college or university.
* Three (3) years of work experience in patient safety or clinical risk management within a healthcare environment.
* Two (2) years of experience working with Safety Event Reporting Systems and Electronic Medical Record Systems.
* Proficient with medical terminology.

Preferred Qualifications
* Master's degree from an accredited college or university.
* Certification in Patient Safety or Healthcare Risk Management.

Knowledge, Skills, Abilities and Other Characteristics
* Knowledge and familiarity working with safety event reporting systems
* Excellent verbal and written communication skills necessary to communicate with all levels of staff and a patient population composed of diverse cultures and age groups
* Excellent program development, management and leadership skills
* Strong customer service and empathy skills
* Strong attention to detail, accuracy and precision
* Ability to function autonomously and as a team member in a multidisciplinary team
* Ability to train by presenting concepts and demonstrating tasks

Physical and Environmental Demands

This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.

VETERAN PREFERENCE

PLEASE READ

When applying for employment with Cook County Health, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service

To take advantage of this preference a Veteran must:

• Meet the minimum qualifications for the position.
• Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
• Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

OR

• A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.

If items are not attached, you will not be eligible for Veteran Preference

VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.

Benefits Package

• Medical, Dental, and Vision Coverage
• Basic Term Life Insurance
• Pension Plan
• Deferred Compensation Program
• Paid Holidays, Vacation, and Sick Time
• You may also qualify for the Public Service Loan Forgiveness Program (PSLF)

For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/

MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.

*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.

*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.

*CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.

COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER