Safety Coordinator

Patient Safety and Quality Program Operations

• Implementing and providing input regarding the evaluation of patient safety and clinical quality improvement programs.
• Participates in training, education, and deployment of Safety-First program, including but not limited to high reliability leadership methods; high reliability (Error Prevention) tools; Fair and Just Culture; and Peer Reliability (Safety) Coaches, as needed.
• Supports Wellstar’s Root Cause Analysis process including, but not limited to investigation; medical record review; research of literature and industry best practices; interviews; creation of events and causal factors map; supports identification of root causes, corrective actions, measures of success; and associated monitoring, tracking, and follow-up of all components of the RCA process, as needed.
• Ensures timely investigation of patient safety issues. Supports the implementation of patient safety initiatives and harm reduction strategies, as needed.
• Conducts and supports retrospective and/or concurrent quality and patient safety related chart reviews, as needed (i.e., Sepsis, Safety Learning System, etc.).
• Supports and participates in review, analysis, reduction activities, and reporting of quality measures, including but not limited to Patient Safety Indicators (PSI), Healthcare Associated Conditions (HACs), and other measures as identified by the Centers for Medicare and Medicaid Services (CMS).
• Supports the development of patient safety and quality related reports to department and system leadership.
• Affords assistance with Pre-Bill Audits/PSI review, as needed.
• Promotes a culture of safety by participating in system-level Culture of Safety Survey activities.
• Provides input and assists with facility action planning efforts using the culture of safety survey Results, as needed.
• Covers the flow of data needed for the HEN.
• Reviews and tracks insurance company quality concerns.
• Reviews and updates policies and procedures.
• Maintains core measures for the facility.

Robust Performance Improvement

• Supports Quality Review Committee and Performance Improvement Committees at the facility level.
• Practices innovative design and systems thinking to improve measures of quality and safety.
• Supports robust process improvement and reduction of preventable harm within the facility.
• Affords assistance in the development of patient safety and quality measurement and improvement strategies.
• Affords assistance in the development of patient safety and quality reports for specific groups with Safety and Quality.
• Supports hospital performance improvement strategies through problem assessment and education.
• Affords assistance in data collection and analysis of patient safety and quality improvement trends to leaders as needed.

Regulatory Adherence and Compliance

• Maintains current working knowledge related to applicable laws, regulations, statues, and best practice literature that affect the Patient Safety Program, including Georgia Medical Board, Board of Nursing, The Joint Commission (TJC), AHRQs National Quality Forum-Serious Reportable Events (NQF-SRE) and HIPAA.
• Supports patient safety initiatives including, but not limited to sentinel event alerts, National Patient Safety Goals (NPSG), system goals.
• Ensures adherence to regulatory standards.

Financial/Fiscal Responsibility

• Demonstrates responsibility in financial management, continuous quality improvement, institutional support and representation, and customer service.
• Performs other duties as assigned.