System Director, Patient Safety

We need to output HTML fragment with sections: About the role? Actually we have job summary, responsibilities, requirements, qualifications, skills, benefits, pay, schedule. We need to include sections only if posting has real specific content. Let's parse the posting: - Location: metropolitan area of Sacramento, corporate HQ in Roseville, CA. WELL-certified campus. Not a heading but could be part of About Us? Not needed. - Job Summary: Leads the Adventist Health enterprise-wide patient safety program. Oversees the five domains of CMS patient safety structural measure, high reliability platform (event reporting, learning and improvement), proactive patient safety initiatives, culture of safety survey and action plans, adverse event management including cause analysis and action program and Just Culture, care for the caregiver program. Collaborates with nursing, pharmacy, radiology, medical staff, regulatory, legal, and other disciplines to prevent and mitigate harm, resulting in improved patient care outcomes and patient experience. Develops patient harm metrics and reducing patient harm outcomes. That's a prose summary. - Job Requirements: Education and Work Experience: Bachelor's Degree in nursing, pharmacy, medicine, quality engineering or equivalent combination of education/related experience: Required; Master's degree: Preferred; Seven years' related experience: Preferred; Five years' leadership experience: Preferred. - Licenses/Certifications: Certified Professional in Patient Safety: Required; Just Culture Certification: Preferred; Lean Six Sigma Green Belt Certification: Preferred; Certified Professional in Healthcare Quality: Preferred. - Essential Functions: a long list of duties/responsibilities. This is essentially responsibilities. - Organizational Requirements: Adventist Health is committed to safety and wellbeing... require all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. ... This is more like organizational requirements but could be considered part of Requirements? Might be considered "Requirements" but it's more about compliance. However we have to decide sections. - About Us: description of Adventist Health. - JOB INFO: Job Identification, Job Category, Posting Date, Locations, Assignment Category, Pay Range, Hiring Department, Severance, Shift Length. We need to include sections: About the role (maybe job summary), Responsibilities (essential functions), Requirements (education/experience, licenses/certs, organizational requirements?), Qualifications (maybe same as Requirements?), Skills (maybe not explicit), Benefits (not given), Pay (pay range given), Schedule (shift length given: 8 Hours). Also maybe location? Not a section. We must not repeat job title as heading. Do not put Job ID/requisition numbers as headings. We need to include sections only when posting has real specific content. We have: - Job Summary: we can put under

About the role

with

containing the summary. - Responsibilities: Essential Functions list. Use

• for each duty. - Requirements: Education and Work Experience + Licenses/Certifications + Organizational Requirements (vaccination, E-Verify). Could be combined under Requirements. - Qualifications: maybe not separate; we could skip if overlapping. - Skills: not explicit; maybe we can infer from responsibilities but not explicit; better to skip. - Benefits: not given; skip. - Pay: we have Pay Range: $145,954 to $218,931. Also mention additional compensation etc. So we can include

  Pay

  with

  containing that. - Schedule: Shift Length: 8 Hours. Also Assignment Category: Full-time regular. So we can include Schedule section with that info. We need to preserve all substantive information; do not invent or summarize away detail. Must not omit details like "Seven years' related experience: Preferred", etc. We need to include all details from Essential Functions list. Let's extract Essential Functions bullet points (they are sentences separated by periods). We'll need to break into list items. Essential Functions text: "Oversees the optimization of the high reliability platform workflows (event reporting, review, analysis, and learning systems) for all modules including patient safety, workforce safety, patient experience, physician peer review, compliance, privacy, employee relations, security, property, facilities, and claims. Oversees the optimization of the Lessons Learned and Improvement modules to spread and adopt improvement actions across AH. Partners with medical staff leaders to engage providers in reporting, learning and improvement initiatives. Supports the AH commitment to becoming a high reliability organization through the implementation of programs, training, and initiatives including but not limited to cause analysis and action program, Just and accountable Culture training, and the care for the caregiver program. Develops and deploys a patient safety curriculum and competency programs that focus on high reliability practices and include reliability skills, team training, safety rounding, tiered and escalating huddles, and performance improvement methodologies for all clinical and non-clinical areas including C-Suite and Board. Fosters transparency, open communication, and psychological safety and incorporates reliability science into all programs and initiatives. Collaborates with relevant leaders to conduct culture of safety survey and other appropriate surveys to assess perceptions of the AH safety culture and supports action plan development. Provides oversight of the cause analysis and action program, safety event classification, and periodic common cause analysis. Coordinates and manages system-wide patient safety performance improvement initiatives including but not limited to: safe technology, care processes, patient and family engagement, teamwork and communications, systematic flow of information. Coordinates initiatives to meet the CMS patient safety structural measure requirements, Leapfrog patient safety, and other relevant healthcare ratings and regulatory programs. Supports compliance with regulatory reporting requirements related to patient and worker safety (state reporting, CMS, OSHA, TJC, FDA). Collaborates with relevant leaders to create and monitor the 'communication and resolution for adverse events' program (disclosure and financial reconciliation). Ovesees the measurement system for the AH patient safety program and collaborates with leadership to set goals and targets, achieve data integrity, meaningful and actionable reports, and dissemination of dashboards that drive impactful action plans. Develops processes, measures, and plans to identify and address health care disparities related to patient safety. Performs other job-related duties as assigned." Note there's a typo "Ovesees". We'll keep as is. We need to output each as

• . Now Requirements: Education and Work Experience: - Bachelor's Degree in nursing, pharmacy, medicine, quality engineering or equivalent combination of education/related experience: Required - Master's degree: Preferred - Seven years' related experience: Preferred - Five years' leadership experience: Preferred Licenses/Certifications: - Certified Professional in Patient Safety: Required - Just Culture Certification: Preferred - Lean Six Sigma Green Belt Certification: Preferred - Certified Professional in Healthcare Quality: Preferred Organizational Requirements: - Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. - Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. - By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. We could combine these into a
  under Requirements. Now About Us: description of Adventist Health. Could be placed under

  About Us

  but the instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. About Us is not in list. However we could treat "About the role" as job summary, and maybe we don't need About Us separate. The instruction says "use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It gives examples but not exhaustive; we could still include About Us if we think it's relevant. But better to stick to those headings. The About Us description is generic; maybe we can incorporate into About the role? But About the role is job summary; we could add a brief paragraph about the organization under About the role? However we must preserve all substantive information; we cannot drop the About Us description. So we need a section for it. The instruction says "use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." The "e.g." suggests those are examples, not exclusive. So we can add About Us heading. Thus we will have sections: About the role (job summary), Responsibilities (essential functions), Requirements (education/experience, licenses/certs, organizational requirements), About Us (description), Pay, Schedule. We should not include Qualifications or Skills if no specific content. Now ensure we don't include filler like "commensurate with experience". Not present. Now produce HTML fragment. Structure:

  About the role

  Leads the Adventist Health (AH) enterprise-wide patient safety program. Oversees the five domains of the Centers for Medicare & Medicaid Services (CMS) patient safety structural measure, the high reliability platform (event reporting, learning and improvement), proactive patient safety initiatives, culture of safety survey and action plans, adverse event management including the cause analysis and action program and Just Culture, care for the caregiver program. Collaborates with nursing, pharmacy, radiology, medical staff, regulatory, legal, and other disciplines to prevent and mitigate harm, resulting in improved patient care outcomes and patient experience. Develops patient harm metrics and reducing patient harm outcomes.

  Responsibilities

  • Oversees the optimization of the high reliability platform workflows (event reporting, review, analysis, and learning systems) for all modules including patient safety, workforce safety, patient experience, physician peer review, compliance, privacy, employee relations, security, property, facilities, and claims.
  • Oversees the optimization of the Lessons Learned and Improvement modules to spread and adopt improvement actions across AH.
  • Partners with medical staff leaders to engage providers in reporting, learning and improvement initiatives.
  • Supports the AH commitment to becoming a high reliability organization through the implementation of programs, training, and initiatives including but not limited to cause analysis and action program, Just and accountable Culture training, and the care for the caregiver program.
  • Develops and deploys a patient safety curriculum and competency programs that focus on high reliability practices and include reliability skills, team training, safety rounding, tiered and escalating huddles, and performance improvement methodologies for all clinical and non-clinical areas including C-Suite and Board.
  • Fosters transparency, open communication, and psychological safety and incorporates reliability science into all programs and initiatives.
  • Collaborates with relevant leaders to conduct culture of safety survey and other appropriate surveys to assess perceptions of the AH safety culture and supports action plan development.
  • Provides oversight of the cause analysis and action program, safety event classification, and periodic common cause analysis.
  • Coordinates and manages system-wide patient safety performance improvement initiatives including but not limited to: safe technology, care processes, patient and family engagement, teamwork and communications, systematic flow of information.
  • Coordinates initiatives to meet the CMS patient safety structural measure requirements, Leapfrog patient safety, and other relevant healthcare ratings and regulatory programs.
  • Supports compliance with regulatory reporting requirements related to patient and worker safety (state reporting, CMS, OSHA, TJC, FDA).
  • Collaborates with relevant leaders to create and monitor the 'communication and resolution for adverse events' program (disclosure and financial reconciliation).
  • Ovesees the measurement system for the AH patient safety program and collaborates with leadership to set goals and targets, achieve data integrity, meaningful and actionable reports, and dissemination of dashboards that drive impactful action plans.
  • Develops processes, measures, and plans to identify and address health care disparities related to patient safety.
  • Performs other job-related duties as assigned.