Director Patient Safety (Kissimmee, FL)

Job Description:


Kissimmee, FL



Director Patient Safety-Full Time-Kissimmee, FL
Shift: Full Time-No Weekends
The Medical Center is a 404-bed Healthcare facility located in Kissimmee, Florida. The Center features all private rooms, 24-hour emergency care, a Level II Trauma Center, and a Level II NICU.
The hospital offers an array of comprehensive services, including heart and vascular care, cancer care, and orthopedic care. The quality of these services have earned the Center many awards and accreditations, such as an "A" Grade in Hospital Safety by The Leapfrog Group and recognition as a Top Performer on Key Quality Measures by The Joint Commission. Staff members say the Medical Center is a great place to work because of the opportunities for growth, the supportive and approachable management, and emphasis on teamwork.
Job Responsibilities:
Systems Thinking and Reliable Design Expectations:
• Prevent future harm by initiating and overseeing proactive evaluation and redesign of systems to improve care processes (e.g. forcing functions, checklists, error causation thinking, human factors, applied informatics, culture).
• Support improved outcomes by emphasizing both appropriate behaviors and robust systems that include concise accountability measures and follow-up.
• Improve consistent delivery of evidence-based care and reduction in preventable harm by focusing on reliability and applying the principles of reliable design.
• Reduce variation in care delivery. Partner with the Patient Safety Organization to explore identified variations when appropriate.
• Utilize alerts and best practices (e.g. Sentinel Event Alerts) to perform gap assessments and implement strong actions that will alleviate identified gaps.
Identification and Mitigation of Patient Safety Risk Expectations:
• Effectively report, investigate, and analyze patient safety incidents, medical errors and potential risks in the facility.
• Facilitate thorough and credible serious event analysis that result in strong sustainable improvement strategies.
• Facilitate thorough and credible failure mode effect analysis to identify and mitigate unintended adverse patient outcomes and evaluate effectiveness of process changes.
• Perform Patient Safety Rounds that identify patient safety risks. Empower staff to identify and participate in resolution of patient safety concerns.
• Coordinate disclosure of serious events to patients and/or families in accordance with organizational policy and regulations.
• Assure timely reporting of Patient Safety Work Product (PSWP) to the Patient Safety Organization.
• Actively participate in PSO learning collaboratives. Ensure implementation of best practices, alerts, and updates to drive patient safety improvement.
Safety Culture Advancement Expectations:
• Champion completion of Culture of Safety Survey.
• Facilitate analysis of culture of safety survey results such that data-driven action plans lead to targeted outcomes.
• Support and encourage harm reporting throughout the organization through a nonpunitive just event reporting system.
• Provide feedback that acknowledges both the value of event reporting and review of reported events.
• Facilitate thorough and credible review of events that address both system and individual accountability.
Patient Safety Education Expectations:
• Include patient safety in new hire orientation presentation (e.g. PSO membership, reporting expectations, and safety culture)
• Provide ongoing education to leaders, clinicians and staff on the science of safety (high reliability, effective communication, sustaining awareness/alertness) and patient safety initiatives.
Partnership with Executive and Clinical Leaders Expectations:
• Join with facility leaders to identify and hardwire behavioral norms (e.g. use of briefs, debriefs, NPSGs) that promote a culture of safety.
• Partner with facility leadership to establish activities that enable and sustain an open and fair environment promoting learning, safe systems, and appropriately managing behavioral choices related to patient safety (e.g. Patient Safety Rounds, Event Response, Disclosure).
Patient and Family Engagement Expectations:
• Engage patients/families when appropriate in the patient safety program.
• Seek input from patients/families involved in harm or close call events as appropriate.
Measurable Reduction in Avoidable Harm Expectations:
• Oversee the management and use of event information to benchmark and track progress to zero avoidable harm.
• Provide analysis and identifying trends from reports (e.g. PSIP data, SHARP report, Service Line Dashboards) to track progress of improvement strategies. Spread and sustain improvement.
• Present informative and actionable patient safety reports to appropriate committees to include high level presentations to Leadership, Medical Executive Committee and Board of Trustees. Include the patient’s story of harm. Work with facility leaders and managers to ensure thorough, credible and timely event management.
• Bachelor’s Degree in Healthcare related field required.
• Clinical background required.
• Minimum one year of Director of experience required. Director experience in patient safety, risk or quality preferred.
• Three to five years healthcare experience in patient safety, risk, and/or quality required. Healthcare experience should be recent and within a clinical setting such as Hospital, Ambulatory Surgery Center, etc.
• Certification in Patient Safety (CPPS) required; If not already CPPS, must obtain certification within first 18 months of hire.
• CPHRM required; If not already CPHRM, must obtain certification within first 18 months of hire.
• Other licenses/certifications required by State
Additional Information:
• Direct FTEs : 1
• Must have short term acute care hospital experience
• Must have at least 5+ years of manager level experience (Must have leadership experience)
• 3-5 years’ experience in Patient Safety/Risk
• Must be a RN with BSN degree
• CPPS cert- CPHRM cert- must get within 6 months of hire if do not already have
• Reports to VPQ onsite- Dir of Q in place
• No on sites at this time- video interviews only
General Comments
Salary Range: $110K-$120K Based on years of experience
**UpTo 15% bonus annual bonus, based on performance KPI’s
Sign On Bonus: Available on a Case by Case basis
Relocation Assistance: Available on a Case by Case basis