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Risk & Patient Safety Manager


Department Description: Beth Israel Deaconess Hospital−Needham (BID−Needham) is a licensed 58-bed acute care community hospital. BID−Needham has served residents in Needham, Newton, Dedham, Dover, Medfield, Sherborn, Wellesley, Westwood and other surrounding communities for more than 100 years. The hospital has been recognized by several organizations for quality and safety, including the Gold Seal of Approval® from The Joint Commission and a first-place Accountable Care Compass Award from the Massachusetts Health & Hospital Association (MHA).
BID−Needham is part of Beth Israel Lahey Health, a new health care system that brings together academic medical centers and teaching hospitals, community and specialty hospitals, more than 4,000 physicians and 35,000 employees in a shared mission to expand access to great care and advance the science and practice of medicine through groundbreaking research and education.
BID Needham has had a direct affiliation with Beth Israel Deaconess Medical Center since 2000, facilitating the clinical integration of staff and resources in emergency medicine, hospital medicine (hospitalists), cardiology, radiology, orthopaedics, pathology, as well as many surgical services and oncology housed in the Beth Israel Deaconess Cancer Center and Surgical Pavilion.

Job Location: Needham, MA

Req ID: 41540BR


Job Summary: Reporting to the Senior Director for Health Care Quality, the Risk and Patient Safety Manager is a key member of the HealthCare Quality team driving an organization wide culture of excellence and safety through risk identification/mitigation in a team oriented collaborative culture with clinical and administrative leaders. The Risk and Patient Safety Manager plans, coordinates and evaluates the institutional functions of risk management, coordinating all aspects of the institutional risk management program, including patient complaints and ongoing trends regarding overall patient experience, safety reports, root cause analyses, and sentinel event and other regulatory reporting. This position also staffs the Board of Trustee's Patient Care Assessment Committee and currently serves as the Disability Access Coordinator. Regulatory and Risk activities are reported to the Patient Care Assessment Coordinator/CMO, senior leadership and the Medical Executive Committee as appropriate.

The risk management program monitors and evaluates institutional risks and identifies opportunities for improvement, and reduces professional and general liability through identification and resolution of known or suspected problems, and ongoing training and education of staff and affiliated clinicians.

Essential Responsibilities:
  1. Coordinates the institutional program for risk management.
  2. Works with other Department Managers, Senior Leadership and Physician Leadership to effectively integrate the Risk Management and Safety Program into patient care operations; the institutional program for performance improvement, legal affairs, safety, and other compliance planning and programming.
  3. Works with clinical leaders and the education staff to orient and educate physicians, nurses other patient care providers, and clinical support staff to their role in RM, patient safety, and other clinical risk management matters.
  4. Coordinates internal safety reporting and occurrence screening systems with staff to include: investigation and analysis of safety reports; development of corrective action strategies and assurance of timely follow-up of recommendations.
  5. Coordinates monitoring and reporting of risk management and safety issues with recommendations to peer review committees including but not limited to Medical Executive Committee (MEC) and PCAC/CPCAC Committees.
  6. Works collaboratively with the Patient Care Assessment Coordinator to assure compliance with the Massachusetts Board of Registration in Medicine (BRM) PCA Regulations, including but not limited to: reporting of major incidents, occurrence screening, creating and reporting the PCA plan, and submitting required reports.
  7. Coordinates the management of patient complaints, providing trended information on patient complaints, and performance improvement and service recovery efforts aimed at preventing patient complaints.
  8. Works with the BILH General Counsel and other Legal Staff as needed both as a resource and to report high-risk events as needed.
Required Qualifications:
  1. Master's degree in Nursing, Pharmacy, Juris Doctorate or other healthcare profession required.
  2. License Registered Nurse required., or Registration Massachusetts Pharmacist required., or Juris Doctorate.
  3. 5-8 years related work experience required in a clinical discipline providing direct patient care (clinical management experience preferred).
  4. Strong clinical analytical skills with background in systems science, high reliability and culture of safety.
  5. Conflict resolution and problem solving skills; Professionalism and professional image; Strong organization and planning skills; detail oriented; Ability to multi-task in a fast-paced environment
  6. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
Competencies:
  1. Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
  2. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
  3. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
  4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
  5. Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
  6. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
  7. Team Work: Ability to interact respectfully with other employees, professional staff and/or external contacts to offer ideas, identify issues, obtain information or deliver services.
  8. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally
EOE Statement

BIDMC is EOE M/F/VET/DISABILITY/GENDER IDENTITY/SEXUAL ORIENTATION

Vaccines

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. BILH requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement

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