The Patient Safety Leader (PSL) is the Quality & Patient Safety department lead for all hospital quality and patient safety improvement efforts. As the liaison between the department and the hospital and medical staff, the PSL establishes responsive relationships with all levels of the healthcare team, maintains effective communication with the key stakeholders with regards to patient safety related information, provides exemplary leadership through pro-active and/or reactive quality and patient safety initiatives, and helps prioritize and manage hospital quality and safety projects. The PSL reports to the Director of Quality & Patient Safety.
PRINCIPAL DUTIES & RESPONSIBILITIES:
Support the Mission and Vision of RML Specialty Hospital by demonstrating RML’s Core Values of Service, Teamwork, Accountability, Integrity, Respect and Stewardship (STAIRS) in all actions.
Supports the Quality & Patient Safety department efforts toward a comprehensive and effective program for evaluating and improving quality of care.
Coordinates the investigation of patient safety related events (including near miss events) with department leaders. Interviews all levels of hospital staff to obtain a deeper understanding of adverse patient safety related events that result in serious harm or have the potential to result in serious harm. Analyzes patient care information from multiple data sources, including but not limited to the Electronic Medical Record. Reports internally on the results of the investigation/analysis and externally, as required, to state-mandated reporting systems and/or patient safety organizations. Identifies patient safety event related trends and collaborates with the appropriate hospital and medical staff to develop improvements. Tracks and monitors patient safety related events and ongoing projects.
Identifies opportunities for improvement in process, structure and /or outcome and determines the appropriate process improvement methodology. Uses improvement data and/or methods such as RCAs, FMEAs, process walks, flow diagramming, PDSA, DMAIC, and A3s to determine causation and subsequently implement and track improvements projects. Leads multi-disciplinary project teams to ensure active participation of appropriate department personnel. Conducts periodic project status meetings and provides periodic status reports.
Facilitates and is the change agent toward building a culture of patient safety. Understands, articulates and supports Just Culture concepts. Partners with hospital leaders to develop tactics to address opportunities identified from culture of safety surveys.
Supports activities and provides subject matter expert input on matters of transparency and disclosure of patient harm events.
Educates staff on National Patient Safety Goals, National Quality Forum/Leapfrog Safe Practices. Facilitates change in support of organizational strategies to meet expectations of national patient safety benchmarking (LTACH Compare).
Facilitates education to all levels of the organization on patient safety improvement concepts and processes. Collaborates with external experts to identify best practices, such as Patient Safety Organizations, National Patient Safety Foundation, Agency for Healthcare Quality and Research, National Quality Forum (NQF), Medication Safety (ISMP), and Accreditation and Regulatory bodies (TJC, CMS, IDPH). Acts as a subject matter expert on patient safety related concepts and various topics.
Assists, as needed, in regulatory and accreditation activities and facilitation and tracking of improvements around of patient safety related non-conformities. Performs process walks and safety rounds.
Participates in departmentally appropriate hospital committees, including but not limited to, the Quality & Patient Safety Committee.
Performs other duties as assigned.
JOB REQUIREMENTS & CHARACTERISTICS
Skills & Abilities
Interpersonal skills necessary to interact with staff, patients, families, medical staff, and other members of the healthcare team.
Demonstrative proficiency in Microsoft Word, Excel, and PowerPoint.
Ability to engage in logical, critical thinking to solve problems.
Organizational skills to prioritize work and meet frequent deadlines.
Ability to work with and understand data, systems opportunities, and statistical analysis to drive safety and improvement.
Dynamic leader with strong initiative, facilitation and collaboration skills.
Effective change agent
Knowledge & Experience
Bachelor’s degree in Nursing or other clinical area with a minimum of two (2) years of clinical experience
A minimum of one (1) year of education and/or experience engaging in or performing patient safety or quality improvement
A minimum of one (1) year of experience in an influential role within a hospital or health care organization
Equivalent combination of education and experience.
Experience in project management methodology and applications
Proficient knowledge and training of patient safety strategies and tools.
Demonstrated experience conducting root cause analyses (RCA) and failure mode and effects (FMEA) analyses.
Master’s degree in healthcare or related area.
License & Certifications
If required based on degree, current and unrestricted clinical license in the State of Illinois
CPPS or must be obtained within first year after hire
Internal Number: 4045
About RML Specialty Hospital
RML is a nonprofit specialty hospital with locations in Chicago and Hinsdale serving patients with catastrophic or acute illnesses complicated by multiple medical issues.
Our advanced medical expertise features:
•A multidisciplinary team approach
•24-hour on-site physician coverage
•A culture of caring focused on the Patient & Family Experience
Founded in 1987, RML is the largest ventilator weaning hospital in the United States. RML is a recognized leader in best practices for wound care and medically complex patient rehabilitation and is the LTACH of choice in Chicago and among leading hospitals across the nation.
RML is dedicated to individualized patient care and committed to advanced research.