Develops implements and monitors a Risk Management Program in accordance with UHS T.E.R.M. program ensuring medical staff involvement to identify areas of adverse patient occurrences and problems in delivery of patient care.
Develops a systematic method for Risk Identification and Analysis for reporting patient related and visitor-premises adverse events. Utilizes physician-developed criteria to identify adverse effects in clinical high-risk areas. Develops and implements process to analyze and trend risk identification data.
Develops Loss Prevention and Risk Management Education Program. Provides education to new employees at orientation and conducts ongoing education and in-services on risk management topics annually.
Promotes Critical Risk Prevention Techniques to ensure appropriate release of information, informed consent and confidentiality issues are in accordance with established hospital policies and procedures. Reviews policies regularly.
Assists the Patient Advocate in Patient/Family Relations following an adverse event. Responds to patient/family complaints and addresses personal property losses when needed.
Leads Safety Committee and conducts safety rounds with other committee members to identify hazards and makes recommendations for corrective action
Develops mechanism to ensure timely reporting of adverse clinical events, monitors percentages of identified occurrences that result in claims and regularly reports information to Medical Staff.
Ensures licensure and accreditation activities are in compliance with established standards and regulations. Obtains and distributes current information of all applicable licensing criteria and accreditation standards.
Familiar with Joint Commission, State, and federal regulations/standards regarding environment of care and safety. Develops plans and conducts fire and emergency preparedness drills, including use of Hazard Vulnerability Analysis and community involvement. Maintains plans and policies in compliance with regulations regarding Safety, Life Safety, Security, Equipment Management, Utilities Management, and Emergency Preparedness.Â