The System Director of Patient Safety is responsibility for directing M/Health Fairviews efforts to improve patient safety. This individual will work closely with the VP of High Reliability and system quality and safety team to develop a comprehensive program to minimize patient harm through the implementation of systems that: create a culture of safety; proactively identify risk; encourage adverse event reporting and detailed analysis of safety events and near misses; and facilitate leadership, clinician and staff learning. The System Director assists in the development of strategic and operational plans that build upon the present patient safety program to assure M Health Fairview continues to proactively address patient safety issues and becomes a highly reliable organization.
Collaborates with leadership, clinicians, staff and external vendors to develop and implement initiatives that create an appropriate patient safety culture
Oversees culture of safety (ex. AHRQ) Survey and Plans
Provides leadership and direction to M Health Fairviews patient safety strategy, coordinating with Fairview system goals and strategies.
Formulates short and long-term priorities and goals for improving patient safety.
Identifies, develops, reviews, prioritizes, and disseminates measures of patient safety throughout the organization.
Partners with data analytics to develop the patient safety scorecard and/or dashboard indicators in conjunction with the medical and nursing staff and hospital leadership as a mechanism for tracking and analyzing patient safety goals (ex. System and site Serious Safety Event Rates, Compass Reporting, Mortality Rate, etc)
Continuously evaluates and improves the patient safety program based on internal needs and external requirements and standards.
Participates in process improvement teams that directly support patient safety goals.
Responsible for implementation and sustainment of organizational initiatives to improve patient safety (i.e., Safety Always)
Manages and informs all processes related to event reporting and analysis including development and optimization of event reporting systems (ex. Compass reporting, Adverse Health Event Reporting, Sentinel Event Reporting, Serious Safety Event Reporting).
Facilitates integration of the patient safety program into all patient care operations to include incorporation in leadership rounds and strategy deployment
Develops clear expectations and a process for analyzing trends, identifying root causes and ultimately developing solutions to issues identified during the rounding process.
Develops and oversees the standard process for RCAs/ACAs/CAPs in the organization.
Prepares and reports status of patient safety activities to relevant leadership committees (ex. Patient Safety Committee, Medical Executive Committee, Board, etc)
Educates leadership, clinicians and staff regarding basic patient safety and their role in ensuring that patients are not harmed during care delivery.
Proactively communicates with and educates leadership and staff regarding patient safety initiatives and activities.
Provides direction to ensure that clinical services are provided in accordance with safety standards established by federal and state regulatory agencies and the Joint Commission accreditation standards, including the National Patient Safety Goals.
Remains fully informed of national and local patient safety mandates.
Manages the sentinel event process for M Health Fairview.
Develops and oversees the High Harm Debrief Program.
Oversees Mortality Screening and Review for the system
Establishes and maintains a customer service-oriented philosophy for the Patient Safety department and their dealings with all customers.
Oversees and implements Safety Alerts and Advisories for the system
A Masters degree in healthcare field or related discipline is required.
Minimum of five (5) years of progressive administrative leadership experience in patient safety activities in an academic medical center or large, integrated healthcare setting providing subject matter expertise in the art and science of patient safety.
A clinical background
Certified Professional in Patient Safety (CPPS) and/or Certified Professional in Healthcare Quality (CPHQ).
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.