1. Investigates and analyzes the frequency and cause of patient injuries.
2. Directs the coordination and maintenance of the event reporting system (ERS), including systematic reviews of all event reports filed at the facility, to identify trends or patterns, and develop recommendations for appropriate corrective actions.
3. Provides and directs basic and complex preventive risk management assessment(s) of processes, procedures, and programs.
4. Maintains sufficient knowledge of JCAHO, federal, and state regulations, and PRO activities to ensure hospital and medical staff activities comply with regulations.
5. Develops and modifies policies to comply with safety legislation, JCAHO, HIPAA, and industry practices.
6. Coordinates and develops hospital-wide programs for quality patient care and risk-free services.
7. Liaises with attorneys, insurance companies, and individuals, and investigates any incidences that may result in an asset loss.
8. Works closely with corporate and defense counsel, directors, corporate associates, and medical and allied health staff on risk management issues and concerns.
9. Develops and implements a comprehensive risk management education and orientation program.
10. Conducts root cause analyses in response to unexpected occurrences.
11. Tracks and analyzes data for trending and develops appropriate action plans and risk modification strategies.
12. Analyzes hospital acquired conditions and determines corrective action plans.
13. Establishes and continuously assesses the effectiveness of the internal controls within the unit and compliance with University policies and procedures. Ensures employees are trained on controls within the function and on University policy and procedures.

CORE QUALIFICATIONS                                                                                        

Education:

Bachelor’s Degree in relevant field