System Regulatory Specialist

1 month ago


Toledo, Ohio, United States ProMedica Full time

The regulatory specialist supervises all aspects of and provides strategic support for the organization by providing expertise in continual survey readiness and associated regulatory concepts.The regulatory specialist acts as a role model and resource to the healthcare team by enhancing safety and quality care.The regulatory specialist assists the team to understand and incorporate best practices to promote excellent patient outcomes and continual readiness.Office will be located at The Toledo Hospital, but the position will require travel to all ProMedica Hospital locations.Maintains current knowledge of regulatory standards and survey processes for all regulatory bodies who oversee deemed status and specialty designations (e.g., CMS, TJC, ACHC, OSHA, ODH, MDHHS, etcInitiates, conducts, analyses, and reports on process improvement efforts by utilizing tools including, but not limited to audits, FSAs, rounds, PDSAs, gap analyses, FMEAs, and tracers to guide organization in assuring system-level continual readiness.Guides all levels within the organization in preparation for surveys, site visits, and regulatory reviews; manages survey processes to assure compliance during review with organizational policy and associated regulations; guides creation of and monitors ongoing adherence with process improvement secondary to survey findings.Collaborates with and guides Chapter Chairs, senior and frontline leadership to identify patient safety and regulatory concerns, and initiates action plans with a system-level approach whenever appropriate to opportunities identified.



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