Accreditation Patient Safety Program Manager

4 weeks ago


Medina, United States Cleveland Clinic Full time

Join Cleveland Clinic's Medina Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. This 148-bed community-based hospital has been providing the communities in and around Medina County with top-quality patient care for over 75 years. Here, you will work with and learn from some of our best caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.As the Accreditation Patient Safety Program Manager, you will coordinate Medina hospital's accreditation and patient safety activities. You will have the resources and support of all our hospitals within our enterprise. Your duties will include abut are not limited to:Ensuring the continuous readiness for surveys ofMedina hospital and affiliated off-site facilities. Working in conjunction with senior leadership to target interventions to improve patient safety and patient readiness. Participating in preparation and support of onsite survey activities.Our ideal caregiver is someone who: Is highly organized. Has the ability to take direction from multiple people. Can work independently as their skills develop. This role is a part of a small department, where we rely on and learn from each other. At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.Responsibilities:Develops, manages and maintains programs designed to ensure Cleveland Clinic compliance with accreditation and regulatory standards, including those of: The Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS).Acts as the primary resource for staff to facilitate overall operations of programs.Acts as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies.Educates and disseminates accurate information to clinical and nonclinical departments pertaining to certifications and standard interpretations.Participates in preparation and support of onsite survey activities.Collaborates with all departments within the Quality and Patient Safety Institute to ensure safe high quality care.Develops and manages varied projects. Participates in committees and meetings. Demonstrates and meets regulatory/accreditation requirements.Coordinates all patient safety projects.Develops and supports the non-punitive Culture of Safety, to mitigate patient safety errors and the factors that contribute to unintended adverse patient outcomes.Oversees the creation, review and refinement of the scope of the Patient Safety Program within the facility on an annual basis.Coordinates the activities of the Patient Safety Committee including public reportable clinical data sets.Reports medical errors and near misses, as well as corrective actions taken.Oversees the management and use of medical error information.Reviews internal error reports and utilizes information from external reporting programs to achieve internal vestigates (along with Risk Management) patient safety issues within the collaboration with Quality/Risk Management, identifies, manages, and participates in the review of adverse events that may have or have resulted in patient harm.Participates in sentinel event process.Develops action plans identified through root cause analysisOther duties as assigned.Education:Bachelor's Degree in Nursing, Healthcare Administration, Business, Engineering or related field required.Masters preferredCertifications:Healthcare Accreditation Certification Program (HACP) or Certified Joint Commission Professional (CJCP) certifications will be required within 2 years of hire.Certified Professional in Patient Safety (CPPS) preferredComplexity of Work:Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.Must be able to work in a stressful environment and take appropriate action.Demonstrated knowledge in principles of risk management, quality and performance improvement methods.Work Experience:Previous experience in working with Joint Commission, HFAP, CMS surveys process preferably in a leadership/coordination rolePreferred Qualifications:Prior experience with Hospital/Health System Joint Commission surveysPrior experience preparing and supporting the onsite survey activitiesPhysical Requirements:Ability to walk extensively, ability to lift up to 25 pounds, and the ability to wear protective equipment such as respirators, boots, gloves and protective eye gear.Position requires visual acuity with the ability to smell, taste and hear.Personal Protective Equipment:Follows standard precautions using personal protective equipment as required.Pay RangeMinimum hourly: $30.41Maximum hourly: $46.38The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.


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