This position is incentive eligible.
Salary Estimate: $96137.60 - $153816.00 / year
Learn more about the
benefits offered for this job.
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Director Patient Safety with Spotsylvania Regional Medical Center you can be a part of an organization that is devoted to giving back!
Job Summary and Qualifications
The Patient Safety Director leads and collaborates in the implementation of the hospital-based patient safety program with the goal of eliminating preventable patient harm while also establishing and sustaining a culture of safety.
Systems Thinking and Reliable Design:
Prevent future harm by initiating and overseeing proactive evaluation and redesign of systems to improve care processes (e.g. forcing functions, checklists, error causation thinking, human factors, applied informatics, culture).
Support improved outcomes by emphasizing both appropriate behaviors and robust systems that include concise accountability measures and follow-up.
Improve consistent delivery of evidence-based care and reduction in preventable harm by focusing on reliability and applying the principles of reliable design.
Reduce variation in care delivery. Partner with the Patient Safety Organization (PSO) to explore identified variations when appropriate.
Utilize alerts and best practices (e.g. Sentinel Event Alerts) to perform gap assessments and implement strong actions that will alleviate identified gaps.
Identification and Mitigation of Patient Safety Risk:
Effectively report, investigate, and analyze patient safety incidents, medical errors, and potential risks in the facility.
Facilitate thorough and credible serious event analysis that result in strong sustainable improvement strategies.
Facilitate thorough and credible failure mode effect analysis to identify and mitigate unintended adverse patient outcomes and evaluate effectiveness of process changes.
Perform Patient Safety Rounds that identify patient safety risks. Empower staff to identify and participate in resolution of patient safety concerns.
Coordinate disclosure of serious events to patients and/or families in accordance with organizational policy and regulations.
Assure timely reporting of Patient Safety Work Product (PSWP) to the PSO.
Actively participate in PSO learning collaboratives. Ensure implementation of best practices, alerts, and updates to drive patient safety improvement.
Safety Culture Advancement:
Champion completion of Culture of Safety Survey.
Facilitate analysis of culture of safety survey results such that data-driven action plans lead to targeted outcomes.
Support and encourage harm reporting throughout the organization through a nonpunitive, just event reporting system.
Provide feedback that acknowledges both the value of event reporting and review of reported events.
Facilitate thorough and credible review of events that address both system and individual accountability.
Serves as chair, or co-chair, of the Patient Safety Committee.
Develop and/or provide input into organizational policies and procedures related to patient safety and/or risk management.
Patient Safety Education:
Include patient safety in new hire orientation presentation (e.g. PSO membership, reporting expectations, safety culture).
Provide ongoing education to leaders, medical staff, and staff on the science of safety (high reliability, effective communication, sustaining awareness/alertness) and patient safety initiatives.
Partnership with Executive and Clinical Leaders:
Work with facility leaders and managers to ensure thorough, credible and timely event management.
Join with facility leaders to identify and hardwire behavioral norms that promote a culture of safety.
Work with facility leaders to ensure understanding of and compliance with the National Patient Safety Goals.
Partner with facility leadership to establish activities that enable and sustain an open and fair environment promoting learning, safe systems, and appropriately managing behavioral choices related to patient safety (e.g. Patient Safety Rounds, Event Response, Disclosure).
Partner with Quality to complete the NQF Safe Practices section of the Leapfrog Hospital Survey.
Participate in clinical and non-clinical committees to report applicable patient safety data, analyses, and information and to provide patient safety and risk management guidance and input.
Patient and Family Engagement:
Engage patients/families when appropriate in the patient safety program.
Seek input from patients/families involved in harm or close call events as appropriate.
Oversee the complaint and grievance process including investigation and resolution. Ensure strict compliance to related CMS Conditions of Participation.
Measurable Reduction in Avoidable Harm:
Oversee the management and use of event information to benchmark and track progress to zero avoidable harm.
Provide analysis and identify trends from patient safety data and reports to track progress of improvement strategies. Spread and sustain improvement.
Present informative and actionable patient safety reports to appropriate committees to include high level presentations to Leadership, Medical Executive Committee and Board of Trustees. Include the patient’s story of harm.
Implements and ensures ongoing systems to comply with requirements of the Safe Medical Device Act (SMDA) and tracks and/or reports recalls and/or issues associated with the safety of medical devices and products. Works collaboratively with all other hospital departments who have responsibility for SMDA tracking and/or reporting.
Risk Management/Claims Activities:
Work with defense legal counsel to coordinate the investigation, processing and defense of claims against the facility; records, collects, documents, maintains, and provides to defense attorneys any requested information and documents necessary manage facility claims while maintaining privilege of PSWP
Notify and interact with HCI on all actual and potential claims
Work with security on procedures to reduce the frequency and/or minimize the severity of property loss or assets
Contract Review
Manage non-HCI cases: accept/process subpoenas, visitor events, property loss or theft, etc.
Oversee the process for investigating and resolving concerns related to patient belongings.
Education & Experience:
Bachelor’s Degree in healthcare related field – Required
Master’s Degree – Preferred
Clinical Background – Preferred
3-5 years healthcare experience in patient safety, risk, and/or quality (Healthcare experience should be recent and within a clinical setting such as Hospital, Ambulatory Surgery Center, etc.) – Preferred
Certification in Patient Safety (CPPS) – Required
If not already CPPS, must obtain certification within 12 months of hire.
Benefits
Spotsylvania Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Spotsylvania Regional Medical Center has provided quality healthcare services since 2010. We give patient's access to trained physicians and advanced technology. Our 130+ bed hospital is one of the leading community hospitals for the Fredericksburg area. The center is a part of HCA Virginia, which is the commonwealth's most comprehensive healthcare network. We offer a wide range of inpatient and outpatient medical services. The services include a 24-hour emergency room, advanced-technology operating rooms, cancer care center, advanced imaging, heart and vascular care, obstetrics and neonatal care, intensive care and psychiatric care.
At Spotsylvania Regional Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Director Patient Safety opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
