The PSM works collaboratively with all departments and all staff to evaluate opportunities to improve the safety and reliability of care for our Veterans. They evaluate all reported incidents, and after scoring for risk to the patient, identify and prioritize process improvement efforts. The PSM program includes project documentation, mandatory reporting compliance, and database maintenance. The PSM supports High Reliability Organization (HRO) initiatives via education, training, and project mentorship for HRO champions. Major duties and responsibilities include, but are not limited to: Designs/redesigns, implements, evaluates and collaboratively maintains the Medical Center's Patient Safety Program and High Reliability Organization (HRO) Program Collects, monitors, analyzes, and reports patient safety data and makes recommendations for performance improvement Manages the patient safety reporting system; reporting trends, outliers, concerns, and appropriately referring reports for follow up Appropriately follows up on reported events, using the Patient Safety tools of Focused Review, RCA, local survey, audits, and facilitates problem solving and process improvement Provides expert leadership and facilitation for Root Cause Analysis (RCA) and Healthcare Failure Mode and Effect Analysis (HFMEA) teams and other groups that have the objective of improving organizational reliability and patient safety Ensures that RCAs and HFMEAs are complete, timely, technical requirements are met and all implementation requirements are accurately identified Ensures that National program requirements are met Tracks completion of action items identified by RCA and HFMEA teams. Works with service chiefs to ensure timely completion of all proposed actions and outcomes and evaluation of their effectiveness. Demonstrates thorough knowledge of patient safety standards and requirements of external accrediting and regulatory bodies, e.g. Joint Commission, OIG etc. Communicates and interacts appropriately and courteously with internal and external partners. Leads all patient safety efforts with psychiatry. Responsible for MHEOCC rounding. Work Schedule: Monday - Friday, 8:00 am - 4:30 pm Compressed/Flexible: Not Available Telework: Not Authorized Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.