JOB SUMMARY: Responsible for assisting the QMO with organizational risk management and quality initiatives. Support departments and the Medical Staff in activities related to risk management, patient safety and quality improvement. Responsible for activities involving incident investigation and evaluation of claims or potential claims, property loss, risk identification analysis and data analysis.
AGE SPECIFIC TO ALL AREAS WORKED:
Birth through 1 month
13 years through 17 years
1 month through 1 year
18 years through 34 years
2 years through 3 years
35 years through 50 years
4 years through 5 years
51 years through 69 years
6 years through 12 years
70 years +
The staff member must be able to demonstrate the knowledge and skills necessary to provide care/services appropriate to the age of the patients/personnel served. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's/personnel status and interpret the appropriate information needed to identify each patient's/personnel's requirements relative to his or her age-specific needs, and to provide the care/services needed as described in the unit's/area's/department's or Administrative policies and procedures.
CULTURE/RELIGIOUS ASPECTS: Employee will interact with patients, families, employees and Medical Staff of all cultural and religious backgrounds. In view of the seasonal influx of people from all over the world, be prepared to interact with patients/families of diverse cultural and/or religious backgrounds.
ETHICS AND COMPLIANCE: Employee performs within the prescribed limits of the hospitals/departments Ethics and Compliance Program. Is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance officer or hospital hotline.
Oversees organization’s Event Reporting program. Serves as system administrator. Analyzes data and identifies trends or patterns. Collaborates with department leaders and the Medical Staff in the creation and implementation of action plans to address identified trends.
Under the direction of the QMO participates in monitoring of activities to support compliance to state and federal regulations as relates to risk management and patient safety.
Responsible for the coordination and implementation of the organization’s adverse event investigation program. Serves as a facilitator for Root Cause Analysis (RCA) or Sentinel Event investigations. Documents findings, actions and works with department leaders to track action plans to completion. Maintains all documents related to adverse events. Communicates to QMO and Senior Leadership any event which may require reporting to Local, State or Federal agencies.
As a member of the Quality department will facilitate and/or participate in departmental functions including but not limited to: organizational LEAN or other quality improvement teams, work groups, peer review, medical staff quality metrics, infection preventions activities, etc.
As assigned by the QMO or Chief Medical Officer (CMO) will be responsible for completion of risk management, patient safety or quality improvement projects with outside organizations such as LeapFrog, Yellowstone Insurance Exchange, Quality Improvement Organizations (QIOs), Hospital Improvement Initiative Network (HIIN), etc. Collaborates with department leaders and the Medical Staff to maximize the organization’s participation and success with various organizations dedicated to improving quality of care, patient safety and reduction or mitigation of risk.
Maintains knowledge of regulations and standards regarding risk management, patient safety, quality, etc. as put forth by local, State or Federal agencies or by professional organizations.
Serves as a resource to the organization’s leaders, employees and Medical Staff regarding issues, questions or concerns related to risk management, patient safety and quality improvement.
Act as a liaison with outside agencies (court requests for subpoenas, law enforcement agencies and other county/state/federal agencies) providing information, routine inquiries, etc. as directed by the QMO or Administration.
Under the direction of the QMO or CEO will prepare statistical reports, loss/expense summaries and claims data summaries which may identify trends.
Works with the QMO to identify cases which have actual or potential risk to the organization as a medical malpractice claim. As directed by the QMO communicates actual/potential claims to appropriate insurers (such as Yellowstone Insurance Exchange), legal counsel and Administration. Assists the QMO with claims management through resolution of the claim. Maintains files for potential/actual claims through resolution and closure.
Completes chart review for identification of cases with potential/actual risk management or patient safety issues. Communicates with QMO any cases needing referral through the organization’s peer review process.
Provides education to leaders, employees and the Medical Staff on pertinent risk management and patient safety topics.
Serves as point of contact for complaints and grievances for patients and families.
Manages the organization’s patient complaint and grievance program. Works with leaders, Medical Staff and Administration to ensure timely investigation and follow up to complaints/concerns reported by patients or their family/representative. Maintains complaint log, analyzes complaint/grievance data and reports to leaders as directed. Works with the QMO and Administration to draft appropriate communication back to the patient/family/representative.
Compiles and submits reports to the QMO for use in risk management, patient safety and compliance reporting.
Assists with the review, revision and development of policies and procedures related to risk management and patient safety activities.
Responsible for chart abstraction and submission for required reporting measures to CMS or other regulatory bodies.
Other duties as assigned.
WORKING CONDITIONS: Repetitive motions of the wrists and hands. May have extended period of stationary activity, and other conditions common to a clerical position. Works in clean, well-lighted, heated and air conditioned area. Exposure to unpleasant sights, smells and infectious diseases is possible. Work schedule is 40 hours per week. Must be flexible to meet facility needs. Work requires sitting at a desk reviewing charts, entering data into computer, and talking on the phone for extended periods of time. May be required to come in for meetings if needed to assist with risk management issues. Required to come in for significant unexpected outcome investigation if a sentinel event potential exists.
PHYSICAL DEMANDS: Extensive standing, sitting, walking. May require frequent bending, stooping, or stretching. Requires eye-hand coordination and manual dexterity. Requires the use of office equipment, such as computer terminals, telephones, or copiers. Requires normal vision and hearing range and the absence of color-blindness.
Graduate of an accredited school of nursing with a Degree in Nursing. BSN or higher preferred. Licensed to practice in the State of Wyoming or ability to obtain licensure.
LEAN, Performance Improvement, Risk Management or Patient Safety training preferred.
Minimum of five (3) years of professional health care experience in an acute care setting.
Has a working knowledge of current hospital concepts in risk management, patient safety, performance improvement and regulatory agencies.
Must demonstrate skill preparing and maintaining records and writing reports.
Computer skills (Word, Excel and Power point).
Excellent communication skills including in high stress situations.
Ability to apply critical thinking in various situations.
Self-directed and able to manage and prioritize work load based on needs of the organization.
Knowledge of the operations of the health care industry and the health care delivery systems.
Ability to assume a leadership role and serve as a role model to others.
Able to interact effectively with others.
Ability to coordinate and communicate effectively both verbally and written.
Able to maintain patient, staff and facility confidentiality at all times.
Must be able to collect, organize and evaluate data and format to present to others.
Ability to plan, organize and implement new programs and processes.
Additional Salary Information: Competitive Pay and Benefits
West Park Hospital’s focus is on putting the patient first. Located in beautiful Cody, WY, our hospital serves as a primary, full-service medical center to communities throughout the Big Horn Basin.
Our 25-bed, acute-care facility is state-of the-art. We also have an adjacent Long Term Care Center licensed for 94 beds and a 20-bed chemical dependency center.
West Park Hospital has adopted the Pl...anetree philosophy as a model of health care. The Planetree model strives to enhance patient comfort by personalizing, humanizing and demystifying the health care experience.
We want to exceed our patients’ expectations. Providing personalized health care to our patients and their families is the first step toward reaching that goal.
To provide excellence and leadership in community health care.
West Park Hospital will be an excellent regional health care provider by putting the patient first.
Integrity: Honesty and ethics in communication, finance, resources, time and the services we provide.
Compassion: Sensitivity and concern for the physical, emotional and spiritual needs of the people we serve and each other.
Responsibility: Dependability, accountability, and recognizing issues and working together toward their solutions.
Cody is nestled among mountain ranges where fishing, hunting, camping, skiing, snowmobiling and other outdoor adventures are abundant. Should you choose to join our workforce, you will be among co-workers who are friendly, compassionate, caring and courteous.
As one of the leading employers in Cody, our goal is to recruit and maintain outstanding professionals and support staff who will strive to help us remain the leader in health care throughout the Big Horn Basin