Job Summary The Director of Patient Safety (Patient Safety Officer) will direct safety efforts throughout the health system and serve as the Cook County Health & Hospitals System’s (CCHHS) Patient Safety Officer (PSO). Provides strategic direction and oversight of all efforts to improve patient safety. Provides oversight of the process of reporting and analyzing safety events (including sentinel and ‘never’ events) and the development and implementation of an annual patient safety plan. Will collaborate with Medical Staffs, Risk Management, Compliance and other CCHHS executives to evaluate, develop and implement policy and programs to prevent and/or minimize risk, and monitor, analyze and report on patient safety events. Prepares and delivers reports to System governance including the CCHHS Board of Directors. Performs other duties assigned by the Chief Quality Officer. General Administrative Responsibilities

Collective Bargaining Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals

Participate in collective bargaining negotiations, caucus discussions and working meetings Discipline Document, recommend and effectuate discipline at all levels

Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements

Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements Supervision Direct and effectuate CCH management policies and practices

Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements Management Contribute to the management of CCH staff and CCH’ systemic development and success

Discuss and develop CCH system policy and procedure

Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements

Work with Labor Relations to discern past practice when necessary Typical Duties Provides strategic direction and oversees the development of a comprehensive patient safety program

Manages and utilizes an electronic event reporting system and other confidential reporting formats to identify serious safety events throughout the health system; oversees reporting of safety events to external agencies as required by law and regulation

Develops and manages data sources to

Maintains safety dashboards to track and trend all safety events and reports to governance and leadership (system board and medical staffs)

Leads efforts to analyze serious safety events including oversight of the RCA (root cause analysis) process and reporting on events and action plans to committees and system leadership

Works closely with the Executive Medical Director and the clinical Department Chairs to evaluate and facilitate efforts to enhance and improve patient safety in both inpatient and ambulatory environments

Partners with Nursing, Pharmacy and other clinical departments to develop structures and processes which lead to a high reliability institution and forwards the patient safety agenda

Facilitates performance improvement projects to improve patient safety

Measures and develops a culture of safety based on transparency, reporting and respect. Reporting Relationship

Reports to the Chief Quality Officer Minimum Qualifications Bachelor’s degree or higher from an accredited college or university in a healthcare field)

Formal quality training as evidenced by certificate such as HCQM, CPHQ, CPPS or training conducted through an acknowledged quality organization (IHI, ASQ, AHRQ or NQF) or ability to obtain certification within two years of employment

Minimum of three (3) years’ of clinical experience in a healthcare related field (i.e., but not limited to: social work, psychology, physical therapy, dietary, emergency tech, nursing)

Minimum of five (5) years’ experience in healthcare at a management level or above

Minimum of three (3) years’ experience directly involved in healthcare quality, patient safety, performance improvement or regulatory/accreditation. Preferred Qualifications Previous leadership role in quality or safety at a healthcare institution

Intermediate proficiency with Microsoft Office Suite including Word, PowerPoint, Excel, and Outlook Knowledge, Skills, Abilities and Other Characteristics Knowledge of the regulatory environment, including CMS, Joint Commission, NCQA

Experience working with Cerner Electronic Medical Record Systems is preferred

Excellent leadership skills with operational experience in patient safety, care management and related fields

Outstanding written and verbal communication skills

Outstanding interpersonal skills allowing complex interactions with all staff levels in the healthcare setting

Must be detail oriented and have high standards of accuracy

Ability to function independently and under time constraints Physical and Environmental Demands

This position is functioning within a healthcare environment.The incumbent is responsible for adherence to all hospital and department specific safety requirements.This includes but is not limited to the following policies and procedures:complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

FILING. “Degrees awarded outside of the United States with the exception of those awarded in one of the United States’ territories and Canada muse be credentialed by an approved U.S. credential evaluation service belongings to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview”. *Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen. *CCH is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor. COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER.