Administrative Director of Patient Safety, Patient Experience and Risk Management

Director of Quality, Risk Management, and Compliance Officer

Aiken Regional Medical Centers, located in Aiken, South Carolina, is a 273-bed acute care facility providing top quality and safe healthcare to the residents of Aiken and surrounding communities since 1917. Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the American Heart Association for its treatment of heart attack, heart failure and Stroke, and most recently, coronary artery disease.

Additionally, Aiken Regional provides comprehensive healthcare services such as behavioral health (Aurora Pavilion Behavioral Health), emergency medical care (main hospital and ER at Sweetwater), orthopedic surgeries, maternity, rehabilitation services(Hitchcock Rehabilitation Services), imaging, and wound care.

Visit us online at: https://www.aikenregional.com

The Director of Quality, Risk Management, and Compliance Officer provides leadership and direction in developing a culture of safety and in identifying opportunities and initiatives to enhance patient safety, patient experience and improve quality outcomes. Develops strategic and operational plans to build prospective, proactive, loss-prevention and harm-reduction patient safety programs. Overseas the overall coordination and direction of activities associated with the Quality Outcomes Management, Risk Management, Infection Prevention and Patient Experience functions.

Duties:

• Administers leadership and direction to the Risk Management, Quality Outcomes and Infection Prevention Departments, in collaboration with services lines, to improve patient outcomes and achieve goals of the hospital business plan.
• Initiates and oversees proactive evaluation and redesign of systems to improve care processes to prevent future errors
• Implements information and management systems that support patient safety and use information from different sources to support the activities of the patient safety program
• Oversees and coordinates the investigation of serious events and incidents as well as the internal and external reporting of those events
• Guides facility leadership in activities that enable and sustain an open and fair environment that promotes learning, safe systems, and appropriately, managing behavioral choices related to patient safety (e.g. Patient Safety Rounds, Event Response, and Disclosure)
• Maintains oversight of complaints and grievances, ensuring timely resolution in compliance with CMS standards.
• Facilitates and coordinates participation in UHS TERM and Clinical Safety programs
• Communicates appropriately and maintains a good working relationship with physicians, staff, directors, and administrative team. Serves as a resource for Administration, facility staff, and medical staff by articulating the UHS Risk Management and Quality Outcomes Programs.
• Participates and responds to any corporate initiative related to risk reduction (i.e., future HRU projects, emergent recall
• situations).
• Collaborates with UHS corporate, defense counsel, and UHS claim managers.
• Oversees management of claims and litigation of alleged medical malpractice and general liability issues. Collaborates with UHS corporate, defense counsel, and UHS claim managers.
• Addresses UHS Risk Alerts / Solutions and The Joint Commission Sentinel Alerts by review of current facility compliance and over - seeing Patient Safety Council / recommendation through action plan tracked.
• Develops and institutes policy and procedure related to claims processing and notification such as preservation (i.e.,
• saving) of physical evidence and critical document handling
• Reviews and updates annually the Risk Management / Patient Safety Plan including evaluation and design of annual goals
• and objectives.
• Educates and communicates on issues of risk prevention and topics derived from facility specific issues.
• Leads or actively participates in Root Cause Analysis ensuring that risk reduction strategies are completed in a timely manner.
• Serves as the content expert for all Risk Management information given in orientation assuring mandatory UHS topics are covered.
• Participates in regulatory survey.
• Organizes and maintains the facility's compliance policies and procedures.
• Coordinates resources to ensure proper implementation and ongoing effectiveness of the Compliance Program at the facility, including staff education.
• Provides assistance, as necessary, with investigations and implementation of corrective action plans relative to the Compliance Program.
• Maintain facility records relating to the Compliance Program as set forth in the UHS Compliance Policies.
• Other duties as assigned.

Benefit Highlights

• Sign On Bonuses for select positions
• Unlimited Employee Referral Bonus Program
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• Tuition/Certification Reimbursement after 6 months
• Culture of Excellence - Employee Recognition program
• Challenging and rewarding work environment
• Clinical Nursing Ladder opportunities
• SoFi Student Loan Refinancing program
• 401(K) with company match and discounted stock plan
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: uhsguest.com

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

Requirements:

Education: College Degree required.

Experience: 10 years hospital experience; Knowledge of the operations of the healthcare industry and delivery system.

License or Registration Requirements: CPHRM and/or CPPS. Knowledge of patient safety science principles, theory, methods, standards, regulatory requirements, and risk management.

Strong leadership qualities (task completion, motivation, organization) Knowledge of and experience with patient safety analysis techniques, including root cause analysis, cause and effect analysis, and failure mode and effect analysis. Advanced computer skills with word processing in database competency.

Training: N/A

Travel Requirements: Minimal

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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