Director Patient Safety

This position is incentive eligible.

##### Introduction

Want to join a team of daring managers who care without reservations or limits? Our HCA Houston Healthcare Mainland team is looking for a Director Patient Safety. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.

##### Benefits

HCA Houston Healthcare Mainland, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long\-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long\- and short\-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee\-only coverage to full\-time and part\-time colleagues based on income.

Learn more about Employee Benefits

*Note: Eligibility for benefits may vary by location.*

HCA Healthcare is committed to research and clinical protocols. Do you want to impact standards of care and save lives across the country? Apply today to our Director Patient Safety and be a part of the innovation of ideas.

##### Job Summary and Qualifications

What you will do in the role:

Systems Thinking and Reliable Design Expectations:

• 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 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 Expectations:

• 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 Patient Safety Organization.
• Actively participate in PSO learning collaborative. Ensure implementation of best practices, alerts, and updates to drive patient safety improvement.

Safety Culture Advancement Expectations:

• 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 non\-punitive 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.

Patient Safety Education Expectations:

• Include patient safety in new hire orientation presentation (e.g. PSO membership, reporting expectations, safety culture)
• Provide ongoing education to leaders, clinicians and staff on the science of safety (high reliability, effective communication, sustaining awareness/alertness) and patient safety initiatives.

Partnership with Executive and Clinical Leaders Expectations:

• 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, and Disclosure).
• Partner with Quality to complete the NQF Safe Practices section of the Leapfrog Hospital Survey.

Patient and Family Engagement Expectations:

• Engage patients/families when appropriate in the patient safety program.
• Seek input from patients/families involved in harm or close call events as appropriate.

Measureable Reduction in Avoidable Harm Expectations:

• Oversee the management and use of event information to benchmark and track progress to zero avoidable harm.
• Provide analysis and identifying trends from reports (e.g. PSIP data, SHARP report, Service Line Dashboards) 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.

Risk Management/Claims Activities (if not otherwise assigned)

• 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 HCI of 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.

###### What qualifications you will need:

• (CPPS) Certified Professional in Patient Safety required or obtain within 12 months of hire
• Bachelors Degree in Healthcare or related field required. Masters Degree preferred
• Clinical Background required
• Minimum of three years healthcare experience in patient safety, risk and or quality preferred. Healthcare experience should be recent and within a clinical setting such as Hospital, Ambulatory Surgery center, etc.

HCA Houston Healthcare Mainland, a campus of HCA Houston Healthcare Clear Lake, has been serving Texas City, Texas for more than 60 years—bringing compassionate, “patients first” care into Galveston County and the surrounding communities. Since being founded in 1952, HCA Houston Healthcare Mainland has grown from a 90\-bed hospital to a 220\+ bed acute care facility offering quality care with premium services. That growth is a reflection of the changing needs of our community and patients, as well as rapidly advancing medical technology. Our highly skilled staff and specialized physicians provide service excellence to all of our patients. Our services include inpatient and outpatient medical, surgical and specialty services. We are a Level IV Trauma Center and a Primary Stroke Center. Together, we offer a complete range of specialized health programs to improve the health of our community. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient\-centered care you need close to home.

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.

"Good people beget good people."\- Dr. Thomas Frist, Sr.

HCA Healthcare Co\-Founder

Unlock your potential with a leading healthcare provider dedicated to its patients, colleagues and communities. Help guide our team as a Director Patient Safety and help us improve more lives in more ways.

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.