CHS Corporate
Director, Patient Safety
,
Full Time

Job Summary
The Director, Patient Safety directs patient safety and quality initiatives within the Patient Safety Organization (PSO), focusing on CHS PSO, LLC. The Director is responsible for analyzing patient safety data, identifying opportunities for improvement, and promoting evidence-based strategies to enhance clinical outcomes and reduce risk. This role provides education, mentorship, and leadership in implementing standardized patient safety methodologies and ensures compliance with PSO confidentiality standards.
Essential Functions
The Director, Patient Safety directs patient safety and quality initiatives within the Patient Safety Organization (PSO), focusing on CHS PSO, LLC. The Director is responsible for analyzing patient safety data, identifying opportunities for improvement, and promoting evidence-based strategies to enhance clinical outcomes and reduce risk. This role provides education, mentorship, and leadership in implementing standardized patient safety methodologies and ensures compliance with PSO confidentiality standards.
Essential Functions
- Leads and coordinates patient safety and quality improvement initiatives across CHS PSO, LLC.
- Analyzes internal and external data sources (e.g., occurrence reporting systems, Comprehensive Risk Assessment, Athena, AllScripts) to identify key opportunities to improve safety and clinical outcomes.
- Leads the ongoing maintenance and support of an occurrence reporting system, including direct support to facilities in entering and analyzing data, across CHS, PSO, LLC.
- Utilizes evidence-based practices and national patient safety standards to drive improvements in quality and care delivery.
- Educates and supports onsite CHS PSO, LLC affiliated providers in implementing Leadership Methods and S.A.F.E. Error Prevention Tools, including Safety Coach programs.
- Mentors Safety Coaches and collaborates with leaders through calls, webinars, and onsite visits to advance patient safety and quality initiatives.
- Serves as a certified educator and reviewer for standardized Cause Analysis methodology, supporting consistent event review and root cause analysis processes.
- Directs the Comprehensive Risk Assessment process for physician practices, ensuring question sets reflect root causes, industry standards, and best practices.
- Collaborates with the Quality and Risk Management leaders on Patient Safety improvement opportunities.
- Ensures compliance with AHRQ Component PSO Regulatory Standards necessary for continued listing of the CHS, PSO, LLC.
- Ensures compliance with confidentiality standards for Patient Safety Work Product (PSWP) by maintaining secure handling, labeling, and disclosure in accordance with CHS PSO, LLC policies.
- Reviews and signs CHS PSO, LLC confidentiality agreements and safeguards all communications, including email, fax, digital, and video formats.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- Master's Degree in Healthcare Administration, Nursing, Public Health, Quality and Patient Safety, or a related healthcare field preferred
- Experience in Patient Safety, or a related healthcare field required
- 5-7 years of experience in patient safety, risk management, or quality required
- 3-6 years of management experience in an accredited healthcare organization required
- Advanced proficiency with Microsoft Office Suite (Excel, Word, Access, PowerPoint, SharePoint).
- Strong analytical and critical thinking skills with the ability to interpret complex data and identify improvement opportunities.
- Effective problem-solving, conflict resolution, and negotiation skills.
- Excellent verbal and written communication skills with the ability to influence and educate diverse audiences.
- Strong time management, organizational, and delegation abilities.
- Knowledge of healthcare regulations, patient safety methodologies, and high-reliability organizational principles.
- Demonstrated leadership, integrity, and ability to build collaborative relationships across clinical and administrative teams.
- RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
- CPPS - Certified Professional in Patient Safety required or obtained within 1 year of employment
