Department/Unit:

Work Shift:

Salary Range:

Essential Functions

Sentinel Event/RCA & Occurrence Review/Reporting

·   Manage the Occurrence Reporting System and sentinel event process.

·   Facilitate assigned improvement teams in analyzing events, identifying performance problems in work processes, redesigning work processes, and implementing possible improvements

·   Prepare debriefs and or root cause analysis reports, which meet regulations, as well as serve the needs of the work teams problem solving.

·   Design, develop, and implement a process for monitoring of action plans.

·   Manage the selection, preparation, and dissemination of occurrence/quality data and reports that apply sound statistical process control and quality assurance concepts.

·   Manage events and safety occurrences within service area

·   Follow sentinel event protocol

·   Complete RCA process within DOH guidelines and following the departmental protocol.

·   Report to DOH immediately upon completion of Root Cause Analysis

·   Manage the Sentinel Event alert process.

·   Oversee Culture of Safety workgroups

·   Complete FMEA and comply with regulatory requirements.

Loss Control

·   Manage the reportable event process

·   Identify any and all reportable events within service area

·   Report in timely manner

·   Respond to any inquiry’s from the regulatory bodies within service area

·   Design, develop and manage early warning system for service area

·   Manage loss control strategy development for service area.

·   Manage, design and develop RM educational efforts for service area.

·   Manage, design and develop system review process for service areas.

·   Assist with and manage the data analysis process within service area.

·   Liaison with DOH, OMH, DNV and other agencies as necessary.

·   Provide support and advice to members of the service area involved in sentinel events or claims/litigation.

Thank you for your interest in Albany Med Health System!​

Albany Med Health System is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Med Health System, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Health System policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.