PRIMARY RESPONSIBILITIES

• Develops and implements systems, policies and procedures for the identification, collection and analysis of risk related information. Collects, evaluates and maintains data concerning patient injuries, operational risks, and other risk-related data.

• Responsible for the organization’s apology and disclosure process including guidance, education and process development.

• Monitors and evaluates systems to track, analyze, and report occurrences and unanticipated outcomes and formulate and recommend prevention strategies to mitigate identified clinical risks.

• Develops risk metrics and risk mitigation reporting for department level, ministry level and executive leadership team on risk management activities to the departments, ministry leadership and executive leadership team.

• Develops, coordinates, and implements professional education and training programs, and policies and procedures related to risk management, and other relevant topics.  

• Directs and maintains compliance with federal, state, local and agency regulatory requirements related to risk management, including the management, investigation and response to events.

• Refers cases and incidents to professional peer review teams, as appropriate.  

• Participates in, and/or leads as appropriate, Root Cause Analysis (RCA) or Apparent Cause Analysis for identified events to understand the root cause(s), corrective actions, and risk mitigation strategies developed.  

• Recruits, engages, develops, leads, and manages assigned staff.

• Perform other related duties as assigned.