On-site work schedule, Full-time, 40 hours per week

Job Summary:

This role will be the site lead for safety, risk and patient/family relations at Nantucket Cottage Hospital. This role will directly report to the MGB Community Director for Safety/Risk/PFR. The leader in this role will oversee the execution of MGB strategy, processes and infrastructure for the domains of safety, risk and PFR at NCH.

This role is the leader at NCH to support the implementation of standardization of best practices and a system strategy as it relates to risk, safety and PFR. Additionally, this role would manage any other team members within those domains. This role will maintain sound organizational relationships, work well within a matrixed and integrated health care system, and will be facile in performing bi-directional communication with MGB leadership as well site leadership.

This role will collaborate with site leadership to execute long and short-term goals for Risk Management, Patient Safety programs, and patient and family relations. Responsible for executing and facilitating process improvements in a safe, consistent environment that promotes quality care and optimal patient outcomes within the constraints of available resources.

Because this is a leadership role in an active change management environment, this leader will need to demonstrate flexibility and open mindedness as the contours of this position will actively evolve over time.

Essential Job Duties and Responsibilities

* Provide input as directed/needed by the Community Director for Safety/Risk/PFR at MGB to support the creation of the strategy, policies, and guidelines to ensure a highly reliable system and culture for safety within Mass General Brigham

* Support the build out of NCH's safety/risk/PFR infrastructure, ensuring standardization in training, processes, and safety responses that are in line with MGB

* Executes the MGB safety strategy at NCH including those around root cause analysis, safety event reporting/management/mitigation.

* Under the direction of the Community Director for Safety/Risk/PFR, implement the system-wide safety event reporting system at NCH including conversion from legacy, siloed systems.

* Support as needed for system wide safety events such as recalls, shortages, and other events that impact safety for NCH

* Under the direction of the Community Director for Safety/Risk/PFR, implement the standardized risk management strategy, policies, and procedures at Nantucket Cottage Hospital, ensuring that risk management activities both align to and augment our approach to patient safety.

* Serve as the NCH escalation pathway for significant adverse events, risks, etc that need to be escalated to the system level.

* Executes MGB PFR strategy and oversees management of PFR for NCH: This includes ensuring review of patient experience data from the NRC surveys at NCH, accountability to the Community Director for Safety/Risk/PFR to ensure that PFR processes at NCH are in line with MGB processes and policies. Also ensures that tracking of PFR is in line with MGB tracking processes.

* Understand data provided by the system team and use knowledge of local practices and culture to identify areas of opportunity for improvement of patient safety as well as communicate to the system areas which are at risk.

* Coordinates internal performance improvement activities at NCH

* Oversight of the NCH team as they manage patient related and visitor adverse events, ensuring NCH is compliant with all risk management activities including malpractice claims

* Prepares reports and presentations pertaining to: Patient Safety, Performance Improvement, and Regulatory Affairs and others, as requested.

* Under the direction of the Community Director for Safety/Risk/PFR, implements and coordinates safety/risk/PFR improvement initiatives.

* Supports the Patient Care Assessment Committee and Medical Staff process improvement activities, identifying trends, analyzing data, generating reports and recommending actions to achieve and sustain improvement.

* Supports State and Federal Office of Rural Health Rural Health activities including generating reports and recommending activities for available grant funds.

* Manages the department budget effectively and determines fiscal requirements and prepares budgetary recommendations.

* Performs staff performance evaluations establishing a development plan for each employee.

* Manages 1 direct report.

* Other duties as assigned

Essential Knowledge, Skills, and Experience Required for the Position

Knowledge, Skills, and Experience Required

* Demonstrated knowledge and application of safety science, tools and techniques; statistics; group facilitation skills; medical staff peer review concepts.

* Demonstrated knowledge and experience performing all risk management activities including malpractice claims

* Knowledge of requirements for maintaining TJC accreditation and standards compliance.

* Kindness, Empathy and excellent emotional intelligence, with the ability to balance collaboration vs. execution.

* Managing complexity: Make sense of complex, high quality, and sometimes contradictory information to effectively solve problems

* Accountability: Holding self and others accountable for commitments, responsibilities and behaviors

* Excellent organizational skills, ability to work on multiple projects under multiple deadlines; highly energetic, and able to embrace challenges and change.

* Must be a team player and work well with a variety of people in all levels of the organization.

* Undergraduate required. A master's degree in nursing, Public Health, Business Administration, Public Administration, or Health Services Administration preferred.

* Minimum of 3 years relevant experience in Safety, Risk Management, and patient family relations

* Minimum of 3 years demonstrated success in leading process improvement and initiatives and managing teams

Special Requirements

* Must be available to work in the case of a Hospital declared emergency.

* Must be available to assist during regulatory agency reviews.

Nantucket Cottage Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.