Under the direction of the CHP Market Director of Risk & Insurance the Facility Director (“Director”) supports and communicates the goals of the CHP Insurance & Risk Services Department within the Facility, and shares accountability for achieving program goals and objectives. The Director leads, all aspects of risk management for the Facility. The Director is responsible for a Facility- enterprise wide risk management program for acute and non-acute care centers, and all ancillary business entities when CHP is the majority owner and for which the Director is responsible as delegated by the CHP Market Director. Specific Risk Management responsibilities include but are not be limited to:
· manage and analyze risk management data;
· identify and minimize loss exposures in order to protect the assets of the Facility;
· maintain a general knowledge of the Facility’s insurance programs;
· conduct risk management educational programs;
· comply with regulatory and accreditation standards;
· manage retained losses through standardized processes;
· works in conjunction with CHP Claims Department and outside defense counsel in the defense of all claims;
· maintains a high profile within respective facilities, collaborates with leadership;
· other duties as assigned
Supervises risk management and insurance personnel throughout the Facility; serves as a subject matter expert for the Facility and Home Office initiatives and Collaboratives. Works under the direction of the Market Director of Risk and Insurance regarding the use of loss control data for accountability for the Facility.
· Assists the Market Director of Risk and Insurance in the operations of the risk management program including an enterprise approach to exposures.
· Directs loss control/loss prevention activities based on the Facility risk profile and reports results to the CEO on a regular basis.
· Collaborates with CHP Home Office Risk Management, Patient Safety and Legal departments on various safety and risk mitigation initiatives.
· Communicates legislative activities and litigation trends to Facility leadership.
· Develops and implements departmental and facility policies and procedures that affect liability exposures.
Director organizes and manages the Facility wide loss prevention strategies and initiatives. These strategies include proactive risk activities such as risk assessments, educational programs, consultations and ensuring compliance with the multiple laws and regulations affecting patients, visitors, employees and the community we serve.
· Conducts risk management surveys and studies and responsible for developing and implementing effective action plans to address risk exposures.
· Produces evidence based strategies and industry standards to assist in strategic planning.
· Participates in the event management process including initiating and participating in the Event Investigation Team; coaching leadership and physicians in the apology and disclosure process; attends the Root Cause Analysis; may assist with the early liability review process.
· Adheres to all CHP policies regarding serious reportable events and sentinel events.
· Participates in/provides guidance regarding medical staff credentialing and peer review referrals.
· Contributes in establishing loss prevention initiatives related to non-clinical risk reduction and mitigation techniques by implementing commercial insurer’s recommendations for loss control.
· Complies with various codes, laws, rules and regulations concerning patient care, including those mandated by state and federal agencies, incident reporting, also includes investigative activities with federal, state and local enforcement authorities.
· Develops, and presents educational material to administration, the medical staff, nursing personnel, and other department personnel on topics related to risk management.
· Acts as a consultant and answers medical/legal inquiries of physicians, nurses and administrators regarding emergent patient care issues, insurance & claim questions.
· Participate in Patient Safety WalkRounds, Collaboratives, and other patient safety activities.
· Oversees the effective management of SafeCARE reporting and documentation.
· Takes “On call” responsibility related to risk management issues and adverse events as scheduled.
The Director controls the initial risk management investigation and if a claim is expected or received works actively with the Claims Managers and external defense counsel in preparing a defense. The Director ensures systems are in place to have all potential and asserted clinical and non-clinical claims reported to Claims Managers in a timely fashion.
· The Director acts as a Facility representative at legal proceedings.
· Acts a signatory on interrogatories and requests for production of documents.
· Apprises Facility Leadership of overall claim experience on a regular basis and high exposure events as they become known.
· Enters potential and actual claims in the Claim Data Base and maintains the investigation file according to the Risk Management Plan.
The Director maintains a general knowledge of, and is familiar with, the facility’s coverage for professional liability, property and casualty loss, including CHP Insurance Ltd, the, risk insured retention, and coinsurance.
· Participates in the Facilities insurance programs by ensuring exposure data is maintained to facilitate renewal of the CHP centralized insurance program.
· Communicates any new exposures to avoid coverage gaps.
· Acts as a consultant to the Medical Staff office regarding issues related to adequacy of medical staff members insurance carriers and limits.
KNOWLEGDGE, SKILLS & ABILITIES
· Bachelor’s degree in Healthcare related field or Business required. Certification in Risk Management (CPHRM or ARM) required within five years of hire.
· Demonstrated understanding of the risk management process, principles and practices essential.
· Excellent report writing and public presentation skills.
· Three years of acute care healthcare Risk Management or operational experience required.
· Excellent interpersonal relations and communications skills (verbal, written, and listening skills). Ability to build collaborative relationships with internal and external customers. Able to establish excellent rapport with physicians and other health care executives; must have a diplomatic and consultative approach.
· Ability to conduct risk assessments, and pro-actively identify risk exposures.
· Ability to manage, aggregate and analyze data.
· Attention to detail and highly effective time management skills.
· Expertise with clinical performance improvement using traditional and evolving quality improvement tools and techniques (e.g., RCA, PDSA/Rapid Cycle Improvement, Patient Safety WalkRounds, FMEA, etc.).
· Action-oriented, shows initiative, enthusiasm and motivation toward the principles of patient and resident safety. Demonstrated ability to work independently without day-to-day supervision.
· Familiar with adverse event reduction methodologies and their successful, measurable applications.
· Strong organizational and project management skills to support implementation of system-wide risk initiatives.
· Excellent understanding of various regulatory and accrediting bodies and laws affecting patient care.
· The ability and willingness to identify with, share in and have commitment to the philosophy, mission, values and vision of our Sponsors and Catholic Health Partners
Ability to travel 5% of the time.
Internal Number: 4665720
About Mercy Health
Working at Mercy Health means you are making a difference in your community every day. Each of us has the ability to impact patient care, either directly or indirectly. Mercy Health offers a wide variety of opportunities across Ohio and Kentucky. Explore your passion in our faith-based ministry.
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