Attachment B - Statement of Duties_Risk Management Nurse.pdf

03/2016

Indian Health Service

Statement of duties

Position title:

Duty location:

Provide specific statement of duties for position to be filled:

1. BLS

Shift:

80 Hrs Per Pay Period / 8 Hr Day Shifts Mon - Fri/ includes some Wknds and Holidays

Statement of Duties:Statement of Duties: Position is located in Quality Management Division of the Gallup Indian Medical Center.

Major Duties:Responsible for coordination of organizational observance of risk management plan and policy and procedures. The risk management practices include coordination of all aspects of hospital loss prevention and liability control, risk identification, remedial action, documentation, education and related issues at Gallup Service Unit.

Performs risk assessment that include data collection such as conduct interviews, extensive literature research, identify best practices for comparative analysis and identify procedural gaps that lead to real or potential problems for GSU's operations of patient care delivery.

Ensures the collections and analysis of data to monitor the performance of processes that involve risk or that may result in serious adverse events (e.g., preventative screening, diagnostic testing, medication use processes, and prenatal care). Proactive risk assessment can include the use of failure mode and effects analysis, system analysis, and other tools.Analyzes data collected on adverse events, near misses, and potentially unsafe condition; providing feedback to providers and staff, and using this data to facilitate systems improvements to reduce the probability of occurrence of future related events. Root-cause analysis and systems analysis can be used to identify causes and contributing factors in the occurrence of such events.

Monitors and evaluates the quality of patient care, continuous improvement of patient care and support of service unit strategic plan.Investigates potential compensatory events from collected information and provides specific recommendations to the Risk Management Supervisor for evaluation and need for further escalation of the information to Executive Leadership. Ensures that the investigation of all risks involving actual or potential injury to patients, visitors, and employees are mitigated for best resolution.

Provides early analysis and investigation of actual, as well as, potential risks within and around the area served. Makes periodic inspections to achieve compliance and reports any issues to the Risk Manager Supervisor, QM Director, CEO and Executive Leadership Team for corrective action.I nforms and provides input to all regulatory issues, deficient findings, and survey results to the Quality Division team to eliminate all levels of risks. Assist managers and supervisors in designing safe, quality care processes. Responds to crisis situations that have risk management implications to assist staff. Answers medical-legal inquires of physicians, nurses, and administers regarding emergent patient care issues and loss control. Adheres to guidelines for Indian Health Service, Joint Commission, and other accreditation standards, policies, procedures, and regulations applicable to hospital self-assessment risk management programs. Regularly updates service unit leadership on current guidelines.

Participates and may represent Service Unit at any NAIHS or IHS meeting concerning Risk Management issues.

The incumbent evaluates and make recommendations to include prioritization of educational briefing and assessments by the Quality Division (that would include Safety, emergency Management, and Infection Control) for community partners and tribal initiative that are part of the strategic plans with community and tribal initiatives.

Completes any required or mandatory paperwork dealing with other agencies in regard to any risk management issues. Presents risk management report to Risk Management Supervisor, Quality Management Division.

Performs other duties as assigned. Some duties not specifically described or included in the position description (PD) may be assigned from time to time to meet the departments or facility's objectives and obligations.