Carries out responsibilities of the Safety Officer for three hospitals. Serve as the leader
and resource for Safety EOC issues or other safety issues in the.
Develops and maintains the Safety Management Plans, for the Region. Facilitates
annual evaluations for the Safety and Management Plans as required by TJC.
Works directly with education to design, develop, coordinate and implement hospital wide and site-specific safety training.
Chair and coordinate the Regional and local Safety/EOC Committees and other related
sub-committee meetings.
Investigates, researches, and makes recommendations regarding best practices with
respect to safety and environment of care, security and emergency management.
Oversees and manages compliance with all applicable regulations including but not
limited to TJC, CMS, NFPA, and OSHA for the Region hospitals and all ambulatory
sites.
Ensures that environment of care safety rounds are performed at least twice annually in
clinical areas and once a year in non-clinical areas. This includes both hospital and
ambulatory clinics. Provides written reports of the audits to supervisors/managers in
these areas. Ensures timely completion of plans of correction.