The Risk Manager is a member of the executive team of the DFCI Quality and Patient Safety (QPS) Department. The Risk Manager is responsible for coordinating all aspects of the DFCI risk management program under the direction of the Senior Manager Clinical Risk and Patient Safety, including the identification, evaluation, and treatment of risk at the Dana-Farber Cancer Institute (DFCI), including outpatient clinics at DFCI-Longwood and satellites, the DFCI inpatient hospital, and Dana-Farber Community Cancer Care (DFCCC). The Risk Manager provides leadership in risk management, by promoting the highest level of quality care to the patients, ensuring regulatory compliance and mitigating malpractice risk through loss prevention. The Risk Manager plays an integral role in regulatory and accreditation readiness by assisting with the implementation of the Patient Care Assessment Plan and the Quality Improvement Plan consistent with Board of Trustee approved goals and regulatory and standard setting agencies. The Risk Manager performs as an internal compliance consultant by maintaining current knowledge of hospital regulations including DPH, BRM, The Joint Commission, CMS, and FDA. The Risk Manager will develop external and internal relationships to ensure compliance with applicable regulations.
Primary Duties and Responsibilities:
Serves as one of the sites "Safety Reporting System administrators" for the electronic incident reporting system. Reviews, evaluates, and reports on events, incidents, and claims including detailed trending to identify high risk areas for management attention.
Patient Care Assessment Coordinator (PCAC) - Responsible for implementing, by delegation, oversight, facilitating, coordinating, or otherwise, the DFCI Patient Care Assessment Program and with ensuring compliance with the Board of Registration in Medicine requirements. (243 CMR 3.00).
Serves as the hospital liaison to the Board of Registration in Medicine (BRM).
Functions as the formal administrative liaison to the Quality Improvement/Risk Management committee in ensuring adherence to the requirements of the Patient Care Assessment Plan.
Collaborates with the Medical Director of the Center for Patient Safety in the review of cases involving patient harm or significant deviation of standard procedures which could cause patient harm.
Prepares and submits required semi-annual and annual reports; files serious quality reviews (SQRs), responds to inquiries from BRM; interprets regulations, educates staff re: current or new BRM regulations; interprets with medical staff, and the Office of General Counsel appropriate cases to be filed as an SQR.
Facilitates the root cause analysis process in the event of a sentinel or near miss event. Coordinates review of medical information, interviews staff, debriefs all individuals as indicated, and ensures appropriate and timely follow up for identified action items.
Provides timely information to CRICO when an untoward event occurs, whether by accident or not, that causes serious harm to a patient.
Responsible for the administration of programs including the DFCI Occurrence Screening and Report Program.
Participates on various committees as requested, including the Inpatient and Ambulatory Event Committees.
Works with the Center for Patient Safety and other DFCI committees and departments to assess compliance with standards via audits, case reviews and chart reviews; educates, as appropriate, regulatory changes; acts as a resource to Institute leadership to provide 'snapshot' overviews of status of clinical regulatory compliance; investigates clinical compliance issues or suspected deficiencies.
Pharmacy and Therapeutics Committee, the BWH Care Improvement Team, the Multidisciplinary Peer Review Committee, the Joint Quality Improvement and Risk Management Committee, and the Critical Incident Review Committee.
Monitors safety reports on the inpatient Hematology/Oncology/BMT Services at BWH, seeking follow up when data is incomplete and providing summary trending reports.
Provides support to clinical departments, administration and committees regarding Risk Management issues including evaluation of clinical incidents for severity and potential reporting to regulatory agencies.
Coordinates risk and safety management orientation and continuing education programs for providers, management, and staff to enhance awareness of their role in patient safety, risk reduction, and safety event reporting.
Participates in ongoing regulatory readiness activities and functions as a member of the onsite survey management team during regulatory and licensure surveys by the Department of Public Health, Centers for Medicare and Medicaid and the Joint Commission.
Collaborates with the Director of QI/RM/Regulatory Compliance and the Senior Director of Patient Safety to support the Quality and Patient Safety Program by being a resource for error detection and prevention, working on teams and facilitating Failure Mode and Effects Analysis projects, etc.
Supervises staff and oversees the Patient/Family Relations Department's responsibilities in ensuring that patients and their families are provided with patient advocacy services in compliance with CMS standards.
Ensures that the complaint follow-up process is comprehensive and timely.
Facilitates appropriate use of Institute resources for service recovery efforts.
Ensures that staff's responses to patient requests are appropriate.
Supports data trending and reporting of patient requests and grievances.
Serves as liaison to DFCI satellite clinics for risk management and regulatory readiness.
Serves as a resource to the DFCCC for risk management and patient complaint management.
Participates in the process of disclosure and apology of medical errors when called upon.
Collaborates with the Office of General Counsel attorneys on legal matters when requested.
Minimum Job Qualifications:
Master’s degree in health or legal-related field.
Previous clinical practice experience required. RN preferred.
3+ years Risk Management Experience Preferred.
Additional experience in safety, quality, or compliance will be considered.
Knowledge, Skills, and Abilities Required:
Ability to learn and use safety reporting system in order to function as System Administrator.
Knowledge of hospital administrative and medication policies.
Knowledge of The Joint Commission standards, OSHA, CDC, DPH, BRM and CLIA regulations.
Clinical judgment to evaluate findings in medical record review.
Interpersonal skills and maturity to work with multiple levels of hospital staff and administration.
Ability to work with confidential patient information.
Ability to identify resources to obtain needed information.
Public speaking skills to make presentations of information at committee meetings and in-service education updates.
Writing skills to complete committee meeting minutes, summary and analysis reports, and inter-departmental memos.
Organizational skills to facilitate small task forces for problem investigation and solving.
Knowledge of PC computer programs - Word processing (e.g., Microsoft Word) and spreadsheet programs for creating tables and charts (e.g., Excel).
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.