Regional Patient Safety Risk Manager

This Position is Contingent Upon Contract Award.

The Regional Patient Safety Risk Manager (RPSRM) provides management, expertise and oversight of a comprehensive quality, health, safety, and risk management program for the medical services contract at assigned regional medical units of the U. S. Customs and Border Protection (CBP), U. S. Border Patrol Station Medical Units, and Office of Field Operations Ports of Entry Medical Units. The RPSRM is responsible for ensuring successful completion of administrative and program management tasks in accordance with the polices and protocols listed in the Statement of Work (SOW) and Department of Homeland Security (DHS) directives for the delivery of healthcare services to persons in custody. This position will provide strategic level management to the effort, ensuring that all the program goals and objectives are achieved in an accurate, efficient, and effective manner.

Contracted medical staff will be working alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to assure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females.

MISSION

CBPs Office of the Chief Medical Officer (OCMO) employs a trauma informed care model to provide frontline medical care for persons in CBP custody in accordance with Enhanced Medical Support Efforts CBP Directive (2210-004). This model provides a team of medical professionals comprised of physicians, advanced practice providers (e. g. , physicians assistants, nurse practitioners) and support staff (e. g. , Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed.

Duties and Responsibilities

Under the direction of the National Patient Safety Risk Manager (PSRMP), the RPSRM designs and implements the overall risk management process for assigned medical units.

Serves as the on-site risk management lead, performing duties at an assigned medical unit for an assigned region/sector/area.

Performs annual risk assessments, analyzing current risks and identifying potential risks that affect the assigned medical units.

Oversee and performs all risk reporting activities for assigned medical units, managing a local risk management database to track and monitor all occurrences, incidents, reports, and medical sentinel events. Creates a monthly risk report to submit to the NPSQMD in support of/as a part of the national medical quality management (MQM) program.

Oversees the health and safety program for assigned medical units: Assures completion of required medical clearance for FIT testing

Performs annual FIT testing of all employees at assigned units

Educates assigned medical units and staff on hire and annually on all OSHA compliance topics, to include, but not limited to: Biohazardous waste and disposal

Blood borne pathogens

Respiratory protection and personal protective equipment

Hazardous communication

Fire safety and evacuation plan

Performs daily medical unit rounds during shift hours, documenting any safety or hazardous conditions and reporting as needed. Follows up on completion of any needed safety/hazardous condition corrections.

Develops monthly education trainings specific to risk reduction in medical units and maintains documentation of staff completion of these trainings.

Provides initial and annual education to all staff on policy, protocols, procedures, and standing orders. Maintains all the policy and procedures manuals, updating them monthly with any changes or revisions. Assures staff are fully versed in the latest policies and procedures.

Provides ad hoc education and training to all staff as directed by the NPSQMD, and as needed based upon risk assessment and monitoring activities.

Monitors support staff patient care documentation for accuracy and completion, performing 50 monthly support staff chart reviews for compliance with policy, procedure, and documentation compliance. Reports findings to NPSQMD through a quarterly summary report and plans for any needed education or training for support staff. Serves as key member of the local MQM team and committee, documents minutes for all MQM committee meetings with attendance, and sends quarterly summary to NPSQMD.

Reports medical sentinel events, as needed. Manages the medical sentinel event review and root cause analyses at local level for assigned medical units under the guidance and direction of the NPSQMD and Physician Supervisor, Pediatric Advisor, and local physician, as applicable.

Initiates monthly quality improvement/performance improvement initiatives, performing semi-annual process improvement/outcome improvement study through collaboration with the local MQM committee, and under the guidance of the NPSQMD. Repeats any study that do not meet set thresholds for compliance.

Provides and monitors annual training for all medical unit assigned staff, to include CLIA training, completing Ishihara testing for staff if needed for CLIA compliance.

Assures mandatory reporting is completed for any state or local reportable disease or illness, working closely with the health department as needed.

Initiates and maintains compliance with DHS and CBP policies and any overriding accreditation standards that may apply.

Works within licensure/certification, Scope of Practice, or applicable Collaborative Agreement • Maintains compliance with standard operating procedures and protocols • Maintains patient confidentiality and privacy of medical records

Performs record keeping functions in accordance with program policies and the system of records management

Ability to use the electronic medical record and must maintain an 'active status' for use and complete all required trainings.

Utilizes the electronic medical records system for all documentation, to include, but not limited to all patient care, monitoring, medication administration/observation documentation, and input of any paper records as applicable

Maintains non-involvement in the security aspect of patient care and custody

Oversees general staff meetings, recording minutes, taking attendance, and providing a quarterly summary to the NPSQMD.

Assures a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis.

May provides direct patient care during times of surge or need.

Serves as direct supervisor for the Electronic Health Records Specialist, providing administrative oversight, mid-term review, and annua.