Manager Patient Safety

Job Summary / Purpose

Oversees the facility Patient Safety Program, including the Patient Safety Plan requirements for the collection,
analysis and reporting of events and patient safety data, investigation of events and near misses, and ensuring
all accreditation and regulatory requirements for patient safety are fully met. Participates in system office
initiatives and programs to mitigate identified risks at various facilities which result in reduced costs, reduced
adverse patient outcomes, and safer patient care. Coordinates claim team requests and collaborates with other
key stakeholders to implement learnings from claims. Oversees the coordination of all legal documents related to
hospital liability.

Essential Functions

Implements and oversees the organization-wide patient safety program and manages the reporting, data
analysis and evaluation as outlined in the Patient Safety Plan. Ensures regulatory and accreditation requirements
for patient safety are fully met. Provides patient safety education at new hire orientation and ongoing to leaders,
clinician presentations (e.g. event reporting expectations, culture of safety, patient safety initiatives, etc.)
Oversees the events reporting process, root cause analysis, and event investigation/review. Supports and
encourages harm reporting throughout the organization through a non-punitive just event reporting system.
Participates in system office initiatives and programs to mitigate risks identified at other hospitals, resulting in
reduced costs, adverse patient outcomes and ultimately safer patient practices/care. Prepares and presents
informative and actionable patient safety reports (to include patient's story of harm) to appropriate committees
to include high level presentations to leadership, Medical Executive Committee and The Board.
Receives and oversees responses to patient complaints/grievances and investigates to solve issues promptly.
Acts as an intermediary between patients, staff and family to provide clear communication between all parties
regarding any outstanding issues. Seeks input from patients/families involved in harm or close-call events as
appropriate.
Coordinates the requests from the system office claims team (related to litigated claims) and collaborates with
other key stakeholders to implement learnings from claims. Coordinates all legal documents related to hospital
liability, including the management of subpoenas, Summons and Complaints and other related activities
The job summary and responsibilities listed above are designed to indicate the general nature of the work
performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all

job responsibilities required of employees assigned to this job. Employees may be required to perform other
duties as assigned.

Education and Experience

Bachelors Other upon hire or five (5) years of
related job or
industry
experience in
lieu of degree

Required and

Minimum of
three (3) years
of risk
management,
patient safety
and/or other
related
professional
experience

Required and

minimum of two
(2) years of
experience
managing/
supervising
employees
and/or vendors

Required and

Required/
Preferred And/Or

Experience with
the event
reporting
process, root
cause analyses,
and event
investigation/re
view

Required and

Experience with
patient
compliant/griev
ance
investigations
and prompt
resolution

Required and

Experience with
risk and the
implementation
of HPI and
cause analysis

Welcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky. 

Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. 

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.