Job Summary: The Patient Safety Risk Consultant assists Leadership with development, planning, implementation, and evaluation of patient safety and continuous survey readiness strategies. Essential Job Functions Accountabilities: Responsible for the reviews and evaluation of safety events and incidents for both ambulatory and inpatient care, including the identification and prioritization of serious events for further evaluation. Facilitates Root Cause Analysis, FMEA, and other tools to support multidisciplinary teams to achieve clinical and regulatory performance improvement goals. Provides timely information to TJC when an untoward event occurs, whether by accident or not, that causes serious harm to a patient. Partners with staff to identify and implement solutions that address contributing factors to adverse patient events via process improvement activities, policy development, etc. Participates in managing serious incidents and follow up actions to ensure implementation of system changes. Contributes to the development and implementation of a robust Continuous Survey Readiness and Patient Safety program as a District-wide system. Assesses compliance standards regarding regulatory changes via tracers, case reviews and chart reviews. Acts as a resource to JPS leadership to provide overviews of status of clinical regulatory compliance and readiness. Facilitates all surveys, including mock surveys, and functions as a member of the onsite survey management team during regulatory and licensure surveys by the Department of Public Health, Department of Mental Health, Centers for Medicare and Medicaid Services and The Joint Commission or other regulatory/licensing bodies. Works with leadership to implement programs designed to maximize patient safety, clinical risk prevention, and continuous survey readiness performance and evaluation as established by organizations/programs such as NQF/Leapfrog Program and TJC NPSGs and Sentinel Event Alerts. Rounds, educates, and collaborates with assigned area leaders and frontline staff on patient safety/regulatory efforts, reporting events or concerns, and loop closure of prior events/concerns, per agreed upon time frames/schedule. Utilizes best practice information from external organizations (e.g., ISMP, ECRI, IHI), to develop materials for inclusion in educational resources and programs. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.