The Medical Director promotes all aspects of quality improvement and patient safety, both within the Joint Commission and to external audiences. This includes oversight of initiatives related to performance improvement and patient safety. The Medical Director also serves as the President’s designee to authorize For Cause surveys and evaluate and recommend situations that lead to an Immediate Threat to Life or Safety, in an accredited organization.
PRINCIPAL DUTIES AND RESPONSIBILITIES
- Works collaboratively with the Chief Medical Officer and with national communities of organizations and individuals committed to improvement in the culture and practices of quality and patient safety to improve patient safety.
- Has primary responsibility for prioritizing patient safety concerns and coordinating the consensus driven process that leads to the selection of a topic to be formulated into a National Patient Safety Goal.
- Provides staff leadership for the Patient Safety Advisory Group and other key national organizations in gaining alignment for National Patient Safety Goals.
- Provides oversight and medical expertise for the Office of Quality and Patient Safety.
- Oversees data management and analysis related to the Sentinel Event Database.
- Guides the formulation and issuance of Sentinel Event Alerts.
- Identifies, develops, and disseminates state-of-the-art Patient Safety Solutions.
- Conducts, expands, and promotes collaborative research in patient safety.
- Is recognized as the lead information and education resource for patient safety within the Joint Commission.
- Works to influence public policy and legislation to promote improvements in patient safety.
- Within the activities mentioned above, provides focus for the organization on the issues related to developing strategies for promoting improvements in patient safety through standardization, human factors or system re-engineering, and organizational process change.
- As the president’s designee, reviews the Office of Patient’s Safety’s analysis of complaints and approves for cause surveys or other possible actions
- As the president’s designee, reviews serious findings with the survey team and central office staff, and approves recommendations to the Accreditation Committee to declare an Immediate Threat to Life and Safety (ITL)
- Collaborates enterprise wide to identify opportunities to advance patient safety