Description

JOB SUMMARY

This position provides comprehensive managerial oversight for employee safety, environment of care, security and emergency management expertise and services to Munson Healthcare Grayling Hospital, Otsego Memorial Hospital, Charlevoix Hospital and East Region ambulatory sites, in alignment with MHC system standards.

The Regional Manager of Safety, Security, Environment of Care and Emergency Management serves as the Safety Officer and is directly responsible for 

1.Employee Safety, regulatory compliance and

2.Environment of Care regulatory compliance, documentation, Tracer program, and

3.Security Department day-to-day operations including Security personnel, access control, and security cameras and projects

4.Emergency Management programs in alignment with System Em programming

Employee Safety Responsibilities

As the designated Safety Officer, this position has the authority to stop unsafe operations, and communicate with the appropriate leadership if this occurs This position advocates for the safety of employees, providers, patients and visitors. This position uses Lean thinking and A3 analysis to formulate effective countermeasures to identified risks. This position collects and analyzes employee safety data to identify trends and presents relevant information to appropriate leadership and workgroups.This position coordinates with Employee Health and department managers to ensure appropriate, thorough, and timely follow up investigations occur when employees are injured.

Environmental Safety Responsibilities

Ensuring safe and secure environments at hospitals and ambulatory sites within the Region is a primary function of this position. Maintaining compliance with EOC standards and requirements helps guide this work. Leads the Environment of Care Rounding Program using the Tracer tool. This includes leading Regional EOC meetings and sub-committees such Workplace Violence, Sharps Safety, and employee safety initiatives. This position promotes safe and secure work and patient care environments through proactive risk assessments, environmental tours, quality and safety initiatives, and safety campaigns.

Security Management Responsibilities

Provides leadership and operational supervision to Security team members at three hospitals in alignment with System policies and standards and MHC Values. This includes all activities related to personnel: hiring, developing, and completing annual discussions, disciplinary processes in accordance with HR policies and guidelines.

This position ensures that initial orientation and ongoing training requirements for Security Officers occur a timely manner.The position maintains competency records and HR files for all officers.The Security manager is responsible for establishing annual department goals and managing budgets that support the System standards and True North. This position is responsible for maintaining all department policies in accordance with regulatory requirements, consistent with system standards. This position serves as a resource to Security Officers within the Region, coordinates staffing, scheduling, Kronos activities, provides functional supervision and facilitates department meetings.

The position maintains competency and expertise in security systems including but not limited to DSX access control, Avigilon security cameras, alarm systems, and panic alarms. This position regularly reviews Security Officers’ documentation, assesses risks and offers solutions This position oversees the ID Badge programming process in coordination with Human Resources.

Emergency Management Responsibilities

These duties include but are not limited to the following:

• Oversees programs that ensures all-hazard readiness for emergencies and disasters.
• Coordinates annual hazard vulnerability assessments
• Identifies goals and priorities in collaboration with the System Emergency Management and Senior Leadership teams at each hospital.
• Coordinates drills and exercises at hospitals and ambulatory sites
• Coordinates Decontamination programs and training
• Ensures regulatory readiness including required education, training, and documentation
• Ensures that all four phases of disaster readiness are addressed: Preparation, Mitigation, Response and Recovery
• Works with Region 7, Local Emergency Managers, and hospital emergency department managers to ensure coordinated planning, risk mitigation, response, and recovery pertaining to emergencies and disasters.

ENTRY REQUIREMENTS

• A bachelor’s degree in safety, industrial hygiene, law enforcement related professional discipline from an accredited or university is required. In lieu of a bachelor’s degree, consideration will be given to individuals with a minimum of 3 to 5 years of recent relevant experience and education.
• CHSP (Certified Healthcare Safety Professional) certification preferred.Other safety certifications in related fields may be considered.
• Must be able to pass physical requirement to allow emergency response wearing personal protective equipment (PPE).
• Must possess excellent verbal and written skills.
• Must be very proficient with Microsoft Office applications, such as Word, Access, Excel and PowerPoint and able to utilize them effectively for presentations; communications, record keeping.
• Ability to interact and with a diverse group of personalities from multiple disciplines including public health, hospitals, emergency medical services, police, fire, infectious disease experts, employee health, ambulatory leaders, front line staff and providers.
• Demonstrates working knowledge of The Joint Commission (TJC) EOC, EM and Life Safety standards, The Centers for Medicare and Medicaid Services (CMS) requirements, Michigan Occupational Safety and Health Administration (MIOSHA) regulations/laws, National Fire Protection Agency (NFPA), and other related regulatory agency standards.
• Demonstrates strong communication, education, presentation and leadership skills with the ability to motivate and inspire people at all levels of the organization to grow a safety culture focused on zero harm.
• Training requirements: FEMA National Incident Management Systems Courses: IS100, IS 200, IS700 and IS800, as well as 300 and 400.
• Possession of a valid driver’s license.
• Ability to provide positive collaborative leadership consistent with Munson values. Serve as a positive role model, work well as a team member and leader with compassion, guidance, professionalism and safety focused service.
• Expert technical reporting and computer skills. Proficient in Word, PowerPoint, and Excel. Ability to learn new electronic systems such as access control, security documentation and incident reporting.
• Ability to understand and communicate Munson Healthcare’s policies, procedures, and organizational values.

ORGANIZATION

This position reports directly to the System Director of Safety, Security, and Emergency Management.Coordinates with off-site ambulatory facilities leaders to address related issues and concerns and emergency management requirements. This position works closely with the Regional Facilities Directors and is also accountable to local senior leaders at each hospital.

• This position has direct managerial responsibilities for Security Officers within the Region.
• This position requires the ability to work efficiently and effectively at all three hospitals and ambulatory sites within their respective Region.This position covers for the other Region Manager when needed, PTO, etc.
• Most work will be performed between normal working hours, 8am-5pm, however regular meetings will be necessary with Security on all three shifts. On occasion, the workday will be extended due to project obligations.

SPECIFIC DUTIES 

Supports the Mission, Vision, and Values of Munson Healthcare.

Embraces and supports the Continuous Improvement philosophy of Munson Healthcare.

Promotes employee and patient safety with the goal of zero harm.

Provides leadership for EOC Rounding Continuous Readiness Program.

Carries out responsibilities of the Safety Officer for three hospitals. Serve as the leader and resource for Safety EOC issues or other safety issues in the.

Develops and maintains the Safety Management Plans, for the Region. Facilitates annual evaluations for the Safety and Management Plans as required by TJC.

Works directly with education to design, develop, coordinate and implement hospital-wide and site-specific safety training.

Chair and coordinate the Regional Safety/EOC Committees and other related sub-committee meetings. 

Investigates, researches, and makes recommendations regarding best practices with respect to safety and environment of care, security and emergency management.

Oversees and manages compliance with all applicable regulations including but not limited to TJC, CMS, NFPA, and OSHA for the Region hospitals and all ambulatory sites.

Ensures that environment of care safety rounds are performed at least twice annually in clinical areas and once a year in non-clinical areas. This includes both hospital and ambulatory clinics. Provides written reports of the audits to supervisors/managers in these areas. Ensures timely completion of plans of correction.

Provides compliance reports for the Region Safety/EOC Committees as well as the System EOC Committee and senior leadership teams as requested.

Implements proactive risk assessments aimed at identifying risks prior to harm occurring.

Tracks OSHA recordable employee injuries and ensures that a complete a thorough and timely investigation occurs involving the injured employee and their manager. Documents the findings in the hospital’s incident reporting system.

Ensures that the annual OSHA recordable reports are submitted to MIOSHA in a timely manner.

Tracks and trends employee injuries and develops process improvement plans when indicated. Supports the Employee Injury Debrief process and use of A3 to drive effective safety countermeasures and initiatives.

Coordinates with responsible parties to maintain required documentation for three Joint Commission chapters, including Environment of Care, Life Safety and Emergency Management.

Ensures relevant standards for Hazardous Materials and Waste are met in coordination with EVS Manager/Lead.

Participates in MHC System committees such as System Injury Prevention Committee, System, System Environment of Care, System Workplace Violence and others as applicable.

Conducts/supports safety debriefs, post-incident investigations and root cause analysis for employee injuries, as well as environmental issues and incidents as needed.

Embraces, supports and applies all facets of the Munson Healthcare Alignment Framework Operating System.

Works with stakeholders to identify and set goals, targets, and objectives

Conducts simulations and/or experiments of selected counter measures.

Establishes metrics to track performance and progress toward goals.

Develop Standard Work within the scope of responsibility.

Communicates progress and performance through the use of visual boards, A3, Executive Summaries or other communication tools

Collects, analyzes, interprets and presents quantitative data and information from a variety of sources in order to meet organizational safety goals. Develops and use analytical tools and serves as a resource to other staff members with analysis to support safety initiatives.

Performs other duties and responsibilities as assigned.