Position Summary:
Plans organizes and directs the system-wide Environment of Care (EOC) program strategy and activities at Orlando Health. Fully onsite located in downtown Orlando.
Responsibilities:
• Develops and aligns EOC strategies to the goals and objectives of the organization. • Plans organizes and directs system-wide EOC programs, activities, and training programs to ensure compliance with federal, state, and local regulations, standards, and accreditation requirements. • This includes but is not limited to oversight of EOC Council function revision and evaluation of management plans annually. • Coordination and management of the processes for continually monitoring and internally reporting EOC-related data and system administration of the enterprise-wide EOC tracer program.
Maintaining Strong Relationships:
• Maintains strong relationships with system regional and site leadership to support Orlando Health goals, objectives, and performance. • Collaborates with system regional and site leadership teams to develop, guide, and support improvement strategies related to EOC.
Partnerships and Strategic Planning:
• Partners and strategizes with Corporate Safety leaders and other stakeholders, including but not limited to Facilities Management, Infection Prevention, Emergency Management, and Regulatory Affairs. • Develops and implements regional and system-wide tactical strategies and activities to evaluate compliance with Orlando Health policies and procedures, federal, state, and local regulations, and accreditation requirements.
Supporting Performance Improvement:
• Supports performance improvement activities and meets key performance measures. • Leads system-wide preparation for and response to external regulatory agency inspections, findings, complaints, and/or compliance issues related to the EOC.
Liaison and External Relations:
• Acts as liaison for Orlando Health with applicable external regulatory agencies, including Local, State, Federal, and accreditation agencies. • Responds to, attends, and/or supports external EOC-related surveys/inspections as necessary, including but not limited to Agency for Healthcare Administration (AHCA), Centers for Medicare and Medicaid Services (CMS), and The Joint Commission (TJC).
Presentations and Leadership:
• Develops and leads presentations to executive regional and/or site leaders. • Leads collaborative teams through influence to support a continued state of improvement.
Knowledge and Evaluation:
• Maintains knowledge of existing and evaluates emerging federal, state, and local regulations, standards, trends, and best practices related to the EOC. • Evaluates compliance options and recommends strategies to minimize impacts and costs while optimizing effective control of identified hazards.
Consultative Role:
• Works closely with stakeholders in a consultative role to assess data and analytics needs and recommends appropriate strategies, methods, and analyses to improve decision-making.
Program Development and Implementation:
• Assists the Senior Director in developing and implementing programs, policies, and procedures to support patient visitor, guest, and team member safety in all Orlando Health facilities. • Assists the Senior Director with the establishment and/or integration of EOC policies and programs in new and/or acquired Orlando Health facilities.
Policy Management:
• Manages and oversees the development, approval, and revision of EOC policies and procedures. • Leads system administration of EOC survey/inspection software.
Survey Planning and Coordination:
• Coordinates and manages survey plans, strategy, and activities for EOC elements of multi-disciplinary internal mock surveys in collaboration with Regulatory department leadership.
Collaboration with Subject Matter Experts:
• Works collaboratively with corporate subject matter experts having responsibility for functions within the EOC, including but not limited to medical equipment, fire safety, utility systems, safety, security, hazardous materials, and waste, and infection prevention and control.
Statement of Conditions:
• Assists with the maintenance of the Statement of Conditions with The Joint Commission on behalf of the organization.
Budgeting and Operational Standards:
• Collaboratively assists the Senior Director in budget estimates, controlling expenditures, and establishing operational standards for the Safety Department.
EOC Executive Committee and Subject Matter Expert:
• Assists the Senior Director in leading and being an active member of the Environment of Care EOC Executive Committee and EOC subject matter expert.
Day-to-Day Operations:
• Manages day-to-day operations to ensure coverage, workflow, positive work environment, assignment of work to meet operational needs, and completion of tasks assigned to team members according to established deadlines.
Attendance and Compliance:
• Maintains regular punctual attendance consistent with Orlando Health policies, the Americans with Disabilities Act (ADA), the Family and Medical Leave Act (FMLA), and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures.
Qualifications:
Education and Training:
• Bachelors degree in Safety Engineering, Business Management, or a related field required.
Experience:
• Ten (10) years of progressively responsible experience in safety, life safety, or a related field, including five (5) years of healthcare management experience.