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ENVIRONMENT OF CARE PERF SPECIALIST
Job Title: ENVIRONMENT OF CARE PERF SPECIALIST
Job Code: 5535
FLSA: E
Job Level: G1
Revised Date: 12/01/2015
Supervisory Responsibility: Yes
General Description of the Job Class
This position serves as the resource for any Joint Commission (JC) Environment of Care (EOC) issues that may be encountered by the Duke Medicine System. This includes surveillance, reports of the results of the surveys, data collection, assurance of compliance, training as needed, development of site-specific safety plans, and review of employee exposures reported to Employee Occupational Health and Wellness for corrective actions.
Duties and Responsibilities of this Level
The Environment of Care (EOC) Performance Specialist will insure that both ambulatory care clinics and hospital areas are surveyed/audited twice a year, as required by The Joint Commission (JC). This will include both conducting surveys and overseeing additional EOC surveyors to assure all areas are reviewed. Responsibility includes interpreting the Joint Commission's standards as they relate to Duke. Noncompliance affects Duke's accreditation with the Joint Commission, which affects both Duke's image and revenue potential.
The EOC Performance Specialist will evaluate the results of the surveys and provide the details and expectations for both hospital areas and/or clinics that are non-compliant with the JC requirements. This may result in an escalated enforcement scheme involving reports to upper administration for assurance of compliance.
Conduct mandated Environment of Care audits in the hospital units and departments (Duke University, Duke Regional, and Duke Raleigh hospitals) as well as in the ambulatory clinics (PDC and DPC) at least twice a year. There are six functional areas designated by the JC: Safety, Security, Hazardous Materials and Waste, Fire Safety, Medical Equipment, and Utilities.
Provide written reports of the audits to supervisors/managers in these areas.
Ensure that all hospital units/departments and ambulatory clinics are surveyed for EOC issues by overseeing other safety and health specialists needed to conduct and complete surveys.
Evaluate the results of the surveys and provide the details and expectations for both hospital areas and/or clinics that are non- compliant with the JC requirements. This may result in an escalated enforcement scheme involving reports to upper administration for assurance of compliance. Any training needs are identified that will bring the area into compliance. Training for management may be provided/recommended.
Provide quarterly reports of EOC compliance to the Duke University Safety Committee and other committees of the PDC and DPC.
Serve as the resource for EOC issues or other safety issues for off-site clinics.
Develop and update the EOC audit tools for both the clinics and hospital units and departments.
Develop site specific safety plans for off-site facilities.
Review ambulatory clinic construction plans and meet with planning committees regarding safety and regulatory standards. Conduct pre- opening assessments of all new space.
Required Qualifications at this Level
Education
Bachelors in a Health Care or Public Health discipline and 5+ years' experience in a clinical healthcare setting.
Experience
Five years of experience in a clinical healthcare setting.
Degrees, Licensure, and/or Certification
Healthcare certification(s) considered a plus.
Knowledge, Skills, and Abilities
Must have excellent interpersonal communication skills, including one- on-one and participation in meetings, presentations, and training sessions.
Must have excellent written communication skills with the ability to develop policies and procedures, reports, and general correspondence.
Must have an excellent knowledge of the Joint Commission Standards/Requirements, and participate in JC surveys.
Must be able to coordinate action plans and meetings to mitigate hazards and monitor corrective actions.
Ability to coordinate and work with healthcare workers to improve the safety environment as defined by the Joint Commission Standards, as well as any relevant federal, state, or local regulations or guidelines.
Distinguishing Characteristics of this Level
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
