To coordinate, plan and execute overall environmental safety strategies and tactics in order to proactively create a physical environment that is free of danger, risk or harm for patients, visitors, staff and other who access or work within facilities operated by Memorial Medical Center, and to meet and maintain critical environmental regulatory and accreditation standards, codes and laws as stipulated by the Illinois Department of Health (IDPH), The Joint Commission (TJC) the Occupational Safety & Health Administration (OSHA), the Environmental Protection Agency (EPA), etc. Ensure the development and updating of system-wide compliance policies, procedures, processes and training in support of facilities management, construction and safety operations. Develop and conduct Life Safety and Environment of Care training programs, and serve as a Subject Matter Expert for leadership and the Environment of Care committees. Monitor and update all required management plans for the Environment of Care (EOC). Keep up-to-date all EOC documentation in a binder, online, and in manuals that are distributed, participation in EOC rounding and oversee that discoveries are resolved and/or repaired. Analyze statistical data related to EOC compliance and performance indicators. Supports work at the system level to increase EOC compliance across affiliate locations. Work with all MHS affiliates to develop system wide EOC policies and procedures.

Education:

• Bachelor’s Degree required in education, health, business administration or related human services field.

Experience:

• Minimum 3 years of Environment of Care (EOC) experience.

Other Knowledge/Skills/Abilities:

• Working knowledge of data collection, management, analysis and interpretation for complex business operations.
• Must be able to coordinate action plans and meetings to mitigate hazards and monitor corrective actions.
• Excellent written communication skills with the ability to develop policies and procedures, write detailed risk assessments and plans.
• Ability to work independently to set goals, organize and prioritize multiple projects and tasks.
• Computer skills necessary for data collection, management, analysis and interpretation for complex business operations. Ability to learn new software systems as needed.
• Strong attention to details with ability to meet multiple deadlines.
• Organizational skills are crucial in working with and providing assists to other departments gathering the required data and ensuring compliance. 

• Develops and deploys measurement and analysis tools and methods in order to evaluate the success or environmental safety policies, procedures and education.

• Provide support for the development, implementation and maintenance of a reporting and analysis process for environmental safety related data and information across Memorial Health affiliates.

• Coordinate and conduct required EOC tours in Memorial managed facilities.

• Analyze report data and provide results to entity management and designees.

• Maintains all data and documentation relative to the EOC program.

• Manages and maintains EOC policies to ensure that all are revised or reviewed by appropriate departments according to hospital requirement.

• Manages the process to collect and evaluate information about hazards and safety practices, which include hazard surveillance program and risk assessments.

• Coordinate and conduct quarterly EOC meetings; assist with coordination of EOC Monthly Meetings.

• Assist the Fire & Life Safety Coordinator in scheduling and conducting required fire drills.

• Ensures that all EOC policies and procedures are current with all accreditation and regulatory requirements, and develops methods for communicating these requirements and changes to the workforce and other appropriate stakeholders. Works to systemize policies as appropriate for Memorial Health System.

• Compile and interpret statistical data related to EOC Performance Improvement Indicators and perform hazard reviews.

• Review all EOC metrics to determine tends and opportunities for improvements.

• Document and update current processes and procedures as well as identify and implement potential improvements.

• Assist EOC Planning Committee in development and measurement of committee goals and objectives. Help determine priorities and implement plans on schedule.

• Assume a lead role in coordinating information flow and completion of the Annual EOC report and quarterly EOC operations report.

• Validate that subcommittees complete indicate task on the EOC Calendar.

• Conduct periodic reviews and compliance audits of Interim Life Safety Measures (ILSM), Infection Control Risk Assessments (ICRA), hot work permits, above ceiling permits, fire loss control methods, and fire management plans

• Performs other related work as required or requested.