Full-Time
Director of Patient Safety & Regulatory Accreditation
Posted on 11/23/2025
OU Health
1,001-5,000 employees
Academic health system delivering specialized care
No salary listed
Oklahoma City, OK, USA
In Person
Relocation assistance available for candidates located more than 100 miles from OKC.
 Legal & Compliance (1) |
|---|
- Education: Masters Degree in healthcare related field required. Degree in Nursing preferred.
- Experience: Eight (8) years of Patient Safety, Risk Management, and/or Regulatory Accreditation experience required. Five (5) years of progressive leadership experience required.
- License(s)/Certification(s)/Registration(s) Required: Certified Professional in Health Care Risk Management (CPHRM) issued by the American Society for Health Care Risk Management (ASHRM) or Certified Professional in Patient Safety (CPPS) issued by the Institute for Healthcare Improvement (IHI) required within 12 months of hire.
- Knowledge, Skills and Abilities: Strong oral/written communication skills with ability to present to staff, physicians, committees and management.
- Knowledge, Skills and Abilities: Excellent interpersonal and team skills to support and drive initiatives.
- Knowledge, Skills and Abilities: Demonstrated knowledge of patient safety principles.
- Knowledge, Skills and Abilities: Proficiency with MS Office products.
- Knowledge, Skills and Abilities: Demonstrated ability to develop collaborative relationships with key stakeholders within the organization.
- Knowledge, Skills and Abilities: Strong influence skills.
- Knowledge, Skills and Abilities: Ability to maintain integrity and trust among leadership and staff.
- Knowledge, Skills and Abilities: Proven ability to manage a team of professionals and lead a departmental function.
- Knowledge, Skills and Abilities: Proven ability to solve complex problems effectively and manage multiple high priority deliverables.
- Knowledge, Skills and Abilities: Demonstrated business acumen.
- Knowledge, Skills and Abilities: Must be a strategic thinker, self-motivated, and have excellent problem solving and project management skills.
- Knowledge, Skills and Abilities: Able to work in a challenging, varied, and fast paced environment with multiple high priority deliverables.
- Knowledge, Skills and Abilities: Ability to analyze, assemble, prepare, and present data at all levels throughout the organization.
- Knowledge, Skills and Abilities: Knowledge of federal, state, and local regulatory standards related to healthcare such as The Joint Commission and Centers for Medicare and Medicaid Services.
- Lead the Patient Safety department using High Reliability principles.
- Oversee event reporting systems and Root Cause Analyses.
- Facilitate resolutions of adverse events.
- Promote transparency and continuous improvement in safety practices.
- Develop and implement compliance strategies aligned with CMS, TJC, and other regulatory bodies.
- Coordinate accreditation survey activities and readiness efforts.
- Serve as the official contact for regulatory agencies.
- Manage regulatory auditing systems and patient tracer activities.
- Educate staff on regulatory standards and readiness.
- Responsible for Environment of Care compliance.
- Serves as Administrator for OUH Regulatory Audit Systems & Patient Safety Platforms.
- Provides oversight of patient safety adverse events within the system, ensuring transparency in investigations and thoroughness for maximum effectiveness.
- Promotes High Reliability both within the department, division, and across the system by actively participating in system initiatives driving high reliability. Serves as High Reliability Champion for the system.
- Responsible for oversight, management, communication of ongoing patient tracer activity.
- Stays informed regarding new & revised regulatory standards; develops communication and action plans to ensure OUH Regulatory Accreditation Program.
- Researches and responds to interpretation requests related to regulations and standards.
- Provides tools to managers, directors, staff and executives for continuous survey readiness.
- Build and lead high-performing teams in both patient safety and regulatory compliance.
- Foster collaborative relationships with providers, staff, and leadership.
- Communicate effectively with senior management and medical staff.
- Participate in relevant committees and system-wide initiatives.
- Performs other duties as assigned.
OU Health is the flagship academic health system for Oklahoma, partnered with the University of Oklahoma, delivering advanced medical care for severe and life-threatening conditions. Its offerings come from a network of hospitals and specialists that use cutting-edge technology, clinical expertise, and research-driven practices to diagnose and treat patients, educate students, and train clinicians. OU Health differentiates itself through its status as Oklahoma’s academic health center, its collaboration with a major university, and a strong focus on inclusive culture, career development, and continuous improvement to provide compassionate, civil, and patient-centered care. The company aims to become Oklahoma’s destination of choice for healthcare, and to be Oklahoma’s Employer of Choice by attracting and retaining diverse talent who can contribute to innovative patient care and improved outcomes.
Company Size
1,001-5,000
Company Stage
Grant
Total Funding
$1.7M
Headquarters
Oklahoma City, Oklahoma
Founded
N/A
Simplify's Take
What believers are saying
- Dr. Isabella Grumbach's appointment strengthens Internal Medicine leadership and physician recruitment.
- $17.2 million NIH grant funds cancer research in underserved Native American communities.
- $10 million Stephenson Cancer Center gift accelerates Tulsa market expansion and growth.
What critics are saying
- Hybrid nursing model rollout risks care disruptions if virtual platform underperforms.
- Nexus Bedside partnership exposes OU Health to data breach and HIPAA liability.
- Oklahoma nursing shortage persists; hybrid model may fail to retain clinical staff.
What makes OU Health unique
- Hybrid nursing model pairs bedside nurses with virtual support for care coordination.
- NIH-funded research partnership with tribal nations improves Native American cancer outcomes.
- Stephenson Cancer Center expansion in Tulsa strengthens regional oncology capabilities.
Help us improve and share your feedback! Did you find this helpful?
Benefits
Paid Vacation
401(k) Retirement Plan
401(k) Company Match
Health Insurance
Dental Insurance
Company News
New England Journal of Medicine heralds OU Health transformation as Oklahoma's flagship Academic Health System. NEJM Catalyst Innovations in Care Delivery, a publication of the New England Journal of Medicine, has published an in-depth account of OU Health's ongoing transformation as the state's flagship academic health system, validating a vision that began five years ago to fully align the University of Oklahoma's education, research and clinical care missions to create one of Oklahoma's most valued assets. That alignment established OU Health as the state's unparalleled resource for complex health care. Today, OU Health is a growing enterprise that sees nearly one million patients a year, providing Oklahoma's largest array of specialists and subspecialists for the most complex cases and providing access to cutting-edge clinical trials, novel therapies and the latest medical advances. "In a remarkably short time, OU Health has made transformational progress that is changing outcomes for Oklahomans and advancing our academic health system's ability to serve communities across the state," said University of Oklahoma President Joseph Harroz Jr. "This recognition by the New England Journal of Medicine affirms what is possible when mission, leadership and culture are fully aligned. OU Health's turnaround reflects a renewed commitment to excellence in patient care, education and discovery, and most importantly, to the people of Oklahoma we are called to serve." The article, "Turning Around an Academic Health System by Reshaping Culture and Improving Performance," highlights that these outcomes were only possible because of the foundational work that began with the 2021 merger, which unified OU Health under a single, academically driven structure and eliminated reliance on a for-profit system that sent profits out of state. This three-year effort addressed structural realities that had previously prevented success, creating the conditions necessary to recruit the exceptional leadership team who reshaped the organization's culture, priorities and operations. This structural transformation was the essential first step that enabled the measurable improvements in patient care, safety, financial performance and statewide impact now recognized by the New England Journal of Medicine. "This is about fulfilling the covenant the University of Oklahoma and OU Health made with this state: Oklahoma deserves a true academic health system," said Richard P. Lofgren, M.D., M.P.H., president and CEO of OU Health. "When education, research and clinical care work together, the result is better outcomes for patients, a stronger workforce and healthier communities. NEJM Catalyst confirms we are on the right path." In addition to the financial turnaround and increasing investment in health-related research funding, other metrics reflect meaningful progress: reductions in hospital-acquired infections and mortality, an improved safety culture and rising patient volumes. In addition, community hospitals statewide increasingly rely on OU Health for specialty consultations, complex transfers and telemedicine access to subspecialists that bring expert, advanced care to patients close to home. The OU College of Medicine trains most of Oklahoma's physicians, many of whom remain in the state to practice, directly strengthening the statewide health care workforce. With a strong leadership team in place and the health system's finances on a solid upward trajectory, Harroz said there are plans to tackle new, health-related goals on behalf of the state: reducing statewide cancer mortality by 10 percent in the next five years and decreasing diabetes-related complications by 30 percent. OU Health's presence continues to grow, with new facilities and expanded services at Stephenson Cancer Center in Norman and McAlester, and a new Tulsa location set to open in 2028. The University also is working toward doubling the number of patients enrolled in clinical trials to further improve the health outcomes across Oklahoma, and there is an increased commitment to expanding enrollment in health programs to help meet the state's workforce needs with a focus on addressing the urgent shortage of healthcare providers in rural communities.
Oklahoma Children's OU Health earns ELSO Gold Center of Excellence designation. * Category: News, Children * Posted On: Dec 30, 2025 When a child's heart or lungs fail, every second counts. Families across Oklahoma's 77 counties can trust they're receiving world-class care at Oklahoma Children's OU Health, which has earned the prestigious Gold Center of Excellence designation from the Extracorporeal Life Support Organization (ELSO). This national recognition affirms the hospital's expertise in delivering lifesaving extracorporeal membrane oxygenation (ECMO) treatment to critically ill children. ELSO recognizes programs worldwide that have systems processes and procedures in place that promote excellence and exceptional care. The Gold Center of Excellence designation, which is effective Jan. 1, 2026, places Oklahoma Children's among an elite group nationwide and confirms its ability to deliver the highest level of care when seconds matter. In 2024, Oklahoma Children's provided 39 seriously ill children with ECMO. This year, the hospital estimates it will provide 35 to 40 ECMO treatments. As part of the University of Oklahoma's academic health system - and the state's only comprehensive pediatric provider with a statewide network of experts and clinics - Oklahoma Children's offers the expertise, technology and outcomes needed to treat the most critically ill children without requiring families to leave Oklahoma. "This recognition from ELSO is a reflection of the incredible teamwork, training and dedication it takes to care for the sickest children. Families can feel confident knowing that their child is being treated at one of the top pediatric ECMO centers in the country," said pediatric cardiothoracic surgeon Dr. Harold Burkhart, M.D., pediatric cardiothoracic surgical program director at OU Health and professor of surgery and chief of the Division of Cardiac, Thoracic and Vascular Surgery at the University of Oklahoma College of Medicine. ECMO is a sophisticated technology that temporarily takes over the function of the heart and lungs when a child is too sick to survive without support. It can mean the difference between life and death - buying time for tiny hearts and lungs to heal or for a child to receive transplant. Earning Gold Center status requires more than advanced equipment. It means having a team of highly specialized doctors, nurses, surgeons, perfusionists and technicians available 24/7. Their coordinated efforts drive a program that continuously measures outcomes, improves care and follows best practices to give critically ill children the best chance at survival and recovery. Oklahoma Children's treats newborns with severe heart defects, children with life-threatening infections, teenagers in cardiac arrest and patients whose lungs are failing from pneumonia or other conditions. These are the patients who need more than any standard intensive care unit can provide. In addition to ELSO recognition, Oklahoma Children's heart program is ranked among the top 50 in the nation by U.S. News & World Report, reflecting its excellence in pediatric cardiac care and outcomes. Building on this, the recent announcement of the expansion of the pediatric heart program, supported by a historic $20 million gift from the Presbyterian Health Foundation and $200 million in state funding, will establish the Oklahoma Children's OU Health Presbyterian Health Foundation Heart Center. A new 200,500-square-foot facility will open in 2030 and centralize cardiac services, increase inpatient capacity and enhance surgical, diagnostic and transplant capabilities, ensuring more children can receive advanced heart care without leaving the state. As part of OU Health's academic mission, the center will also integrate research, education and clinical excellence in a child-focused environment designed to support healing, innovation and hope. "These types of recognitions reflect our unwavering commitment to providing the highest level of care," said Paul Paulisich, MSN, R.N., NE-BC, associate vice president of the Oklahoma Children's OU Health Presbyterian Health Foundation Heart Center. "We take this opportunity to celebrate our accomplishments with our teams. At the same time, we look to see how we can continue to innovate and provide even better care." When your child needs advanced care recognized among the nation's best, you can find it here in Oklahoma. As a part of the state's flagship academic health system, OU Health combines patient care with research and education, constantly advancing what is possible in healthcare while changing lives through discovery and healing. The ELSO Gold Center of Excellence designation reinforces that commitment and confirms Oklahoma Children's standing among the nation's leading pediatric hospitals. For more information about pediatric critical care services at Oklahoma Children's OU Health, visit OklahomaChildrens.org.
* Remembering Former State Representative Richard Morrissette * Oklahoma Tiger Trainer Killed At Big Cat Preserve He Operated * City of Piedmont Gets $2 Million State Grant To Improve Water Infrastructure * Presbyterian Health Foundation Donates $20 Million Toward New Oklahoma Children's OU Health Heart Center
OU Health launches groundbreaking hybrid nursing model to enhance care coordination.
After a nationwide search, Dr. Isabella Grumbach, M.D., Ph.D., was named Chair of the Department of Internal Medicine at the University of Oklahoma College of Medicine and Clinical Service Chief at OU Health.