Assists in the maintenance of processes which support improvement and safety, enable the collection, storage, and analysis of improvement and safety data, and enable compliance with external regulatory agency requirements; Identifies trends and significant safety issues and communicates them to the Director of Quality & Patient Safety; Assists with coordination of the Weekly Occurrence Review meeting and Regulatory activities, providing education, establishing and measuring outcomes for effectiveness; Uses clinical and operational knowledge in formal and informal consultation with individual staff, providers, clinicians, and managers, to address clinical quality and safety concerns. In conjunction with the Director of Quality & Patient Safety and in collaboration with other department members, participates in and/or facilitates clinical adverse event evaluation and root cause analysis; Monitors, interprets and recommends action based upon identified risks related to Patient Safety; Provides oversight for sustainable process changes and recommends replication when appropriate; Communicates concerns, progress and results of interventions regarding patient safety to the Director and other appropriate personnel.