Yisrael Safeek, MD, MBA, CPE, FACPE
Founder & CEO, The SafeCare Group
Dr. Safeek spent the last 25 + years offering strategic leadership within the US healthcare system - doctor, medical director, previous hospital owner, 10 years Joint Commission surveyor, 5 years Malcolm Baldrige Board of Examiners, 18-hospital Chief Medical Officer, book author, speaker, and software developer. Dr. Safeek made the short list for United States Undersecretary of Health.
Prior to founding The SafeCare Group, Dr. Safeek served in the dual roles of Chief Medical Officer and Chief Quality Officer for an 18-hospital health system in two states with a $2.5 billion annual budget. He was employed by The Joint Commission for close to 10 years, and worked on the Medical Staff Systems Tracer, OPPE and FPPE, and received commendation for the Joint Commission's Patient Flow Tracer.
Dr. Safeek was one of the first Kentucky physicians to be appointed by the National Institute of Standards and Technology, and served for half a decade on the Malcolm Baldrige Program Board of Examiners. He is the author of the peer-reviewed CAUTI Bundle (published 2010) that is widely utilized, and 12-point “I AM FOR SAFETY” Surgical Checklist (published 2010). He is also the author of the book, Credentialing and Privileging for Accountable Care, published by the American College of Physician Executives.
Exerpt of interview, SafeCare Magazine, Sarju Bharucha, JD, Editor-in-Chief, 3rd Quarter 2016
Question: In all your years working in patient safety, what has surprised you most?
Yisrael Safeek, MD, MBA: The biggest coming to mind is an inspection visit to a “world renowned” hospital when I was with The Joint Commission. When I say “world renowned” I’m referring to a top 10 rating in the nation…rated by others of course. The hospital’s leadership constantly kept reminding the inspection team of these ratings. That all sounds fine until you know that the hospital had over 250 findings after a five day inspection.
They had patient safety lapses like using concentrated heparin to flush central lines, lack of two person handoff from the blood bank, blood administration without staff present in the initial moment, pharmacy not reviewing pre-procedure orders for medications, no post-procedure retrospective review, medications drawn up and mixed in a syringe and stored for later use without the strength of the dose on the label, lack of defined processes for prompt resolution of patient grievances, just to name a few.
I can tell you of another occasion when we …the inspection team…arrived at this great Midwestern health system and was asked to go home. Days earlier ahead of Joint Commission survey, the health system was visited by the Centers of Medicare and Medicaid and had over 1,000 findings. Some involved rape of a patient in a psych ward. Truly sad.