Webinar: Creating and Sustaining a Patient Safety Plan

John Muir Health, a San Francisco East Bay health system, will share their patient safety plan encompassing two acute care hospitals with a combined total of 798 licensed beds. The presentation will include details of the eight plan elements with highlights of their evolution, including the impact of a 4-year journey to High Reliability and the organization-wide learning that results from a robust and transparent program of storytelling related to patient safety events.

Slides and Recording

Click here for slides and here for recording.


  • At the conclusion of this webinar, attendees will be able to:
  • Recall the California Health & Safety Code requirements for a hospital’s patient safety plan
  • Describe key elements of a hospital patient safety plan
  • Distinguish between different levels of safety event reviews
  • Evaluate options for organization-wide storytelling related to patient safety events
  • Understand the value of “closing the loop” in a hospital’s culture of safety and trust


Stephanie R. Bailey, MPH, CJCP

Director of Accreditation & Patient Safety
John Muir Health – Walnut Creek and Concord

Stephanie has over 30 years of acute care hospital experience. She holds a Bachelor of Science in Health Services Administration from Quinnipiac University in Hamden, CT and a Master of Public Health from the University of California, Berkeley, CA. Stephanie is also a Certified Joint Commission Professional and has completed both the Patient Safety Officer and Improvement Advisor programs through the Institute for HealthCare Improvement, Boston, MA. She is currently the Director of Quality and Patient Safety at John Muir Health where her expertise in both inpatient and outpatient services help her lead quality and safety programs and initiatives across the care spectrum including delivery of care, quality, patient safety, risk management and accreditation/regulatory issues.

Melissa McRae, MS-HCA

Manager of Quality and Patient Safety
John Muir Health – Walnut Creek and Concord

Melissa has more than 15 years of experience in the healthcare industry. She holds a Bachelor of Science in Biological Sciences from the University of California – Los Angeles and a Master of Science in Health Care Administration from California State University – East Bay. Melissa also obtained her Lean Health Care Certification from North Carolina University. She is currently the Manager of Quality and Patient Safety at John Muir Health where she oversees hospital accreditation and licensure, policy management, and the Patient Safety Plan at the two John Muir Health Medical Centers. In her role she collaborates with leaders, physicians, and frontline staff across all disciplines on improvement and regulatory activities to ensure the delivery of high quality, safe care while building and supporting a culture of high reliability. She also consults on Quality ratings, surveys, and CMS public reporting.