St. Luke S Hospital

POSITION DESCRIPTION-MANAGEMENT

POSITION TITLE: DirectorCenter for Women’s & Children’s Health

DEPARTMENT: ______EFFECTIVE DATE:

REPORTS TO: VP/Chief Clinical Officer

(Department Director)

APPROVED BY: ______

(Department Head) (Administration)

POSITION SUMMARY

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The Director of the Center for Women & Children’s Health is responsible for the development, implementation and evaluation of the strategic plan for the service line, which is consistent with the organizations strategic and business plans. The Director provides leadership and positive promotion of the services continuum from acute care through outpatient programming with linkage to community resources. The Director is responsible for the development, communication and successful execution of established objectives (financial and clinical) within the service line.

PERSONAL SPECIFICATIONS

A. Education

Undergraduate nursing degree required. Masters degree in nursing, health administration or business preferred.

B. Qualifications/Experience

Five to seven years of professional experience required. Two to three years of previous management experience required. License or certification as required by discipline.

C. Special Skills/Knowledge

Director must be knowledgeable about women and children’s services and management principles and practices, including performance management and performance improvement. Knowledge of JCAHO and state regulatory standards is required.

D. Mental and Cognitive Traits Required

Must be able to analyze written, spoken, visual and other sensory stimuli. Must have ability to analyze written and spoken English. Must be able to cope effectively with stressful situations and time constraints. Must be able to interpret scientific data in a logical and coherent manner. Must be able to logically solve problems. Must be able to follow detailed written and verbal instructions. Must direct and manage others. Must be able to work well with others.

E. Behavior Demands

Must role model communication and team relationship skills. Must be able to direct and manage others.

F. Physical Demands

Sit, walk, stand: may spend up to twenty-five percent of working time standing/walking. Lift, carry, push, pull: generally not more than ten pounds of force is needed to lift, carry push, or pull objects. Bend, stoop, kneel: occasional bending and kneeling may be required in troubleshooting equipment/assisting clients. Manual dexterity/wrist and hand repetitions: good manual and finger dexterity is needed; up to fifty percent of working time may be spent using a computer keyboard. Vision, hearing, speaking: must have good visual acuity and depth perception to operate the computer system; speaking and hearing are essential to the communication needs of the position.

G. Environmental Conditions

May be subjected to noise and disagreeable odors. Moving mechanical parts are found in the work environment. Universal precautions must be followed when working in any clinical area; workers are exposed to biologic and chemical hazards and must use appropriate personal protective equipment as trained. Work is performed in a well-lighted, temperature-controlled, and humidity-controlled environment.

May be requested on occasion to travel to conferences and meetings as a representative. Must be able to make arrangements to attend these as required.

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H. OSHA Risk Factor

Category I - Normal job related task involve an inherent potential for membrane or skin contact with blood, body fluids or tissues. Use of protective measures should be used under normal conditions.

Category II - Normal work routine does not involve exposure, but exposure may be required as a condition of employment. Protective measures should be readily available.

Category III - No exposure to blood, bodily fluids or tissues is expected in the work routine.

I. Age Specific Requirements

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Normal work will involve providing leadership for staff caring for infants, children, adolescents, adult women and families.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

• Purposefully conducts all aspects of the job in an ethical manner in support of the hospital’s commitment to ethical behavior in all areas of personal and professional activity.

Program

Planning/Development

Collaborates with administrators, physicians, managers and other providers to facilitate planning, implementation, and evaluation of strategicplan and initiatives.

Collaborates with leadership to create an operational plan consistent with the program’s strategic plan.

Unit/department based goals and objectives are in concert with the overall direction of the program and the overall hospital plan.

Guides priorities and focus of work for activities of the program and organization.

Links inpatient and outpatient plans to promote coordination of care acrossthecontinuum and to promote operationalefficiency.

Facilitates/collaborates in the development of program and business plans to address newlyidentified patient care needs.

Develops annual and multiyear capitalbudget.

Develops annual operationalbudget to support strategic plan.

Establishes productivitytargets with managerial personnel.

Resource Management

Executessuccessfully the established plans and the services through measurement, monitoring, analysis, reporting, and adjusting the direction, allocation and utilization of available resources.

Collaborates with Chief Clinical Officer to support program/practice changes to continually improve resource utilization.

Provides report of budget analysis to Chief Clinical Officer at least quarterly.

Continuum of Care

Patient Care Standards

Models patient outcome focused care and customer centered philosophy in practice.

Interprets and addresses issues of patient care internally and externally (Administration, Medical Staff Committees, HMO’s).

Recognizes and addresses bioethical and legal issues that influence the delivery of patient care.

Assures compliance with all appropriate regulatory bodies for delivery of patient care.

Quality Improvement

Facilitates quality improvement activities and processes.

Reflects organizational and departmental goals in the performance improvement plan. The plan includes sharedprocess improvement and outcomemeasures.

Integration of quality improvement activities is intentional and continuous. The various disciplines and medical staff share content areas and indicators.

Innovation and creativity regarding the delivery of patient care is encouraged.

Develops key indicators and collects monthly data to monitor, trend and analyze clinical performance.

Provides leadership for the design and implementation of patient education strategies.

Care Coordination/Care Management

Provides leadership/consultation in the implementation, evaluation and modification of care coordination/case management.

Facilitates multidisciplinary performance improvement committees to developevidence based practice and monitorvariances.

Provides communication and education opportunities that support and promote care coordination and care management strategies.

Builds partnerships that support and promote care coordination and care management strategies (i.e., physicians, home care agencies, long-term care centers, insurers, etc.).

Professional Practice

Provides leadership for strengthening the professional role of the disciplines.

Ensures that clinical practice models are promoted.

Promotes outcome focused and customer centered care.

Articulates expectations of clinical performance.

Provides guidance to managers regarding practice issues and resource utilization.

Refers staff to discipline specific leadership for professional practice issues.

Participates and encourages others to participate in professional research presentations and review of published findings.

Provides leadership for evidence based practice changes.

Serves as a resource to other departments on practice issues and trends.

Relationships

Models behavior that invites colleague interaction and demonstrates mutuality.

Communicates in a manner which is open, clear, respectful and consistent.

Invites feedback and acknowledges contribution of others.

Establishes a leadership development strategy.

Models collaborative behaviors which facilitate achievement of department and program goals.

Strategically establishes linkages with other key departments which facilitate the goals of patient care delivery.

Handles conflicting situations in a dignified and respectful manner.

Conducts purposeful counseling/coaching sessions with direct reports for purposes of professional development (i.e., percent of performance appraisals done in a timely fashion, one-to-one standing meetings).

Advocates for and assures colleagues attendance to and participation in professional development activities.

Participates actively in leadership forums such as nursing leadership, team building exercises, organization wide efforts such as department/section manager activities, etc.

Supports organizational efforts of establishing and maintaining relationships with communities, benefactors and other employees.

Supports organizational values by recognizing employees in written and verbal modes.

Honors diversity.

STANDARDS OF EXCELLENCE

A. Sense of Ownership

Demonstrates personal commitment to quality job performance, a sense of responsibility for high achievement, professional appearance, awareness of current events throughout the hospital, and positive promotion.

B. Positive Attitude

Maintains a sense of understanding and compassion at all times while conveying energy and pride in all forms of communication: verbal, written, and non-verbal.

C. Responsiveness

Accommodates the needs of others through the use of timely actions, clarification, apologies, considerations, and the offering of additional information.

D. Communication

Openly interacts with patients and visitors through greetings and introductions, courteous gestures, engaging listening and feedback in dialog, providing helpful information, and avoiding technical language.

E. Commitment to Co-Workers

Cooperatively seeks to support and contribute to the work of others by offering assistance, acknowledging accomplishments, applying fair and respectful treatment, and addressing conflict in an appropriate manner.

F. Privacy/Confidentiality

Upholds the information and dignity of the patient in the highest regard through private and appropriate conversations and security procedures such as filing charts, logging out of computer screens, closing doors/curtains, and covering patients.

G. Safety Awareness

Keeps work area and surrounding environment clean and safe, reports practices and situations that may cause harm. Follows patient safety policies including but not limited to hand washing and patient identification.

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