This job is responsible for managing the day-to-day clinical operations of an assigned division of the Franciscan Health System (FHS) Hospice consistent with service line objectives, standards of patient care/practice, safety/risk management guidelines and applicable regulatory requirements. An incumbent may be assigned to one of six divisions/facilities (e.g. King County, Pierce County [East or West], Care Facilities, End-of-Life, Access, Hospice House or Palliative Medicine) and although core responsibilities will be the same, the specific assignment may involve some differences in job duties.
Work includes: 1) ensuring that overall goals relating to productivity, quality of care, patient satisfaction and/or growth in market share are achieved; 2) developing/implementing/monitoring quality improvement initiatives to enhance/streamline current procedures/processes and to ensure programs/services meet accrediting standards for the Joint Commission on Accreditation of Health Organizations (JCAHO) and other accrediting agencies; 3) performing ongoing performance improvement activities (e.g. service recovery, identifying/responding to negative quality trends, ensuring survey readiness) and 4) managing/developing clinical staff in the delivery of patient care and related support services.
As a key member of the Hospice/Palliative management team, an incumbent participates in long-range planning, budget administration and in formulating operational approaches, tactics and policies to facilitate achievement of strategic business objectives. Work requires considerable understanding of the standards of nursing practice, as well as regulatory requirements pertaining to hospice facilities and care.
ESSENTIAL JOB FUNCTIONS: The following section contains representative examples of job duties that might be performed in positions allocated to this job class. FHS is a dynamic organization, and the environment can be fluid. Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described. Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.
- Manages and evaluates the operations, programs and resources of the assigned clinical division to assure the safe and appropriate delivery of diagnostic and therapeutic patient care, achievement of clinical core measurement scores, and to ensure that all activities are conducted in a timely and cost-effective manner and in compliance with organizational values, professional standards, collective bargaining agreements, internal policies/standards/procedures and applicable regulatory requirements; analyzes/coordinates care provided through the efforts of an interdisciplinary team (IDT); participates in the development of, and implements new clinical protocols/programs to enhance existing services and raise the standard of care for the patient population served; ensures that work unit activities, productivity, and/or quality indicators are documented in accordance with FHS guidelines; ensures that patient Plans of Care are coordinated with the facility staff, and that documentation is appropriate to facilitate proper reimbursement and to meet audit/regulatory requirements; produces and presents reports on key performance indicators and other significant benchmarking metrics; collaborates with other departments to address and resolve problems, share information and enhance overall effectiveness/productivity.
- Recommends, implements and evaluates new/revised protocols, procedures, guidelines, training materials and/or general communications in support of assigned clinical area/facility to ensure consistency with the philosophy/values of the organization and compliance with applicable regulatory/accreditation requirements; reviews training materials prior to assimilation into training curricula; ensures that all clinical and related support activities are fully documented in accordance with the standards/practices of the organization; ensures that employees understand and apply internal guidelines appropriately, and monitors compliance with all regulatory requirements.
Staff Management and Development:
- Plans, manages and evaluates the work of clinical and administrative staff engaged in the evaluation/admission of patients, the delivery of patient/nursing care and/or the coordination of clinic/community services to the terminally ill and their families in accordance with the content, spirit and intent of applicable internal/external regulations and standards for human resource management; identifies adequate staffing levels for appropriate coverage to meet budgetary and operational objectives; ensures that employees are qualified and properly trained to perform assigned job duties; holds regular staff meetings and keeps employees appraised of all matters relevant to successful job performance; makes employment decisions, establishes performance standards and evaluates employee performance; educates, guides, counsels and develops staff and addresses performance management concerns and technical issues elevated by subordinates as beyond their scope of authority.
- Oversees and coordinates the professional development and growth of assigned staff through in-service training and ongoing education; identifies staff training needs by performing chart audits, and analyzing performance outcomes and trend reports (e.g. Occurrence Reports, Patient Grievance Forms, etc); demonstrates awareness of, and ensures that staff follow, established departmental policies/procedures and quality improvement, safety, environmental and infection control standards.
Short- and Long-Term Planning:
- Participates, as a key member of the management team for the assigned clinical function, in the development of strategies, initiatives and programs addressing matters such as: provision of new services, standardization of procedures across the organization, increasing market share, maximizing resources, cross-selling services, improving cost-effectiveness of clinical services provided, enhancing patient outcomes/satisfaction and other issues of similar complexity and consequence.
- Works with management team to ensure the application of consistent practices relating to internal operations, patient care, quality of human resources activities and FHS standards; assesses the strengths/weaknesses of the assigned clinical area/facility to identify opportunities and provide recommendations to Director for new quality/performance improvement initiatives (e.g. streamline operations, address patient care and facility operations, improve workplace environment, increase caregiver/physician satisfaction, etc); implements new processes and ensures that performance improvement activities are conducted in a timely and effective manner; ensures that staff receive the necessary on-site training and consultation to enhance their understanding of quality/performance improvement initiatives.
- Follows established guidelines to ensures that all aspects of clinical operations are conducted and documented in compliance with relevant internal policies, standards and procedures and applicable regulatory requirements; assesses, on a continuous basis, services, patient outcomes, quality control, family/patient satisfaction, staffing needs and operational effectiveness to ensure optimal care delivery; ensures that internal controls are sufficient to provide for accurate, complete and compliant programs and processes; identifies need for changes in standards, programs and services, and develops recommendations for consideration by the Director.
- Keeps abreast of changing regulatory requirements/regulation, clinical/professional standards, changing customer demographics and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current strategies, programs and resources; determines nature/scope of impact on existing activities and determines effective response/solution while maintaining acceptable service levels and work quality.