Strategic and Business Operations
Participate in hospital initiatives (i.e. fundraising events and community events), serve on hospital and system based committees as appropriate, and ongoing board training and engagement of governing board while integrating new board members. 
Continually investigates and introduces process improvement measures and presents suggestions for consideration. Advises hospital President regarding the need for new programs and services.
Evaluates operational needs for new programs, services and technology including staffing requirements and capital needs.
Ensures staff, equipment, and information technology resources enhance or facilitate the provision of a safe and clinically effective environment for the care of patients and their families.
Regularly reports verbally or in written means to Hospital President, CNO and CMO as well as to Executive Team, appropriate medical staff committees, Boards and other groups and organizations as necessary on quality, professional services and financial activities of assigned areas.
Assists in the development and ongoing monitoring with system services of project specific marketing plans.
25%
Quality & Performance Improvement
Identify opportunities for improvement of care and services based on comparative data from internal and external sources, indicators, process and outcome measures, other findings and/or observations.
Develops, monitors, and evaluates systems for improvement of organizational performance utilizing methodologies such as VALUE, CAP and Work-Out.
Regulatory and compliance standards identified, policies/procedures developed, audits completed, gaps identified and closed, external regulatory guidelines met and internal inquiries researched and appropriately addressed.
Promotes compliance with regulations governing hospitals and ambulatory facilities and the rules of accrediting bodies by monitoring operations and initiating changes where required. Ensures that organizational activities and operations are carried out in compliance with local, state, and federal regulations, laws governing business operations and requirements of accreditation and licensure agencies.
Review Press Ganey patient satisfaction data to identify gaps between results and expectations. Develop/implement process and systems that will ensure high levels of satisfaction are maintained.
Develop a plan for educating, measuring, monitoring, and improving performance on the patient safety KPIs, including hand hygiene, patient identifiers, and timeouts if applicable.
Timely follow through and response to issues or complaints (i.e. SALT investigations completed within 30 days, patient complaints addressed during hospital stay or within 24 hours post discharge, and CMS 7 day requirement is met).
Ensures patients receive safe and consistent care within areas of responsibility by implementing and monitoring quality assurance/quality improvement programs to achieve measurable improvements in patient care delivery and patient safety. Continually assess and improve performance.
Creates a mechanism for continuous quality improvement for each individual unit, to include at least one focused project per year in an area of need identified by the unit.
Establishes an environment of accountability for optimizing physician satisfaction and improving ?ǣease of use?ǥ for physicians in the acute-care setting.
25%
Financial Operations
Participates in the development and implementation of capital and operating budgets, financial plans, and objectives for assigned areas. Oversees financial performance of areas of responsibility and shares responsibility for overall financial performance of the hospital.
Manage the approved budget through frequent and regular monitoring, implementation of effective written action plans to address variances, and implementation and adjusting strategies as needed to meet budgetary expectations.
Assist in the development financial analysis with the CFO for new and/or existing programs, services and related technologies. With finance develop plans to address potential risks and/or opportunities associated with new programs and analyze clinical and financial trends. Develop, monitor, adjust, and explain variances for operational and capital budgets for areas of responsibility.
Considers clinical, quality and operational outcomes and financial implications when making recommendations for changes in practices
Ensure vacancy rate and retention indicators have been met.
25%
Leadership Development
Mentor, coach, guide, and support managers, direct reports, staff employees and other hospital leaders in building teamwork, staff development and education, to achieve optimal performance and develop managerial and clinical talent. Set performance goals, evaluate performance, and provide continuing educational opportunities and disciplines as necessary.
Ensure employee engagement survey participation goals are met; the completion of employee mandatory training, annual employee health screening, employee licensure, certification and registry, employee compliance with hospital and system policies, recognition of employees through Applause and Shinning Star Programs, and identify and develop leadership talent for future opportunities.
Ensure department staffing is based on volume making adjustments as necessary and employee attendance at town halls, brown bags, and employee forums.
Serves as an effective resource to various stakeholder, advisory, consumer, and community groups. Actively promotes a positive public image of the hospital and is responsive to the needs and desires of various stakeholders. Develop and maintain positive working relationships with leadership at THR System Services and other key community hospitals.
Department engagement/partnership goals have been met and action plans have been completed.
Professional development - seek out opportunities to continue your own professional development utilizing resources such as The Advisory Board, ACHE and the THR Center for Learning.
25%

Education
Master's Degree Business Administration, Healthcare Administration or related clinical or business discipline Req

Experience
5 Years Five or more years executive experience in a large, complex, multi-site and settings integrated health system. Req

Skills
Excellent presentation skills and organizational management with the ability to coach a senior level staff to manage and develop high performance teams.
In-depth knowledge of hospital operations and clinical processes/practices.
Track record of collaboration, cultivating and maintaining strong working relationships with all levels of clinical and administrative managers within the hospital and community leaders, as well as identifying, negotiating, structuring, developing, and executing projects and programs.
Proven expertise in examining and re-engineering operations and procedures, physician development and implementing new strategies and procedures.

Supervision
This position manages people 10-19 101-499

Budget Responsibility
Primary Budget Responsibility None Determined each annual budgeting process

ADA Requirements
Extreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 1-33%
Working Indoors 67% or more
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%

Physical Demands
Sedentary