KEY RESPONSIBILITIES EXPECTED RESULTS MEASUREMENTS

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POSITION DESCRIPTION Title Department Manager Clinical Services and Quality Green Cross Health (GXH) Medical Division Direct Reports PMS Support Specialist Performance and Informatics Specialist Clinical advisor Reports to General Manager Medical Key Internal Contacts GXH Head office colleagues GXH Medical Team in Support Office Executive Director Medical Clinical Director Medical Shared Services Key External Contacts Medical Professional Bodies PHOs, DHB, NGOs primary healthcare organisation representatives Patient bodies Ministry of Health Nursing Council and NZNO and educational providers for primary healthcare Primary Objective The position holder will play a lead role in achieving GHX s vision of being NZ s leader in integrated healthcare and medical services. Reporting to the GM Medical the key contribution of this role is to ensure that there are systems, processes, metrics, training and development to enable the over 600 professionals in the group to perform their roles to the required service delivery and clinical standards and to grow as professionals. Working closely with the Medical Director, this role plays a key part in developing the models of care and delivery, focused primarily on nursing and ancillary professionals; supports practice managers (PMs) and their medical centre teams to achieve compliance; and ensures that the GXH professional development and career pathways are enabled across the business. Leading the clinical quality process the position holder conducts Healthchecks for new and existing medical centres, and will work closely with Medical Director to support clinical governance groups. This position is part of the business and clinical transformation team and will require high levels of functional as well as transformational leadership as the Group moves towards an integrated healthcare model. KEY RESPONSIBILITIES EXPECTED RESULTS MEASUREMENTS 1. Clinical and professional practice development 1. Working with GM Medical leadership team, deliver service redesign on a Group-wide scale, drawing on existing quality services within our medical centres, links with stakeholders and other providers, whilst building Strategy and plans understood and supported by PMs. Patient satisfaction

KEY RESPONSIBILITIES EXPECTED RESULTS MEASUREMENTS 2. Improving the GXH patient experience new models of care to ensure the best possible future service to our patients. 2. Contribute to the development of GXH s business planning process and integrated healthcare strategy by being aware of and advising on the nursing implications of: a. The requirement for and the deployment and utilisation of nursing resources to ensure the provision of high quality, cost effective care within medical centres. b. The legislative requirements of the statutory authorities in relation to the provision of nursing care and governance. 3. In conjunction with other members of the GXH Medical leadership team, continue the transition and implementation of integrated models of health care delivery which: a. are patient/client focussed and provide a smooth journey through GXH health services b. ensure best practice-principles are adhered to 4. Identify and introduce change in a planned and sensitive manner, clearly understood from a professional and clinical perspective. 5. Conducts research and intelligence gathering from NZ and global providers and brings relevant ideas into GXH. 1. Lead thinking and formulate strategy to shift ethos, clinical practice, professional behaviours and ultimately the nature of every patient experience is at the heart of all service design. 2. Working with Manager Practice Performance and Development and Group Communications, investigate and lead ideas that capitalise on social media and service user networks to facilitate the best possible outcomes for patients 3. Enable a shift from traditional attitudes and practice to a full spectrum of involvement including enabling selfmanaged care and input from patients in decision making, in relation to care design and service changes 4. Seek and use feedback from patients and the wider public, to directly improve practice and therefore future patient experiences and ensuring that individual patients, family and carer concerns are handled sensitively and effectively 5. Ensure that the best professional standards underpin excellent outcomes for patients and are deployed in all services. 6. Work in collaboration with Group HR and PMs to ensure all patient facing staff are trained and enabled to provide both high quality clinical and tailored patient levels increasing Patient numbers increasing Smooth and supportive implementation of change GXH nursing services seen as NZ s leaders Patient numbers Patient retention and satisfaction metrics Visible high levels of face to face customer service Feedback from surveys

KEY RESPONSIBILITIES EXPECTED RESULTS MEASUREMENTS service. 3. Enhance practice performance through quality data and dashboard informatics 4. Professional Development and career pathways 1. Ensure the maintenance and promotion of a clinical dashboard that is relevant and regularly used by practitioners, clinical governance groups and managers to understand and improve performance, and change behaviour by illustrating variation and performance in relation to others (including IPIF results, demographic reports, utilisation, and outcomes) 2. Working with Manager Practice Performance and Development, analyse and report on the Nurse FTE model of service for Medical centres and that each centre has a continuity plan. 3. Working with the Medical Leadership Team, ensure that a review is undertaken of existing informatics systems in the sector, and understanding is developed of the existing programmes that PHOs use (eg DrInfo, Best Intelligence, Healthstat, MOHIO and others) and provide guidance to define system and process requirements that will optimize system performance and technology utilization 4. Work with locality and practice managers, practitioners and clinical governance groups to ensure that relevant parts of the clinical dashboard are incorporated in the Annual Quality Plan for each region. 5. Develop a subset of information to be published annually for patients 6. Work with the marketing and communications team and others to ensure that practice performance results (including IPIF, Cornerstone and GCH performance results) are published in an clear, accessible style in local media, starting mid 2016 7. Work with the GCH clinical team to ensure the development of high performing practices through quality data 8. As needed, support the team that is delivering Management Support Agreements (MSA) to new and existing clients 9. Provide expert user training to Medical centres and MSA only practices as required. 1. Provide leadership of the clinical professional development of all Nursing and allied staff and foster a culture which encourages nurses to be innovative and challenging in the interests of patient care 2. Promote GXH Medical as an Employer of Choice for the nursing profession. 3. Develop and maintain relationships with higher education, other relevant educational institutions to ensure the commissioning of appropriate training and development for nursing and staff. Influence thinking Data used for decision making Medical centres with effective staffing Sought out for advice and direction Dashboard seen as core business tool Staff understand the metrics of performance Registration and CPD 100% complete for GPs and Nurses Career paths established GXH seen as innovative and employer of choice Low turnover of talent

KEY RESPONSIBILITIES EXPECTED RESULTS MEASUREMENTS about the future of professional education and training in GXH Medical. 4. Facilitate multi-disciplinary education and learning wherever possible as an enabler of the remodelling of GXH Medical services. 5. Encourage research and development in nursing and the application of evidence based clinical practice. Promote application of evidence and action research particularly in areas of new service design. 5. Quality and risk management 1. Lead and coordinate quality systems that ensure the delivery of high quality of care for all patients and clients 2. Coordinate the development, implementation and review of evidence based nursing and other policies, protocols and procedures using approved pathways. 3. Lead and promote Health and Safety systems and processes across Medical centres and assess for potential risk/safety issues. Take the appropriate action if any significant risks are identified 4. Demonstrate effective management of complaints, incidents and hazards as per GXH policies and procedures 5. Lead the implementation of quality standards to meet and maintain the required certification and accreditation 6. Protect patients and employees by developing and interpreting infection-control policies and protocols; enforcing medication administration, storage procedures, and controlled substance regulations. 7. Advise on and coordinate responses to the Health and Disability Commissioner. No blame culture evident Audit and compliance metrics 100% achieved Fast and thorough responses to HDC 6. Personal Development 1. Maintain own professional registration and competencies 2. Develop own plan and role model ownership of personal growth and development 3. Seek feedback and coaching to stretch and grow. Role models GXH learning culture 7. Member of the GXH Leadership Team 1. Contributing member of team supportive, helpful, consultative and collaborative 2. Lead by example and live the values. 3. Demonstrate high levels of integrity and sincerity and an ethical approach to doing business. 4. Open to change and new ways of thinking 5. Create culture of trust and openness High performing team Medical division achieving goals Person Specification Key Requirements Essential Desirable Education Level Tertiary

Field of Study Nursing Business Work Experience Physical Requirements Leadership Experience Business Knowledge IT/Data Systems Knowledge Professional or Technical Knowledge Decision Making/Problem Solving Interpersonal Skills RN experience in a service sector; e.g. primary healthcare, professional services, Must be able to travel easily across NZ Track record of successfully leading nurse teams Coaching performance skills Evidence of strong clinical leadership resulting in high clinical standards Evidence of leading the reform of models of care Experience of working across organisational boundaries and developing productive partnership arrangements Able to articulate (verbal and written) business plans and objectives Strong customer and patient service focus Demonstrated ability to initiate projects, define project plans and lead project teams Experienced in spreadsheets and metrics Experienced user of MS Office; Word, PowerPoint, Excel, Outlook Proven ability to devise and review systems for operational efficiency and control. Track record of personal achievement transforming healthcare services Evidence of ensuring the provision of clinically safe services Budgetary management responsibility Able to engage clinicians Prioritization proven ability to sort opportunities and allocate resources based on value, probability, and strategic need Highly numerate - able to analyse situations/data and make effective, practical solutions Has successfully shown creativity in problem solving and seeking opportunities to improve performance Commands respect quickly and can persuade and influence all levels and position holders Knowledge of HR and Employment Legislation MedTech Healthcare IT Knowledge of trends in practice quality, patient service and the changing health care environment NZ and globally Success in a matrix organisation

Champion of best practice Has negotiated win-win scenarios Has track record of developing collaborative and positive relationships with many and varied stakeholders High level of communication skill written and face to face A passion for service Other Ability to handle pressure due to multiple and at times conflicting demands High degree of personal integrity REVIEW This job description was issued in 20 and will be reviewed regularly as part of individual and company development and performance reviews and may be subject to variation. This job description is a guideline of your core role and responsibilities and is not an absolute list. You are required to maintain flexibility to pursue unlisted duties & responsibilities with initiative and ownership to deliver business requirements as and when required.