Honolulu, Hawai i Chief Nursing Executive and Vice President for Hospital Operations Straub Medical Center Leadership Profile Prepared by Zachary A. Smith, Ph.D. Andrew Trechsel January 2018 This leadership profile is intended to provide information about Straub Medical Center, Hawai I Pacific Health and the position of Chief Nursing Executive and VP for Hospital Operations. It is designed to assist qualified individuals in assessing their interest in this position.
The Organization Straub Medical Center Founded in 1921, Straub Medical Center is a fully integrated not-for-profit health care provider with a 159-bed medical center in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai i. With more than 400 employed or contracted physicians who are leaders in their fields, Straub provides its patients with expert diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, women s health, vascular and urology. Straub is home to the Pacific Region s only multi-disciplinary burn treatment center. The medical center consistently brings new technologies and innovative medical practices to Hawai i, such as minimally invasive cardiac surgery and total joint replacement. Straub is an affiliate of Hawai i Pacific Health, one of the state s largest health care providers. Mission The mission of Straub Medical Center is to create a healthier Hawai i. History Straub Medical Center was founded in 1921 as The Clinic by Dr. George F. Straub. Dr. Straub conceived the idea of forming a group of physicians to provide better, morespecialized care for his patients. Straub Clinic & Hospital became an affiliate of Hawai I Pacific Health on Dec. 21, 2001. Recognition Straub has established a strong culture of patient safety as evidenced by the following recognitions: Healthgrades 2015 & 2016 Patient Safety Excellence Award ; top 5 percent nationwide. Healthgrades 2009-2016 Outstanding Patient Experience Award. Level I & III Patient-Centered Medical Home designation from the National Committee for Quality Assurance (NCQA). 2012-2016 Awarded an A Hospital Safety Score by the Leapfrog Group. 2016 CMS 5-Star Rating only hospital in Hawai i. 2016 Blue Cross Blue Shield Award of Distinction Center plus for Orthopedic Surgery. 2016 Blue Cross Blue Shield Award of Distinction Center Plus for Cardiac Care. 2016 STS Three Stars for Cardiac Surgery (Society of Thoracic Surgeons). Healthgrades 2017 America s 100 Best Hospitals for Orthopedic Surgery Award. Healthgrades 2017 Excellence Award for General Surgery, Joint Replacement. 1
Healthgrades 2017 Five Star recipient for Pacemaker Procedures, Total Hip Replacement, Total Knee Replacement, Hip Fracture Treatment, Gallbladder Surgery, Treatment of Pneumonia. For more information, please visit StraubHealth.org Straub Medical Center Operating and Financial Statistics Financial Data Annualized Unaudited FY2018 (1) FY2017 Revenues Net Patient Revenues 423,298,577 439,829,519 Other Revenues 23,759,777 10,726,354 Total Operating Revenues (2) 447,058,354 450,555,873 Expenses Salary and Benefits 244,518,077 239,400,875 Supplies, Pro Fees and Other 200,108,995 199,510,473 Interest Expense 1,753,140 1,456,202 Depreciation & Amortization 9,702,401 9,755,697 Total Expenses 456,082,613 450,123,247 Net Operating Income (9,024,259) 432,626 Operating Data Licensed Beds 159 159 Average Daily Census 110 115 Admissions 6,713 7,230 Patient Days 40,119 42,027 Catheterizations 1,529 1,522 Open Heart Surgeries 208 248 Inpatient Surgeries 2,262 2,381 Outpatient Surgeries 3,836 4,040 Outpatient Encounters (Clinic) 850,760 875,594 Emergency Room Visits 32,905 33,323 ALOS - Medicare 5.94 5.94 ALOS - All Payors 6.08 5.82 Total FTE's (3) 1,738 1,733 Case Mix Index 2.07 2.08 Other Data Payor Mix Medicare (Traditional and Managed Care) 44.20% 45.80% Medicaid (Traditional and Managed Care) 13.40% 12.50% Commercial/Managed Care 37.70% 37.50% Self-Pay 0.90% 0.80% Other 3.80% 3.40% Percentage IP Business (Hospital) 45.00% 47.00% Percentage OP Business (Hospital) 55.00% 53.00% Active Medical Staff 424 408 Balance Sheet Hospital AR Days (4) 48.84 49.76 Clinic AR Days (4) 25.84 27.05 Notes: (1) Annualized for the 5 months ended 11/30/17 (2) Year-over-year shift from Net Patient Service Revenue to Other Revenue related to capitation payments in conjunction with the CMS CPC+ pilot and local commercial payor primary care capitation programs (3) Including employed physicians (4) Gross revenue basis, not net 2
Hawai i Pacific Health (HPH) Hawai i Pacific Health is a not-for-profit health care system of medical centers, clinics, physicians and other care providers. Our mission is to create a healthier Hawai i. Anchored by our four medical centers Kapi olani, Pali Momi, Straub and Wilcox Hawai i Pacific Health also comprises more than 70 convenient locations statewide. As one of the state s largest health care providers, Hawai i Pacific Health s network of doctors and specialists work together to provide a distinctive and effective model of coordinated care for maintaining the health and wellness of our patients, from treating simple illnesses to complex diseases. As a not-for-profit organization, Hawai i Pacific Health reinvests its earnings into patient care, community programs and improvements to medical equipment and facilities. It also means we invest in research, education and training, as well as charity care for underserved people within our island community. Learn more at HawaiiPacificHealth.org. History Hawai i Pacific Health was formed in December 2001 as a result of the merger of three longtime industry leaders, Kapi olani Health, Straub Medical Center and Wilcox Health. At the time, it became Hawai i s largest health care provider with a combined history of 250 years of excellence. Health Care System Affiliates Hawai i Health Partners Kapi olani Medical Center for Women & Children Kapi olani Medical Specialists Kapi olani Health Foundation Kaua i Medical Clinic Pali Momi Medical Center Pali Momi Foundation Providers Insurance Corporation Straub Medical Center Straub Foundation Wilcox Medical Center Foundation Affiliations and Awards Five-time recipient of the Gallup Great Workplace Award. Two-time recipient of the HIMSS Enterprise Davies Award of Excellence. Affiliated with the University of Hawai i on various athletic, teaching and medical residency programs, as well as affiliations with hundreds of other local and national academic partners. Member of the High Value Healthcare Collaborative, University of Hawai i Cancer Consortium, National Surgical Quality Improvement Program, Society for Thoracic Surgeons, National Cardiac Data Registry, Premier Quest program, Vermont Oxford Network, and the Children s Hospitals Solutions for Patient Safety Network (Kapi olani). 3
Kapi olani Medical Center for Women & Children Kapi olani Medical Center for Women & Children is well recognized as Hawai i s leader in the care of women, infants and children. It is Hawai i s only maternity, newborn and pediatric specialty hospital. It is also a tertiary care, medical teaching and research facility. Specialty services for patients throughout Hawai i and the Pacific Region include intensive care for infants and children, 24- hour emergency pediatric and adult care, critical care air transport, and high-risk perinatal care. More than 1,600 employees and 660 physicians provide specialty care at Kapi olani. The medical center extends services through Kapi olani Women s Center and Kapi olani Women s Cancer Center the state s only dedicated breast health and gynecological cancer centers. It also offers numerous community programs and services, such as the Kapi olani Child Protection Center and the Sex Abuse Treatment Center. Kapi olani Medical Center for Women & Children is an affiliate of Hawai i Pacific Health, one of the state s largest health care providers. Learn more at Kapiolani.org. Mission The mission of Kapi olani Medical Center for Women & Children is to create a healthier Hawai i. A History of Caring Queen Kapi olani founded the Kapi olani Maternity Home in 1890. She held bazaars and lu au to raise the $8,000 needed. In 1909, Albert and Emma Wilcox donated the funds to open Kauikeolani Children s Hospital, a hospital for Hawai i s children envisioned by Dr. James R. Judd and Sanford Dole. In 1978, the two hospitals merged to become Kapi olani Medical Center for Women & Children. Care Through Giving As a not-for-profit medical center, Kapi olani Medical Center relies on community support to fulfill its mission. Our generous donors, through contributions to the Kapi olani Health Foundation, help the medical center provide exceptional medical care for all of the women and children throughout Hawai i and the Pacific Rim. For more details and to donate, visit KapiolaniGift.org. Interesting Facts Kapi olani is a major teaching hospital for the University of Hawai i John A. Burns School of Medicine Pediatric and OB-GYN programs. Nearly half of Kapi olani s patients come from uninsured or underinsured families. Kapi olani Women s Center was the first in the state to establish an Imaging Center of Excellence, providing a unique model of care with radiologists on site. For more information, please visit www.kapiolani.org. 4
Kapi olani Medical Specialists Kapi olani Medical Specialists is a specialty physicians group at Kapi olani Medical Center for Women & Children that provides pediatric and women s specialty care. It partners with the University of Hawai i John A. Burns School of Medicine to conduct research and education, and train medical students and specialists. Kapi olani Medical Specialists physicians also provide patient care at outreach clinics and community health centers throughout Hawai i. A significant portion of care provided at Kapi olani Medical Center to the underinsured and patients who are unable to pay for their care is provided by Kapi olani Medical Specialists. Pali Momi Medical Center Pali Momi Medical Center is a not-for-profit medical center located in Aiea, serving Central and West O ahu. With private rooms, 118 beds and more than 450 physicians on its medical staff, Pali Momi offers a full range of services. It has delivered many medical firsts for the community, including West O ahu s only interventional cardiac catheterization units for the detection and treatment of heart disease and the largest comprehensive center for cancer care. Pali Momi also has a fully integrated minimally invasive surgical suite, CT scan and MRI services, emergency services, a women s center and the state s first retina center. Pali Momi was founded in 1989 and is part of Hawai i Pacific Health, the state s largest health care provider. Mission The mission of Pali Momi Medical Center is to create a healthier Hawai i. Pioneering Care for Central and West O ahu Pali Momi is the only facility in Central and West O ahu providing life-saving care through the following: - Interventional cardiac catheterization units. - Primary Stroke Center. - Level III Trauma Center. First comprehensive center for cancer care in Central and West O ahu. Advanced minimally invasive surgical technology. Comprehensive women s center. Offering Deep Inferior Epigastric Perforator (DIEP) flap procedure, the most advanced form of breast reconstruction surgery. Recent Additions In order to continue bringing excellent care to the community, Pali Momi has added new advancements: MRI-guided UroNav Fusion Biopsy System for more efficient and precise prostate biopsies. Low-dose CT lung cancer screenings. 5
360 Weight Management Center, a comprehensive program offering counseling, support, and medical and surgical options. Fetal diagnostics and obstetric ultrasound imaging for pregnant women. Advanced cardiac electrophysiology screenings. Comprehensive cancer center for more accessible care. Dedicated infusion therapy services suite. Recognition 2017 American Heart Association/American Stroke Association Get with the Guidelines Stroke Gold Plus award for stroke care. Awarded an A in Fall 2016, Spring 2017 and Fall 2017 Hospital Safety Score by the Leapfrog Group (national leader on patient safety). Pali Momi Medical Center is the only hospital in Hawaii to be a Five-Star Recipient for Spinal Fusion in 2018 from Healthgrades. Pali Momi Medical Center is the only hospital in Hawaii to be a Five-Star Recipient for Carotid Surgery in 2018 from Healthgrades. Pali Momi Medical Center received 5 stars in Hip Fracture Repair in 2018 by Healthgrades. 2017 Partnership for Patients/Premier Hospital Engagement Network 2.0 Award for reducing harm and readmissions. 2017 QUEST Award for High-value Healthcare Citation of Merit from Premier Inc. for proven methods of quality, safety and efficiency in patient care. Recognized Primary Stroke Center by American Heart Association/American Stroke Association. Pali Momi Women s Center is designated as an Accredited Breast Center by the National Accreditation Program for Breast Centers as well as a Breast Imaging Center of Excellence by the American College of Radiology. It is ranked among the top women s centers in the nation. Bariatric Surgery Center of Excellence designation from the American Society for Metabolic & Bariatric Surgery (ASMBS). For more information, please visit www.palimomi.org. Wilcox Medical Center Wilcox Health, which comprises Wilcox Medical Center and Kaua i Medical Clinic, is part of Hawai i Pacific Health, one of the state s largest health care providers. Founded in 1938, Wilcox Medical Center is a not-for-profit medical center dedicated to providing the Kaua i community with accessible quality health care. The largest medical center on Kaua i, it is a state-of-theart acute care facility with a full suite of services offering 30 specialties and programs, including cardiology, emergency, family practice, gastroenterology, health management, internal medicine, neurology, OB-GYN, oncology, orthopedics, pediatrics and urology. Its 20-bed 6
emergency department serves as the island s Primary Stroke Center. The medical center also has four birthing suites, seven intensive care beds and 20 same-day surgery beds. Wilcox is the first American College of Surgeons-verified Level III Trauma Center in the state of Hawai i. Kaua i Medical Clinic is the island s largest clinic and only multispecialty medical group. More than 85 physicians and midlevel providers offer primary and specialty care at clinic locations in Ele ele, Kapa a, Ko loa and Līhu e. Kaua i Medical Clinic also offers an Urgent Care Clinic in Līhu e that is open from 8 a.m. to 7 p.m. Monday-Sunday. Learn more at WilcoxHealth.org. Mission The mission of Wilcox Health is to create a healthier Hawai i. Recognition 2017 American Heart Association recognition in three areas of excellence: - Stroke: Gold Plus Award and Honor Roll Elite Plus. - Heart Failure: Gold Plus Award. - Atrial Fibrillation: Gold Award. Healthgrades 2017 Outstanding Patient Experience Award. Healthgrades 2018 Five-Star Recipient for the Treatment of Heart Attack. Named a Top 100 Rural and Community Hospital by the National Rural Health Association. Leapfrog Hospital Safety Grade A. Recognized as a Top Performer on Key Quality Measures by The Joint Commission. Clinic Locations Main Līhu e Clinic offering 30 specialties and programs Ele ele Clinic - Family Practice Kapa a Clinic - Family Practice, Internal Medicine and Pediatrics Kaua i Urgent Care Clinic Ko loa Clinic - Family Practice For more information, please visit https://www.hawaiipacifichealth.org/wilcox/. Additional Information about the Hawai i Pacific Health Quality HPH measures quality performance against national standards set by industry leadership groups by tracking the delivery of core medical services, patient satisfaction, and improvements in patient outcomes. Among HPH s successes to improve quality performance include reducing the rate of hospital readmissions. Nurses began a pilot program in which they contact discharged patients at home to ensure they have the information and resources they need to stay healthy. Patients are also encouraged to participate in more cancer screenings, diabetes education programs, and other preventative health tools. Over the last five years, quality scores have seen a significant increase across a wide range of measurable outcomes. 7
Electronic Medical Records HPH is a nationally recognized innovator in information technology. In Fiscal Year 2012, HPH was honored to be ranked among the top five percent of hospitals and health systems nationwide in the adoption of electronic health records. A system-wide Epic implementation has enabled its hospitals, clinics and physicians to provide integrated, coordinated care throughout the state. MyHealthAdvantage More than 26,000 patients played an active role in managing their health using MyHealthAdvantage, a free online tool that allows patients to securely access their health information using their smart phones, tablets or personal computers. Through this online portal, patients are able to schedule appointments, view test results, request prescription refills and send secure messages to their doctors. HealthAdvantage Connect In Fiscal Year 2012, HPH also saw the implementation of HealthAdvantage Connect, a program that supports independent community physicians in their effort to utilize Epic, HPS s health record system. Through Care Everywhere, HPH worked with other hospitals, including Queens Medical Center and Kaiser Permanente Hawai i, to provide health professionals with instant access to vital medical information, no matter where patients go for treatment. Collaboration HPH s willingness to embrace collaboration and its vision for the future positions them well to help create a sustainable health care system for the state. In Fiscal Year 2012, HPH s leadership continued to work with the state Department of Health and others to address obesity trends, smoking, and other behavior-based health factors that are associated with diabetes, heart conditions and cancer. By better managing these conditions, HPH is better able to reduce chronic disease and lower the utilization of health care resources. Hawai i Health Partners In 2014, HPH and Hawai i Medical Service Association (HMSA) partnered to form a physician-led accountable care organization (ACO) with the goal of providing high quality care, increased efficiency, and optimal patient health. HMSA is a member of the Blue Cross Blue Shield Association covering more than half of the state s population. This partnership is a model that measures and rewards quality of care beyond existing HMSA Patient Centered Medical Home (PCMH) and Pay for Performance programs. This new model aligns hospital and physician incentives to manage the health of a population and meet Triple Aim principles of improving population health and patients experience of care, while reducing costs. There are currently 87,000 commercial covered lives in the ACO. For more information, please visit www.hawai i pacifichealth.org. 8
Summary of Position Straub Medical Center seeks a talented, dynamic and strong leader to serve as its next Chief Nursing Executive and Vice President for Hospital Operations (CNE-VP). The CNE-VP will strengthen nursing performance, improve the patient care experience, develop staff, encourage exceptional teamwork, and help to grow key services and market share. The CNE-VP oversees and provides strategic direction, planning, and leadership of the Patient Services division as well as other assigned non-nursing operational areas at Straub Medical Center. The CNE-VP ensures that Nursing Standards of Practice and Standards of Care are consistent across patient care areas within Straub Medical Center and meet regulatory requirements. The incoming CNE-VP provides oversight and leads the integration of clinical standards among nursing and other clinical disciplines to achieve quality improvement priorities. Reporting to and serving as a key strategic advisor to the Straub Medical Center COO, the CNE- VP should be a skilled relationship builder, particularly in creating effective physician and nursing partnerships. She/he must be able to lead others in initiatives aimed at improving quality and engagement. The CNE-VP will inspire followership and serve as a role model of professionalism and dedication to the highest levels of patient care. Reporting Relationships The Chief Nursing Executive and Vice President for Hospital Operations reports to Straub Medical Center s Chief Operations Officer (COO) and serves as a member of his leadership team. Direct reports to the CNE and VP include: Director of Hospital Operations Director of Nursing Director of Imaging Director of Inpatient Pharmacy Director of Perioperative Services Respiratory Manager (See attached organizational chart for more information.) Responsibilities Within the context of the broader goals and objectives of Hawaii Pacific Health, collaborates with the hospital and HPH leadership to define, articulate, and implement a vision and strategy for anticipating and responding to the developing needs of the community. Coordinates with the Leadership Team, medical staff, and other system personnel to monitor and structure the organization s patient services and hospital operations functions to compliment system-wide initiatives and objectives. Establish standards for nursing care and nursing practice for Straub Medical Center and oversees assigned clinical areas to assure that quality patient care is delivered to patients in an efficient and effective manner. Ensures that policies, procedures, and nursing standards guide the provision of nursing care to all patients and populations served by the facility as defined by the facility s plan for the provision of care. 9
Oversees division operations through operational line managers for each functional area. Establishes performance goals, allocates resources, and assesses policies for direct reports. Provides guidance and direction as needed to include recommending personnel actions, such as selection, evaluation, promotion, staff planning, and discipline up to and including discharge, within the guidelines of Equal Employment Opportunity and Affirmative Action programs, and in accordance with collective bargaining agreements and Human Resource policies. Develops and articulates a clear vision for patient services and other assigned hospital operations functions, specifically addressing customer service, operational/quality/outcomes improvements, and cost reduction initiatives, the changes they entail, and future operational improvements designed to further enhance existing programs, services, and cost reduction efforts. Develops organization-wide patient care programs, policies, procedures, and initiatives that address how individual patients and entire patient populations care needs are assessed, evaluated, and met. Implements an effective and ongoing program to measure, assess, and improve the quality and appropriateness of nursing/patient care delivered to patients. Initiates internal training and development programs for the clinical staff to ensure that the staff maintains clinical competency appropriate to the patient populations served by the facility. Identifies areas for service, quality, and cost improvement initiatives and serves as a resource to medical staff and hospital personnel for process improvement and business reengineering activities related to patient services and hospital operations related functions. Oversees the development and implementation of business development and quality of care enhancement initiatives. Participates in the management and negotiation of patient services related contracts and capital equipment purchases. Monitors total costs for all assigned functional areas, preparing value analyses and providing recommendations for improvements in order to achieve desired financial outcomes, targets, and goals for corporate-wide efficiency, financial viability, and customer satisfaction. Oversees the preparation of appropriate variance analysis and implementation plans to minimize or eliminate similar variances in the future. Manages clinical and non clinical business initiatives to achieve budgeted results or other financial criteria in accordance with system objectives. As a member of the leadership team, participates in the development, implementation, and evaluation of long-range strategic plans to achieve the institution's general objectives and compliment the HPH business plan. Presents a clinical perspective/impact with administrative decisions. Collaborates with assigned Financial Partner to oversee the development of operating and capital budgets for assigned areas and ensures that assigned functions operate within budget. Monitors financial progress of the division and implements corrective action plans, as appropriate. Builds and cultivates collaborative relationships with system managers and the medical staff to ensure delivery of high quality, cost effective medical care and service to system patients. Serves as a resource to the hospital s physician leadership, medical staff, and system management with regard to patient services related issues. 10
Initiates and establishes policies and procedures; operational objectives; quality management programs; and safety, environmental, and infection control standards consistent with overall system policies, objectives, and goals. Directs the review, modification, and approval for all corporate-wide patient services related policies and procedures. Consults with appropriate personnel and departments to ensure that resources are made available to ensure successful implementation of new policies/procedures. Ensures overall facility compliance with TJC patient care/nursing standards and other regulations governing hospitals and the rules of accrediting bodies by monitoring operations and initiating changes where required. Complies with all Hawaii Pacific Health Policies and Procedures, Corporate Compliance Program Standards of Conduct, and all applicable statutes, rules, and regulations. Reviews reports of regulatory and accrediting agencies and implements corrective action plans as appropriate. Maintains a work environment that provides maximum safety and health and encourages safety awareness among employees with an ongoing departmental safety program. Reports unsafe conditions and illness/injuries and incidents in a timely manner and ensures that employees perform duties using safe work techniques, in accordance to OSHA health and safety rules and sanitation standards. Participates and serves as a member of various hospital/medical staff committees. Serves as a resource regarding patient services related issues and performance improvement activities and provides guidance to ensure that system-wide objectives are achieved. Negotiates and monitors contracts and working agreements with physicians, nursing schools, and other clinical services. Initiates corrective action as appropriate to ensure that the system s objectives are met. Additional Responsibilities Rotates and serves as monthly administrator on call with other members of the assigned facility s executive operations team. Recommends hospital policy positions regarding legislation, administrative policy, and other matters of public policy. Communicates with Hawaii Pacific Health s executive and senior management teams on all vital patient services/hospital operations related issues and policy decisions. Works with community groups and state agencies to resolve problems and develop resources on behalf of facility patients. Attends and serves on professional/civic service organizations as a system representative and serves as primary liaison between the hospital/medical center(s) and the community. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops. Performs other related duties as assigned or requested. 11
Goals and Objectives The successful candidate will be expected to accomplish the following goals and objectives: Cultural Integration and Model Behaviors: Learn the culture, understand its uniqueness, and become knowledgeable about how the organization works. Maintain high visibility across the organization, developing strong, collaborative relationships and credibility with stakeholders on all levels. Establish trust as a loyal and valued partner to the COO, leadership team, nursing and medical staff. Be viewed as a trustworthy, confident, and effective manager and leader. Serve as a visible role model for employees at all levels. Establish a reputation as an involved, accessible leader with a positive outlook and effective problem-solving skills. Inspire excellence and maximize employee engagement and pride in the organization. Establish a Vision for Nursing: Develop and implement a nursing strategy which reflects the hospital and system s strategies for quality improvement and customer service. The Chief Nurse Executive will be expected to evaluate the current state of nursing and set a strategic direction for the department, consistent with the goals and objectives of the entire organization, that establish a high level of excellence within nursing services. Assess the current nursing structure and identify potential enhancements that will result in the consistently high quality and productivity as well as employee and medical staff satisfaction. Collaboration and Effective Relationships: Build personal and professional credibility with a smooth integration into the organization and develop excellent working relationships with all constituents based on trust and mutual respect at both Straub and HPH; be viewed as a contributing member and integral part of the COO s senior management team. Collaborate regularly and effectively with organizational peers, especially other members of the executive leadership team. Form multidisciplinary teams to address issues affecting throughput, patient safety, quality, and patient satisfaction. Establish working relationships with counterparts in the region and at the system-level. Attain the Highest Levels of Quality, Patient Safety and Service: In partnership with executive, nursing and physician leadership, continue to enhance patient safety, quality and employee engagement, as well as play a key role in ensuring the organization posts superior quality and patient safety performance metrics. Develop and implement accountability measure around quality and service results, especially related to overall patient satisfaction and experience. Be viewed as an advocate for patient safety, quality and patient satisfaction. Operational Assessment and Management: Assess operational infrastructure and identify potential management gaps, risks and exposure. Work closely with senior leadership to ensure Straub is meeting current financial and budget objectives in addition to planning for future growth. While keeping the COO apprised and involved as appropriate, oversee and lead day to day hospital operations, including monitoring volume and productivity as well as evaluating and starting new programs and services as needed. Follow up on initiatives for operations improvement throughout the organization. Ensure highly efficient, high quality, cost effective operations in all areas of the medical center and ensure strong regulatory compliance. Establish Effective Staffing Models: Work with the human resources team to develop a workforce strategy for nursing. Create a staffing model that meets the needs of the patient and, at the same time, is financially efficient. Ensure minimum staffing ratios are achieved. Identify and address any issues surrounding recruitment and retention of staff and explore all avenues to reduce turnover. Expand upon current recruitment and retention strategies to increase numbers of 12
professional and technical staff as necessary. Develop strong and collegial relationships with nursing educators to facilitate recruiting and encourage research in nursing disciplines. Optimize Operational Performance/Growth Strategies: Develop a culture of excellence at all levels of the organization. Provide leadership and direction for enhancing operational discipline across all clinical areas to drive process improvements in patient experience. Ensure the team meets established operating metrics while continually improving the quality of care, as well as redesigning and retooling operating systems to decrease costs and increase efficiencies. Work with the COO and other key stakeholders to map out strategies for operational optimization and market growth. Develop Outstanding Physician and Nurse Relationships: Be visible with medical staff, communicate openly with them, listening to and addressing concerns in a timely manner. Provide an effective liaison with the employed medical group and other aligned physicians. Collaborate effectively with physicians in the organization, maintaining strong relationships between administration and the medical staff. Ensure a coordinated continuum of care for the organization. As appropriate, discuss new business opportunities and validate physician contributions to the organization. In conjunction with the CEO, COO and CMO, continuously cultivate high physician satisfaction and engagement. Team Leadership and Development: Work with executives and team to proactively identify and develop talent at the supervisor, manager, and director levels of the organization. Develop, mentor and engage staff in hospital and clinic operations; help develop the next generation of leadership. Be viewed as a respected, respectful, collaborative team player and excellent communicator with the ability to coach, teach, lead, and develop a team and inspire others to perform at a high level. Monitor Regulatory Compliance: Ensure that the hospital remains up-to-date on all federal, state and local laws, Joint Commission standards and regulatory agency requirements and ensure compliance with all such laws and regulations. 13
Candidate Qualifications Straub Medical Center is seeking an individual with the following qualifications: Education Must meet educational requirements for licensure as an RN in the state of Hawaii and possess a Master's degree or equivalent combination of education, training, & experience. Degree in Nursing or related field. Current Hawaii RN license. Experience Extensive managerial experience in nursing and/or hospital operations with a strong background in assigned areas of responsibility. The incumbent must also possess strong experience and knowledge in strategic planning and community relations. Previous healthcare senior managerial experience preferred. Knowledge, Skills and Abilities Ability to influence, educate, and negotiate. Ability to maintain highly sensitive, confidential material. Ability to manage multiple projects and analyze complex problems. Knowledge of TJC & applicable federal & state regulations. Knowledge of governmental regulations and laws. Knowledge of health care industry including issues & trends. Knowledge of hospital and departmental procedures and operations. Knowledge of legal issues in field of expertise. Provides hospitable customer service. Skill in professional development and supervision of others. Strong organization and planning skills. Well developed verbal and written communication skills. Personal Characteristics A leader that has an array of executive level traits, skills and characteristics. He or she will be capable of effective written and oral communication, have superb listening skills, and have a track record of working well as a valued member of a top management team. Possess an open and participatory management style, be flexible, approachable, inspire trust, and be a good mentor. Embrace the local culture and community. The Hawai i community is grounded in a culture and lifestyle of rich tradition that reflects the land's innate beauty. A respect for the Hawai i culture and its traditions is essential to be successful in this position. 14
Willingness and ability to hold people accountable to achieve objectives. Must be grounded in and have a passion for continuous process improvement strategies with an outcomes/results orientation. An individual of the highest personal and professional integrity who has demonstrated the ability to advance the mission and vision of HPH. An upbeat, people-person who has strong interpersonal skills, is politically savvy and able to work well in a complex organization. Ability to work effectively and collaboratively with diverse constituents; able to manage associated conflict and competing priorities in a diplomatic, non-defensive manner. Be a creative problem-solver with the ability to lead, as well as effectively manage change. Possess an understanding of, and commitment to, customer service as a necessary component for success. Comfortable with ambiguity, flexible and adaptable; effective working in a rapidly evolving environment. Be a consummate team player with a sense of humor. Must be attentive to detail and be willing to be hands-on without micromanaging. 15
Honolulu, Hawai i Interview Process Honolulu is the state capital and the most populous city in the state of Hawai i. It is the county seat of the City and County of Honolulu. Hawai i is a major tourist destination and Honolulu, situated on the island of Oahu, is the main gateway to Hawai i and a major gateway into the United States. The city is also a major hub for international business, military defense, as well as famously being host to a diverse variety of east-west and Pacific culture, cuisine, and traditions. Honolulu is both the westernmost and the southernmost major American city. For statistical purposes, the U.S. Census Bureau recognizes the approximate area commonly referred to as "City of Honolulu" (not to be confused with the "City and County") as a census county division (CCD). Honolulu is a major financial center of the islands and of the Pacific Ocean. The population of Honolulu CCD was 390,738 in 2010, while the population of the consolidated city and county was 953,207. The city has been the capital of the Hawai i an islands since 1845 and gained historical recognition following the attack on Pearl Harbor by Japan near the city on December 7, 1941. 16
Procedure for Candidacy Please direct all nominations, inquiries and resumes to Straub Medical Center s consultants on this project at: Zachary A. Smith, Ph.D. or Andrew Trechsel Witt/Kieffer 2 Park Plaza, Suite 1140 Irvine, California 92614 Phone: 949/851.5070 Email: Atrechsel@wittkieffer.com Hawai i Pacific Health is an equal opportunity employer and does not unlawfully discriminate against any applicant on the basis of race, color, religion, sex, national origin, age, disability, sexual orientation, or any other class protected by federal or state law. Concerns or complaints should be brought to the attention of the Director, Workforce Development at 808-535-7571. Discover Thought Leadership at www.wittkieffer.com The material presented in this position specification should be relied on for informational purposes only. This material has been copied, compiled, or quoted in part from Hawai i Pacific Health documents and personal interviews and is believed to be reliable. While every effort has been made to ensure the accuracy of this information, the original source documents and factual situations govern. 17
Appendix I 18
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