Associate Chief Nursing Officer - DMC Detroit Receiving and Harper Hutzel Hospitals
Company: Other Executive
Location: Detroit
Posted on: April 25, 2024
Job Description:
MARKET SUMMARY:
MICHIGAN GROUP - Detroit Market
The Detroit Medical Center is one the largest academic medical
centers in the United States, with a long and rich history of
medical education, providing training in medical education for more
than 100 years. As the nation shifted to more rigorous oversight of
physician training, the DMC continued to be a leader in accredited
programs in medical education beginning with the Ophthalmology
Residency Program's accreditation in 1951, Pathology in 1953,
Internal Medicine in 1956, Neurology in 1958 and Neurological
Surgery in 1960. The DMC now trains the majority of practicing
physicians in the State of Michigan including 70 percent of the
state's trauma surgeons and 60 percent of its emergency
physicians.
The DMC currently sponsors more than 100 residency and fellowship
programs, training over 1000 physicians each year. Detroit Medical
Center Graduate Medical Education Accredited Training Programs
include 67 Accreditation Council for Graduate Medical Education
accredited residencies and fellowships; 4 accredited by the
American Osteopathic Association; 5 fellowships accredited by the
American Board of Obstetrics and Gynecology; and 6 residency
programs accredited by Other Boards.
The DMC maintains Academic affiliations with Michigan State
University's College of Osteopathic Medicine and Wayne State
University's School of Medicine. The faculty provides the majority
of medical student, resident and fellow training at DMC
hospitals.
The Detroit Medical Center graduates outstanding physicians with
advanced training in many specialties including Emergency Medicine,
Surgery, Cardiology, Neurosurgery, Obstetrics and Gynecology,
Neurology, Internal Medicine, Pathology, Pediatrics, Radiology and
many more.
The Assistant Chief Nursing Officer will have direct oversight of
the following hospitals:
DMC Detroit Receiving Hospital is a 223 bed institution, Michigan's
first Level I Trauma Center and is a constant and innovative force
in the evolution of emergency medicine. Receiving hosts one of the
busiest and most well-equipped emergency departments anywhere,
training nearly half of practicing emergency medicine physicians in
Michigan. The oldest and largest verified burn center in the state
is at Receiving, and is one of only 63 in the country.
Detroit Receiving offers expertise in many specialty services,
including , critical care, , , , , , and . Boasting the state's
leading 24/7 and Metro Detroit's first certified , Detroit
Receiving is a leader in senior care with our nationally recognized
. A Center of Excellence for disaster preparedness, the experts at
Detroit Receiving have made it the model for regional, state,
national and federal agencies.
III. JOB DESCRIPTION:
The Assistant Chief Nursing Officer is responsible for assisting
the Chief Nursing Officer in planning, implementing and evaluating
the nursing services to ensure the delivery of adequate and
competent patient care. In the absence of the Chief Nursing
Officer, the Assistant Chief Nursing Officer has responsibility for
the Nursing Supervisors, Nursing Directors and Clinical Education.
He/she functions as an expert nurse who facilitates the development
of the Nursing areas.
- Facilitates mechanisms designed to guide the provision of
nursing care required for all patients.
- Participates in the design and development of systems
compatible with the ANA Code of Ethics, Nursing standards, the
goals and resources of the organization, and changing
societal/community needs and patient/family expectations.
- Assists CNO with developing, maintaining, and evaluating
organizational planning systems to facilitate the delivery of
patient care services.
- Assists with the development of standards of nursing practice
and standards of care with nursing leaders.
- Advocates organizational processes that allow for creativity in
the development of alternative plans for achieving desired,
client-centered, cost-effective outcomes.
- Promotes the integration of applicable contemporary management
and organizational theories, nursing and related research findings,
and practice standards and guidelines into the planning
process.
- Assists and supports staff in developing and maintaining
competency in the planning and management of transitions.
- Advocates integration of policies into action plans for
achieving desired client-centered outcomes.
- Utilizes clinical, human resource, and financial data to
appropriately integrate standards of nursing and patient care,
facilitating continuity across a continuum.
- Ensures CNO is informed of critical issues within assigned
departments; reporting managers and staff are fully informed on
organization issues and development; collaborates with other
departments relative to changes originating within the nursing
department that potentially impact their individual
operations.
- Provides training and coaching to managers and staff for the
selection of qualified candidates. Adheres to facility policies and
procedures as well as utilizes facility departmental resources for
management of operations.
- Provides a leadership role in professional, community, and
governmental bodies that shape healthcare policy, thereby
contributing to the development of the health care delivery system,
and better health care for society.
- Provides leadership direction in the identification of clinical
nursing goals and directions.
- Collaboratively participates with nursing leaders in the
development and implementation of systems and processes to achieve
clinical and administrative goals.
- Evaluates and revises the systems and processes of organized
nursing service to enhance achievement of identified, desired
client/family-centered outcomes.
- Provides leadership and support to nursing management in
critical thinking, conflict management, and problem
solving.
- Ensures the ongoing evaluation and innovation of services
provided by organized nursing services and the organization as a
whole.
- Supports the research process, dissemination, and utilization
of research findings in the areas of nursing, health, and
management systems.
- Serves as a professional-role model and mentor to motivate,
develop, recruit, and retain staff and future nurse
administrators.
- Collaborates with recruiter to develop successful recruitment
and retention strategies.
- Initiates and leads departmental and cross-functional
transitions. Applies "best practices", eliminates barriers, and
gains organizational support for change.
- Promotes an environment for harmonious relationships among
personnel, medical staff, patients and others.
- Systematically evaluates the quality and effectiveness of
nursing practice and nursing administration.
- Ensures processes for viability of performance improvement
programs.
- Identifies key quality indicators for monitoring and
evaluating.
- Participates in the peer review process and privileging process
for advanced practices nurses/Allied Health Professionals.
- Participates in interdisciplinary evaluation teams.
- Demonstrates current knowledge of JCAHO Standards, State and
Federal Regulations and ANA Standards for nurse
administrators.
- Demonstrates knowledge of the legal aspects and liabilities of
nursing practice. Ensures that all staff members' function within
the legal boundaries and guidelines established by the state nurse
practice act.
- Assists CNO in assuring that nursing leadership and nursing
staff are aware of current standards, policies and procedures and
compliance are met.
- Visits nursing units regularly to ascertain quality of patient
care and contentment of staff.
- Evaluates his/her own performance based on professional
practice standards, relevant statutes and regulations, and
organizational criteria.
- Engages in self-performance appraisal on a regular basis,
identifying areas of strength as well as areas for
professional/practice development
- Seeks constructive feedback regarding his/her own
practice.
- Takes action to achieve goals during performance appraisal.
- Acquires and maintains current knowledge in administrative
practice.
- Seeks experience to expand and maintain skills and knowledge
base.
- Networks with peers in state/region/corporate to share ideas
and conduct mutual problem solving.
- Maintains professional affiliations and enhances professional
growth and development.
- Collaborates with nursing staff at all levels,
interdisciplinary teams, executive officer, medical staff, and
other stakeholders.
- Collaborates with nursing staff and other disciplines at all
levels in the development, implementation, and evaluation of
programs and services.
- Collaborates with the human resources staff to develop and
implement recruitment and retention programs for staff.
- Provides the opportunity for ongoing communication between self
and staff.
- Collaborates with other providers of nursing/patient care
within the delivery system for provision of seamless delivery of
services.
- Maintains an awareness of community standards for hospital
procedures and policies; communicates same to the CNO.
- Decision and actions are based on ethical principles.
- Advocates on behalf of recipients of services and
personnel.
- Maintains privacy, confidentiality, and security of
patient/client, staff, and organizational data.
- Advocates organizational adherence to the ANA code for nurses,
organization ethics, and corporate ethics.
- Fosters a non-discriminatory climate in which care is delivered
in a manner sensitive to socio-cultural diversity.
- Supports the system to address ethical issues within nursing
and the organization.
- Participates in the development, implementation, and use of a
system for preventing and reporting abuse of patients, patient's
rights, and incompetent, unethical, or illegal practices by health
care providers.
- Acts as the Patient Ombudsman to facilitate all communications
with patients and when appropriate to their families to comply with
organization's duty to inform patients about the outcome of care
per regulatory standards.
- Accepts supervisory responsibility for department functions and
promotes hospital-wide leadership image.
- Confers with nursing supervisors and Directors on tour of duty
to assess status of nursing department. Follows policy and
procedure for recruitment and interviewing of potential new
hires.
- Responsible for ensuring all new employees attend orientation
within their first thirty (30) days of work.
- Responsible for monitoring competency levels of employees and
providing staff development through education.
- Conducts monthly staff meetings, keeps minutes and attendance
logs on file.
- Submits all completed employee performance reviews to Human
Resources in a timely manner.
- Notifies supervisor and Human Resources of all disciplinary
action.
- Documents clearly all disciplinary action and submits originals
to Human Resources while keeping copies in departmental
file.
- Attends nursing, hospital, and medical staff meetings as
requested and reports agenda discussions, recommendations, and
approvals to the CNO.
- Facilitates revisions of job descriptions for all departmental
positions.
- Responsible for employee knowledge and comprehension of all
hospital and departmental policies and procedures.
- Ensures up-to-date reference materials for staff to meet
current standards of practice (i.e., journals, manuals, reference
books, etc.).
IV. FUNCTIONAL EXPECTATIONS & REQUIREMENTS:
The Assistant Chief Nursing Officer has responsibility for
complying with all policies and procedures that pertain to HIPAA
including the minimum necessary requirements for this position. As
part of the requirements for this position, this employee has
access to the entire medical record for the purposes of improving
clinical staff performance. Activities include review of staff
documentation, assessments and diagnostic reports to enable
processes for improving staff competency. In addition, the ACNO
will limit the PHI disclosed or requested to the amount reasonably
necessary to achieve the purpose of the request. The disclosures or
requests that occur on a routine or recurring basis include:
information regarding staff documentation of assessments and
nursing care to the clinical staff, managers, risk manager and/or
Chief Nursing Officer. The ACNO makes these disclosures for the
purpose of identifying staff training/management issues and
developing interventions to meet the identified needs. Criteria
established for the PHI disclosures/requests is based upon
individual clinical staff performance indicators as necessary.
The Assistant Chief Nursing Officer:
- Understands individual role in the HICS Structure. Has
knowledge of the Emergency Code System. Demonstrates/verbalizes
required responses to the Emergency Code system.
Accepts/participates on assigned Team for Hurricane (Code White)
response.
- Serves as a clinical resource to nursing personnel, patients,
and significant others, providing consultation as needed through
sharing of expertise, providing information, demonstrating
technical skills, and relating theoretical concepts to clinical
practice.
- Participates in interdisciplinary rounds and provides guidance
in the delivery of nursing care.
- Acts as a preceptor to affiliating graduate nursing students
involved in CS programs as requested.
- Responsible for the selection and preparation of all
educational materials purchased by the hospital.
- Assumes responsibility for all school affiliations.
- Reviews annually and updates the orientation program as
indicated by evaluations.
- Collaborates with Nursing Directors in developing, monitoring
and revising clinical indicators, especially in the area of
applying statistical tools and analysis.
V. ORGANIZATIONAL LEADERSHIP - EXPECTATIONS & REQUIREMENTS:
As a leader in healthcare, Tenet is committed to providing the best
possible care to every patient, with a clear focus on quality and
service. Strong leadership is essential to delivering on this
commitment, and we believe that the quality of our leaders can give
us a significant long-term competitive advantage. We want to ensure
every current and future leader in Tenet is successful, and we
support that through our selection and hiring process and by
providing coaching and training to our leaders.
In this regard, we have identified core competencies that will
enable a leader to succeed at Tenet, and have defined them within
the following five areas critical to performance:
Use Astute Judgment
- Promotes decisions that are patient-centered (e.g., plans to
reduce noise in patient areas at night).
- Promotes "systems thinking" as a value in the nursing
organization. Synthesizes and integrates divergent viewpoints for
the good of the organization (e.g., implements shared governance
councils).
- Considers impact of nursing decisions on the healthcare
organization as a whole (e.g., reduces falls, pressure ulcers, and
other nurse sensitive patient outcomes).
- Provides leadership in building loyalty and commitment
throughout the organization (e.g., builds career development path
for high performing staff).
- Assures that the clinical perspective is included in
organizational decisions (e.g., leads work that results in
successful JC accreditation).
Shape Strategy
- Formulates objectives, goals, and specific strategies related
to the organization's mission and vision (e.g. participates in
preparing the budget with cost improvements in nursing
departments).
- Promotes a results-oriented environment (e.g., cascades and
measures BSC, CQ BSC, and CNO BSC targets).
- Represents nursing/patient care issues within the
organization's governance and medical staff structures (e.g.
actively participates in governing board by presenting a monthly
nursing report).
- Represents nursing/patient care in strategic planning and
quality initiatives with the governing body (e.g., presents new
ideas and external and internal benchmarks at board
meetings).
- Monitors and evaluates quality through public reported measure
(e.g. core measures, nurse sensitive patient outcomes, infection
control, VBP risk protection, etc.) in collaboration with the
facility DCQI and ICP, as well as national resources.
- Supports the development of a facility wide patient safety
program (e.g. zero never events; reduced falls with injury, reduced
facility acquired pressure ulcers, etc.; meets targets on CNO
BSC).
- Designs safe clinical systems, processes, policies and
procedures.
Apply Financial Insights
- Allocates nursing resources based on measurement of patient
acuity/care needed (e.g. meets JC conditions of participation for
nursing services).
- Demonstrates sense of urgency in management of labor expense
(e.g., meets targets for SWB).
Ensure Collaboration
- Effectively communicates with all internal and external
constituents, including staff, colleagues, and physicians (e.g.,
holds weekly staff meetings with Department Directors, routinely
rounds with physicians).
- Builds "privileged relationships" with key internal
stakeholders (e.g. CEO, RSVP, etc.) and manages organizational
relationships in a manner which builds mutual trust and respect.
Addresses and manages conflict in a constructive and productive
manner (e.g., immediately addresses a conflict situation between a
nurse and physician to a positive outcome).
- Actively networks and creates peer relationships with other
internal and external nursing leaders (e.g. leadership role in
industry organizations, actively mentors, etc.).
Drive Organizational Success
- Understands and articulates patient care standards reflected in
federal and state regulation, TJC, the state Nurse Practice Act,
and organizational policies and procedures.
- Ensures that the care delivery model, clinical environment of
care and related technology is appropriate to needs of caregivers
and patients.
- Supports and embraces role in the adoption of EMR within
facility and successfully implements within SWB budget.
- Recognizes the utility of nursing involvement in the planning,
design, choice and implementation of information systems in the
practice environment.
- Monitors and evaluates service indicators (Press Ganey Patient
Satisfaction Reports) and implements action plans in collaboration
with related team members at the facility level (e.g., action to
implement formal discharge calls).
- Actively facilitates Physician satisfaction survey, monitors
results and collaborates with facility team members to develop and
implement action plans (e.g., action to improve communication with
physicians).
- Monitors and evaluates results of annual Employee Satisfaction
Survey and collaborates with related team members to develop and
implement action plans (e.g., action to increase recognition).
Develop Organizational Talent
- Participates in workforce planning to ensure an adequate and
competent workforce.
- Develops succession plan for nursing leadership (e.g.,
promotion of RN Directors to ACNO and CNO roles).
- Assumes personal and professional accountability (e.g. meets or
exceeds requirements for licensure as a Registered Professional
Nurse in the state where employed; maintains required CEUs,
actively seeks out career development opportunities,
etc.).
- Supports a non-punitive environment and a reward system for
reporting unsafe practices (e.g. improved scores on Annual ARHQ
Patient Safety Survey regarding non-punitive environments for
reporting unsafe practices).
- Recruitment and retention strategies, employee
development/education program (e.g., meets targets for People
pillar for nursing including turnover,
- Consider and/or implement nurse residency programs (e.g.,
successfully implement Versant program).
- Effective facility level competency program (e.g., meets JC
requirements for unit-based competency across the continuum of
care).
VI. REQUIRED SKILLS:
Established record of progressive administration and leadership
responsibility in a comprehensive tertiary health care
facility.
Highly effective interpersonal and communication skills.
Strong labor relations background.
An individual able to effectively and efficiently organize patient
care promoting optimal outcomes, patient safety, and patient,
physician and employee satisfaction.
A proactive nurse executive who takes the lead in complying with
regulatory standards, rules and laws.
Professional and Personal Attributes
- Ability to plan strategically and implement new processes and
programs through data analysis and cost effective interactions.
- One who is positive, creative and innovative with a strong
understanding of the business aspects of healthcare and the acumen
to play a substantive role in developing strategies, budgets and
business plans. Financially astute, with a solid understanding of
cost issues and initiatives.
- Clearly a leader by example, able to articulate a clear vision
and expectations for patient care services and other areas of
responsibility.
- An individual of highest personal and professional integrity,
principle and knowledge, earning respect and support when making
difficult decisions and choices. Able to establish immediate
credibility with peers, senior leadership, medical staff, and the
Board.
- A collaborative and operational manager who will give employees
a voice and encourage full participation of all team members.
- Excellent interpersonal skills; a dedicated listener,
comfortable in a variety of settings dealing with diverse
constituencies; a broad thinker. The ability to communicate clearly
and effectively both verbally and in writing.
- A leader who will inspire confidence and establish a sense of
common direction and vision for the medical staff.
Education/Certifications
An academic degree in nursing is required, and a Master's degree in
Nursing or related field (Health Administration, Business, Public
Health, or Management) is required.
Active and current registered nurse license in the state of
residence/practice is required.
Current CENP or NEA certification preferred.
Compensation
A competitive compensation program will be tailored to the selected
candidate. Base salary will be supplemented by a performance bonus
and comprehensive, well-rounded benefits program, which includes
relocation assistance.
Travel
Approximately 25 percent
Tenet Healthcare complies with federal, state, and/or local laws
regarding mandatory vaccination of its workforce. If you are
offered this position and must be vaccinated under any applicable
law, you will be required to show proof of full vaccination or
obtain an approval of a religious or medical exemption prior to
your start date. If you receive an exemption from the vaccination
requirement, you will be required to submit to regular testing in
accordance with the law.
*AONE19*
#LI-KK32403013425Employment practices will not be influenced or
affected by an applicant's or employee's race, color, religion, sex
(including pregnancy), national origin, age, disability, genetic
information, sexual orientation, gender identity or expression,
veteran status or any other legally protected status. Tenet will
make reasonable accommodations for qualified individuals with
disabilities unless doing so would result in an undue
hardship.
Keywords: Other Executive, West Bloomfield Township , Associate Chief Nursing Officer - DMC Detroit Receiving and Harper Hutzel Hospitals, Professions , Detroit, Michigan
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