Eastern Maine Healthcare System Service Line Administrative Director - ER in Brewer, Maine

Job Summary:

This position, in partnership with Service Line Clinical and Administrative dyads, is responsible for planning, directing and evaluating the delivery of standardized clinical serves in accordance with the professional standards of the clinical disciplines, applicable regulatory requirements and business/patient care objectives of the organization. The incumbent provides strategic leadership in assessing, developing and implementing initiatives/activities which improve financial performance/productivity, maximize effective utilization of resources and collaborating with existing clinical and administrative leaders to enhance patient outcomes/service satisfaction of all identified customer groups and generate a competitive advantage for EMHS. The incumbent works in close collaboration with the Medical Group and other regional departments/service lines with respect to business plan development and to coordinate services across the care continuum.

Working with clinical and administrative leaders in each member organization, the person in this position is responsible to ensure that provider schedules, staffing levels and expenses are maintained in accordance with the collaborative agreements.

Reporting to the Chief Operating Officer and the Chief Physician Executive and with the assistance of the EMHS Strategic Development Oversight Team, the service line director will:

  1. Define a vision
  2. Identify 3-5 areas for potential focus
  3. Define the value proposition (cost, quality, access) associated with these areas of focus
  4. Agree upon and launch two short term pilots associated with their areas of focus, and demonstrate positive/intended results
  5. Develop a service line charter (to be reviewed/approved by the Strategic Development Oversight Team)
  6. Develop an 18 month plan (to be reviewed/approved by the Strategic Development Oversight Team)
  7. Receive endorsement from the Strategic Development Oversight Team to move to the next stage

Once these steps have been successfully completed, the service line will graduate to Stage 2. ­

Stage 2: Under the direction of the Operations Development Oversight Team the service line director will present/modify its charter and 18 month plan. Resources will be assigned/allocated, plans will be developed and launched, and progress/achievement will be closely mentored and monitored.

As the service line matures, it may become a candidate for Stage 3.

­ Stage 3: Service line becomes a "permanent" EMHS council, with a direct reporting relationship to the Chief Operating Officer and Chief Physician Executive, and with the mandate and resources necessary to achieve its aforementioned purposes. Job duties will expand to include the following:

Business Development/Marketing:

Essential Job Functions:

• Works collaboratively with Marketing/Communications Department to develop effective marketing strategies and promotional materials for the clinical areas(s) that are designed to enhance awareness, expand market share and increase revenues to EMHS; identifies and implements strategies/opportunities to differentiate EMHS programs and services from those of other healthcare providers; participates in community awareness activities to promote clinical programs/services. • Cultivates and maintains professional relationships with primary customers of the clinical area(s) including medical directors, physicians, physician groups, patients, supply vendors and external entities to foster opportunities for revenue enhancement, enhanced customer service and to positively impact core clinical measures.

Operational Accountability: • Reports to the System Chief Operating Officer • Works with Medical Group and MO Leadership to achieve common goals of standardization for clinical care and customer service. • Collaborates with clinical and administrative leaders and stakeholders across the system. • Supports the development , preparation, distribution and timely review of financial and management reports/ metrics

Short- and Long-Term Planning: • Anticipates and recognizes the evolving factors that affect current/future needs, and directs the development of strategies/initiatives/programs/projects to respond/foster/support future growth of service line clinical areas(s) and address matter such as: provision of new services, standardization of policies/practices across the organization, increasing market share, maximizing revenues, cross-selling services, improving efficacy/cost-effectiveness of clinical services provided, enhancing patient outcomes/satisfaction and others of similar complexity and consequence; understands and ensures the full optimization of available information technology to achievement of overall business objectives; develops formal strategic/tactical plans, to include both short- and long-term business planning, with full accountability for achievement of plan objectives; presents and gains support for recommendations and directs project management efforts to develop/implement planning objectives. • Works with Medical Group, MO Leadership and Strategic Planning to prepare business case to support direction of recommendations.

Performance/Quality Improvement: • Works directly with the system and local Quality leaders to develops, implements, monitors and evaluates systems/initiatives/programs to facilitate performance/quality improvements in keeping with strategic objectives and regulatory requirements, conducts ongoing assessment of the strengths and weaknesses of the assigned clinical area(s) to better understand/identify future needs and challenges; evaluates existing systems/program/priorities and future potential to make recommendations for growth, expansions, new services and solvency of existing services based on market demographics and volume projections; develops and presents comprehensive recommendations regarding the viability of specific systems/projects; plans and directs quality process improvement initiatives/projects to ensure achievement of business objectives.

Resource Management/Budget Administration: • Works with Finance to assess impact of service line activities at the local and system level. Assists in developing recommendations for operating and capital budgets. Contributes to cost control analyses, revenue capture recommendations, and productivity assessments.

Staff Management and Development: • Working with HR, identify performance standards and develop recommendations for staff training consistent with best practices.

Regulatory Compliance: • Work with system Compliance and local leadership to ensure full compliance with internal/external legal and regulatory standards and requirements, and that effective control procedures are in place and fully functioning to preclude improprieties from occurring; monitors the effectiveness of current practices in meeting expectations and producing desired results. • Maintains 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. Performs related work as required.

Job Dimensions: 1. Scope, complexity and Judgment Required Guidelines for performing the work are in the form of regulatory requirements and broadly-stated objective for the assigned service line. Work is heavily focused on strategic/operational/ tactical planning and performance improvement/customer service initiatives, and requires the application of substantial judgment and discretion in determining/integrating/balancing operational/functional priorities and competition for available resources. An incumbent must be able to conceptualize and apply sound analytical methods in order to spearhead business development activities, understand complex organizational impacts and address/resolve matters of significance. Work is performed with significant independence; subject to review of results achieved from a longer-term perspective. Decision-making affects the entire service line and challenges/problems encountered are sometimes unique and with little precedent for effective solutions.

  1. Key Contacts/Communications Contacts are at all levels of the organization, including EMHS management, Member Organization physicians and administrative leaders and other healthcare providers, for the purpose of influencing/persuading/negotiation in order to facilitate integration of services, gain acceptance of recommendations, ensure compliance with standards/requirements and achieve overall business objectives. This position requires a high degree of professionalism and an ability to interact with a wide variety of internal and external entities/individuals to significantly increase the visibility/viability of the service line and to facilitate achievement of business development goals that respond to market opportunities and organizational needs. An incumbent represents the service line on EMHS system-wide teams/committees and with external entities that address nursing/clinical, regulator, risk management and safety issues; present/evaluates strategies/priorities/issues from the service line perspective.

MINIMUM JOB QUALITIFICATIONS: The following section contains representative examples of competencies and job qualifications directly related to successful performance in the position. The categories are broad, reflecting minimum requirements. It is not intended to be an exhaustive list of all possible requirements nor does it include general competencies, expectations and/or skills that are universally applicable to the work, but are not critical for recruitment purposes or to overall job performance.

Education/Work Experience Requirements:

• Bachelor's degree in Nursing, Business Administration, Healthcare Administration or related field required; master's degree in healthcare or business administration, or related field, or enrollment in a related Master's degree program, is strongly preferred.

• At least eight (8) years of progressively responsible related work experience demonstrating attainment of the requisite job knowledge/abilities, including at least four years in an exempt level leadership position required. Prior ER or hospitalist administrative leadership experience preferred.

Job Knowledge/Abilities: • Knowledge of modern theory, principles, standards, practices, technologies and clinical operations relating to the service line area specialties. • Knowledge of the principles, practices, standards, techniques, protocols and tools/equipment relating to clinical operations in a healthcare environment. • Knowledge of the content, intent and application of federal and state standards and regulatory requirements pertaining to matters within designated scope of responsibility. • Knowledge of the principles, practices and methodologies pertaining to healthcare delivery systems. • Demonstrated operational leadership skills • Demonstrated financial analysis skills with preference given to EPSI experience • Demonstrated knowledge of provider compensation guidelines and related regulatory requirements • Knowledge of qualitative/quantitative evaluation and analysis, and advanced quality/performance improvement program development/implementation. • Knowledge of safety/risk management and regulatory accreditations/survey processes relating to health care organizations. • Knowledge of current trends, issues and research in treatment, prevention and education as they relate to QI in a large medical services system. • Knowledge of the concepts, practices and tools relating to statistical analysis and the development of program metrics. • Knowledge of the concepts, methods and tools of project management sufficient to verse the work of teams engaged in performance improvement activities in a cross-functional environment. • Ability to understand financial and/or operational reports, analyze data, identify improvement opportunities and implement effective responses. • Ability to strategize, develop, implement and evaluate business plans, initiatives, standards, budgets, and policies/procedures. • Ability to plan, direct and evaluate the work of subordinate management staff, and to oversee the activities of managers with a matrixed relationship. • Ability to identify compliance deficiencies and/or systemic weaknesses and implement timely corrective action to forestall or remedy. • Ability to express ideas and convey information effectively in verbal and written communication. • Ability to define problems, collect data, establish facts, interpret requirements and draw valid conclusions. • Ability to keep abreast of current and changing laws and regulatory standards and their impact on hospital operations and activities. • Ability to develop and implement effective policies, standards and procedures relating to matters under defined scope of responsibility. • Ability to establish and maintain effective working relations as required by the duties of the position. • Some travel will be required.