THE OPPORTUNITY / POSITION SUMMARY Reporting directly to the President and Chief Executive Officer of the University of Maryland Medical Center (UMMC) and also accountable to the President of the UMMC Midtown Campus, UMMC’s Senior Vice President of Patient Care Services & Chief Nursing Officer (CNO) has oversight and accountability for nursing and patient care services on the Downtown and Midtown campuses. The UMMC Midtown Campus VP & CNO will have a dual reporting relationship to the Midtown Campus President as well as to the SVP & CNO.
The SVP & CNO is responsible for care delivery that results in excellent patient outcomes; team member and workforce engagement, development and retention; ensuring a value-based proposition for nursing and patient care services; and partnering with other leaders to achieve the strategic and tactical goals of UMMC. As a member of the executive leadership team, the CNO assists with the development of strategic, operational, fiscal, programmatic goals and other plans and policies to achieve the mission, vision and alignment of UMMC’s Downtown and Midtown campuses.
The CNO creates an environment within departments which fosters the planning, evaluating, directing, coordinating, and improving health care services which are responsive to community and patient needs and which improve patient health outcomes. The CNO ensures establishment and sustainment of standards of nursing practice and care delivery using evidence and best practice standards. The CNO describes, supports and guides nursing and patient care services provided in all settings through a research-based, self-directed professional practice system that is grounded in shared governance. The CNO will foster a clinical practice environment that is patient centered, with excellent clinical quality and patient safety while also providing significant contributions to education and research, ensuring practice at the highest scope of licensure. With a dotted line reporting relationship to the University of Maryland Medical System (UMMS) Chief Nurse Executive, the CNO will serve as a member of the CNO Council, and will collaborate with colleagues to evolve nursing in an aligned, and standardized manner, whenever possible across UMMS.
KEY RESPONSIBILITIES The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. • Participates with governance, managerial and clinical leaders in major decision making processes. This includes developing and directing the implementation of annual goals for the Hospital campuses, consistent with the UMMC’s and the UMMS health system strategic initiatives and relevant to designated departments. Monitors and evaluates the effectiveness of activities toward goal achievement. o Interprets the Medical Center’s operating plan, in a positive and constructive manner to designated management team. o Holds managers accountable for short and long range planning as it relates to their departments. • Provides leadership to VPs, directors, managers and other clinical leaders in the operations of their departments. • Ensures the delivery of high quality service to all customers. o Participates in the development, implementation, and evaluation of UMMC’s performance improvement program. o Develops, implements and evaluates processes that improve patient experience and satisfaction. o Ensures that the hospitals meets the Joint Commission and other regulatory requirements. o Coordinates planning and services with all managers across departmental lines to advance integrated care delivery and promote patient centered problem resolution. • Champions strategies to improve patient safety and quality outcomes in alignment with the characteristics of a High Reliability Organization. o Develops and operationalizes strategic goals and objectives for Nursing & Patient Care Services consistent with organizational philosophy and strategic goals. Promotes standardization and assists in the reduction of variation by the dissemination of evidence-based practice while maintaining innovative practices. o Ensures the nursing standards of patient care, standards of nursing practice and policies and procedures are in compliance with regulatory agencies, including The Joint Commission and Maryland Board of Nursing. o Serves as a leader in the development, implementation, and continuous improvement of patient care models and services. Ensures the integration of the findings of current evidence based practice and research into the practices, policies and procedures governing the provision of nursing care. o Maximizes the efficient use of capacity by enhancing the flow of patients through operational improvements and clinical programs that are integrated across both campuses. o Participates with leaders from the governing body, leadership, and medical staffs in planning, promoting and conducting organization-wide performance improvement activities. Collaborates to identify key quality indicators for monitoring and evaluating patient care departmental performance. o Ensures annual goals for Magnet re-designation are met and oversees the Magnet application process for both campuses. Both UMMC campuses are part of a combined Magnet re-designation effort; Midtown Campus embarked on this journey 2 years ago in partnership with downtown campus colleagues and under the direct leadership of the Midtown VP & CNO. • Appropriately administers the fiscal resources of designated departments, including organized nursing services. Provides input and feedback to senior executives regarding the prioritization of funding needed to support patient care programs. o Works with leadership to establish operating and capital budgets based on patient population, department, service, organizational and community needs. o Achieves operating and capital budget expectations with emphasis on demonstrable results in labor productivity, cost reduction, and improved resource utilization and control. o Monitors and analyzes budget variation; facilitates prompt actions to correct budget variances. • Ensures effective management of the human resources of designated departments: o Holds vice presidents, directors and managers accountable for appropriate and cost effective staffing on a 24 hour, 7 day a week basis. o Collaborates with departmental vice presidents, directors, managers, and Human Resources Shared Services to enhance recruitment and retention of qualified staff. o Facilitates the personal mastery of managerial skills and those skills necessary to fulfill role expectations, among designated management staff and other clinical leaders. o Provides guidance and support to the Department of Clinical Education and Development in planning, implementing, and evaluating hospital-wide educational and competency validation programs. o Promotes positive employee morale. • Creates a continuous learning environment for nursing practice with a focus on interprofessional education, evidence-based practice, team-based learning, team member wellbeing, professional growth and autonomous function. o Achieves identified targets for recruitment and retention. Actively participates in recruitment and retention initiatives. o Serves as a team member advocate, leading efforts to ensure that team member development, reward and recognition, and continuous education occur consistently. o Identifies emerging leaders and provides continuous growth and development opportunities for future succession planning. o Identifies current leaders who are deficient in performance and develops action plans to address the issues. Effectively manages marginal performers through coaching, counseling and/or progressive disciplinary action. o Maintains a high level of physical visibility profile with hospital leadership, nursing team members and medical staff to ensure achieve maximum support and organizational effectiveness. o Facilitates the flow of information between individuals, departments and physicians to progress toward organizational goals and achieve timely solutions to problems. o Serves on a variety of UMMC, UMMS, medical staff and community committees, as assigned. o Participates in the Administrator on Call rotation, as assigned. o Maintains professional affiliations and enhances professional growth and development to keep up with the latest trends in healthcare. o Maintains active certification in executive nursing practice. o Partners effectively with the University of Maryland School of Nursing Dean and faculty to continue to evolve UMNursing, a partnership between UMMC and UMSON that focuses on the practice, education and research partnership between the two entities. • Maintains effective working relationships with other executives, clinical leaders, faculty, governance, managers and all team members throughout UMMC and the University of Maryland Baltimore. • Serves as a senior executive of the hospital. o Participates in the development and implementation of hospital-wide plans for the provision of patient care. o Establishes policies to guide ethical-decision making, based on the code of nurses. o Establishes and maintains an environment that supports excellence in nursing practice, and facilitates the delivery of safe, compassionate, and evidence-based patient care by all staff, through planning, implementing, and evaluation of programs that support positive outcomes. o Represents Nursing & Patient Care Services at governance, executive, and medical staff functions. • Fosters positive community relationships and responds to identified community needs. • Participates in and/or provides leadership to select system-wide initiatives. • Performs other related duties as assigned.
ESSENTIAL QUALIFICATIONS AND EXPERIENCE Work Orientation & Experience • Knowledge of leadership functions providing for planning, evaluating, directing, coordinating, implementing and improving health care services. • Previous experience in nursing leadership at an academic medical center or highly complex community teaching hospital. • Previous experience working with a university medical center that operates multiple campuses is highly desirable • Previous high level experience with a successful ANCC Magnet Recognition program designation. • Seven to ten (7-10) years of complex leadership experience to include management of human, material and fiscal resources; capital and operating budget preparation. • Demonstrated experience with innovation and performance improvement principles and processes. Knowledge, Skills & Abilities • Ability to a) effectively communicate both orally and in writing, b) maintain confidentiality, c) build and manage diverse, inclusive, equitable and collaborative teams, d) develop and sustain excellent and productive relationships with department chairs, chiefs and physician faculty, e) promote and nurture nurse-physician leadership dyads, f) develops and sustains excellent and productive relationships with University of Maryland Baltimore colleagues, including the Dean and faculty members of the University of Maryland School of Nursing g) constructively handle sensitive issues to effectively resolve conflict, h) plan both short and long term goals. • Demonstrated skill in: a) leading multiple projects simultaneously, b) attention to detail and follow through c) change management, d) systems thinking, e) succession planning, f) leading people and getting results through others, g) using technology to enhance patient care. • Proficient in: a) budget development and management, b) human resource management, c) strategic leadership, d) information management and technology, and e) marketing. • Experienced in building partnerships with Schools of Nursing and collaborating around the generation of new knowledge and education of future practitioners • Knowledgeable about the contemporary issues and trends involved with nursing practice, education and research, including the following: o Clinical Practice Knowledge o Delivery Models/Work Design o Health Care Economics o Financial Management o Information Technology and Informatics o Health Care Policy o Governance o Evidence-Based Practice/Outcome Measurement o Patient Safety o Utilization/Case Management o Quality Improvement/Metrics o Risk Management • Exhibits strength of character and is viewed as a trusted, ethical and highly visible and effective leader within the organization. • Excellent communication skills with the ability to appreciate other’s perspectives and offer compelling insights and recommendations. • An innovative individual with a “can do” attitude that can inspire an organization to do its best, even in difficult circumstances. • Strong operational and financial acumen with the ability to lead and partner around a vision for superior patient centered care within UMMC that includes continuous improvements in healthcare coordination, quality, safety and costs with a focus on value. • Demonstrates an understanding, innovative thinking, and an appreciation of the ambulatory nursing care practice and care coordination. • Proactive innovator and problem-solver regarding the healthcare economics facing health systems today.
EDUCATION AND TRAINING • Doctoral degree in nursing, health care or business required. • BSN required. • Registered Nurse with current licensure in the State of Maryland or ability to become licensed in Maryland. • Certification in advanced nursing administration or executive nursing practice.
About University of Maryland Medical Center
The University of Maryland Medical System (UMMS) was created in 1984 when the state-owned University Hospital became a private, nonprofit organization. It has since evolved into a $4.5 billion academic health system reaching every part of the state and beyond with nationally recognized and ranked specialties in trauma, cancer care, cardiology, transplant, otolaryngology, children’s heart program and orthopedics.
Headquartered in Baltimore, the 13-hospital system has approximately 28,000 employees, 2,600 licensed beds, and more than 140,000 annual patient admissions that extends from the Eastern Shore of Maryland to the Baltimore-Washington Corridor to Southern Maryland with 150 locations where patient care is provided.
The University of Maryland Medical Center (UMMC) is the academic flagship of the Medical System with its Downtown and Midtown campuses and, in partnership with the University of Maryland School of Medicine, is a national and regional referral center for cancer care, organ transplantation, trauma and critical care, neurosciences, cardiovascular care, women's and children's health. Indeed this partnership is a foundational element of UMMS... and a critical resource for the Baltimore community. UMMC’s campuses are fully integrated operationally and are located one mile apart. Several of UMMC’s outpatient specialty services are now entirely based at Midtown. This allows each campus to focus on what they do best, complementing strengths and assuring access to care from within the city and across the state. The Midtown Campus has been a teaching hospital for over 140 years. Clinical programs that are fully integrated between the campuses include emergency medicine, hospitalist care, pulmonary and critical care medicine, psychiatry, neuro critical care, multiple surgical subspecialities and an array of outpatient centers.
Ranging from telehealth to full implementation of advanced services, UMMC brings the best it has to offer to the member hospitals and medical staffs across the entire University of Maryland Medical System. This vision, focused on improving population health and all aspecst of providing direct patient care, is especially timely in light of the State of Maryland’s unique “all payor” hospital reimbursement system. This system governed by a contract with CMS/CMMI is unlike any other in the country, driving transformation in hospital-based acute care, access, quality, population health improvement and total cost of care.
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