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ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:Cardiovascular Service Line Senior Medical Director

REPORTS TO POSITION: St. Charles Chief Clinical Officer

SUPERVISES POSITIONS: Provider leaders (MD, DO, APP), Physicians and Advanced Practice Providers for Cardiovascular Services, Pulmonary, and Anticoagulation Services.

DEPARTMENT: Heart and Lung

DATE LAST REVIEWED: Sept 19th, 2024

OUR VISION: Creating Americas healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

POSITION OVERVIEW: The Senior Medical Director for Cardiovascular Services is the principal strategic and operational leader for St. Charles Health System for the planning, design, development, implementation, and quality of Cardiovascular Services, and for the safety of patients receiving care in the Cardiovascular Services programs. The Senior Medical Director will lead, across the St. Charles Health System, the transformational adoption of digital technologies as applied to the science of cardiovascular medicine and surgery, to the experiences of patients, and to the clinician and Caregiver work environment.

In a dyad relationship with the Cardiovascular Service Line Administrator, provides operational leadership for the Division. Together with the Cardiovascular Service Line Administrator is responsible for the planning, design, development, implementation and evaluation of Cardiovascular Services operations in all of St. Charles Health Systems True North domains. The Senior Medical Director, in collaboration with the Service Line Administrator, is also accountable for operating the Clinical Division in compliance with all applicable policies of St. Charles Health System.

Work location:

• St Charles Hospital Campuses

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Dyad Relationship: As the physician leader in the dyad, the Senior Medical Director is primarily responsible for the quality of clinical professionals and of the clinical work across all components, sections, and clinics of the Division. The Senior Medical Director is responsible for ensuring that Division physicians and advanced practice professionals maintain core Professional Competencies, including Practice-Based Learning and Improvement; Patient Care and Procedural Skills; Systems-Based Practice; Medical Knowledge; Interpersonal and Communication Skills; and Professionalism.

The Senior Medical Director is also accountable for physician and team productivity; for clinical innovation; for compliance; for development, implementation, evaluation, and improvement of clinical pathways and models of care; and for relationships with referring physicians.

The Senior Medical Director is responsible for supporting the Service Line Administrator in his/her primary dyad roles, including the provision of administrative services; revenue management; operating expense management; capital planning and allocation; development, implementation and evaluation of staffing models; operations performance reporting; supply chain management; and support systems services.

The Senior Medical Director also provides medical care to patients of the Clinical Division.

Experience

• Achieve top quartile ranking in surveys (Press Ganey) of patient experience, with emphasis on dimensions of patients experiences with physicians and clinical teams.

• Ensure provision of comprehensive clinical and support services.

• Support the optimization of the ambulatory physical environment, from the patients perspectives, at the Divisions sites of care.

• Lead the redesign and implementation of patient journey mapping across the continuum of care to achieve compassionate care delivery during illness episodes and across a lifetime of care experiences.

• Plan, design, develop and implement preventive and curative services for the Division, in consultation with communities and patients throughout the St. Charles service areas and partnership regions of Central Oregon.

• Foster community relations and ensure effective communications for patients regarding preventive and curative clinical services.

Delivery

• Ensure access to care "close to home" and identify and address needs of communities, including, but not limited to, Bend, Redmond, Madras, Prineville, Sisters, Burns, and La Pine.

• Expand access by wider application of telemedicine and remote monitoring technologies.

• Plan, design, develop and implement advanced team-based care models to improve care delivery in partnership with members of the St. Charles care team, including, as appropriate, referring physicians, palliative care, Home Health & Hospice care, care coordination, and patients and families.

• Advance the roles of patients as partners in care through systematic implementation of Shared Decision-making Models

• Assure the highest level of care with accreditations by specialty organizations.

• Systematically implement standards of clinical practice that achieve or exceed the standards for processes of care of the major professional medical and nursing societies appropriate for the Division.

• Strengthen ties with Oregon Health and Sciences University for academic research institution collaborative programs.

• In collaboration with St. Charles Health System leadership, plan, design, develop and implement a 15-year plan for the Divisions services under the demographic assumptions underpinning population growth projections.

People

• Achieve top quartile ranking on SCHS periodic surveys of caregiver engagement and resilience (currently, GLINT).

• Clarify, communicate and reinforce performance management expectations.

• Ensure that every caregiver is empowered as a leader and as a team member through robust and systematic deployment of the principles of workforce inclusion and diversity.

• Give voice to caregivers by facilitating and coaching at regularly scheduled meetings of team, both within and across disciplines.

• Conduct annual provider 360 performance reviews.

• In partnership with the Service Line Administrator provide a role-model for teamwork and leadership.

• Plan, design, develop and implement the Divisions Physician and Professional Work Force Development plan so that

  • Each physician and advanced practice professional has a current career development plan.

  • The Division retains and develops an excellent clinical work force to meet community needs.

• Oversee Ongoing Professional Practice Evaluation and Focused Professional Practice Evaluation for each member of the Division

• Cultivate relationships with professional training programs and professional societies as sources for recruiting the appropriate specialist physicians and advanced practice professionals

Safety

• Assure safe and evidence-based delivery of the Divisions clinical services.

• In collaboration with the St. Charles Health System Office of Quality and Patient Safety, plan, design, develop and implement a Patient Safety Program founded on the principles of patient safety science.

• Plan, design, develop and implement a culture of safety at each of the Divisions care delivery sites to ensure vigilance in patient care.

Affordability

• In collaboration with the SCHS Population Health team, implement evidence-based models for addressing social determinants of health in the care of patients.

• Optimize drivers of the cost of care, such as readmissions, inter-provider variability, medications, disposable supplies.

• Achieve the Board and quarterly financial forecasts.

Quality

• Implement evidence-based, redesigned care paths to eliminate the internal and external failure costs of poor quality.

• Measure and report care outcomes, and benchmark against best practices.

• Perform and report quality studies:

• Participate as a leader in accreditation surveys and programs.

The Senior Medical Director Duties and Responsibilities:

The Senior Medical Director will perform, or delegate the performance of, the hospital medical director duties, including the following:

Strategic

• Integrate Cardiovascular Service Line ("CVSL") strategy with SCHS strategy.

• Coordinate delivery of care among the CVSL, employed and independent cardiovascular services providers.

• Establish annual CVSL priorities for new procedures and technologies.

• Plan, design, develop and implement value-based models of care for CVSL.

Operational

• Conduct administrative rounding on CVSL units and service areas.

• Assist with accreditation and certification activities.

• Develop CVSL simulation capabilities.

• Support the work of procedural care areas to meet quality and safety goals.

• Improve access for procedural and consultative services.

• Support the Medical Staff processes for Morbidity and Mortality review.

• Re-organize the CVSL and identify leaders for its sections.

• Partner with independent community CVSL providers for inclusion in the clinical programs of the CVSL.

Logistic

• Attend and provide leadership at meetings (such as, for example, VAC, Medical Directors, medical and surgical sections of Medical Staff, cath conferences).

• Ensure proper data presentation to relevant committees (MDQA).

• Ensure patient safety practices are maintained (PPE and handwashing) and reports / evaluations for SAS, PPEC, PIP are addressed.

• Support the development of CDI proficiency in the CVSL.

• Support managers in procedural care areas regarding budget, performance, quality and value.

• Transmit quality, safety, and financial data to leadership and providers and staff of CVSL.

• Ensure patient care occurs at the appropriate site/unit (e.g., ASC vs OR; Patient care unit vs ICU).

Behavioral Expectations:

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

• Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality.

• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.

• Complies with all applicable laws, regulations, SCHS policies and procedures, supporting the health systems corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health systems investigations and proceedings.

• Models respect, professionalism and kindness in accordance with the ACTS of Excellence.

EDUCATION

Required:

• Graduation from an accredited medical school.

• Successful completion of an ACGME accredited residency program.

• Successful completion of an ACGME accredited fellowship in cardiology or pathway in cardiothoracic surgery.

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Oregon license as MD/DO

• Board certification in cardiology, interventional cardiology, advanced heart failure, or cardiothoracic surgery

• Valid drivers license and the ability to meet SCHS driving requirements.

• Maintain unrestricted DEA number.

• Maintain unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.

EXPERIENCE

Preferred:

• Minimum of 10 years in cardiology, with at least 5 years in a leadership role.

• Epic EMR software experience

• MERGE Cardiovascular diagnostic software

• Demonstrated leadership experience in integrated delivery system medical group or faculty practice divisions.

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.

• Strong teamwork and collaborative skills.

• Ability to multi-task and work independently.

• Attention to detail.

• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.

• Intermediate to advanced proficiency with Electronic Medical Record systems.

• Intermediate in Microsoft applications (Word, Excel).

Schedule Weekly Hours:

Caregiver Type:

Shift:

Is Exempt Position?

Job Family:

Scheduled Days of the Week:

Shift Start & End Time:

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