Associate Chief Nursing Officer

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 emergency medicine and trauma, critical care, orthopaedics, neurosciences, nephrology, pulmonology, diabetes, geriatrics and urology. Boasting the state’s leading 24/7 hyperbaric oxygen program and Metro Detroit’s first certified primary stroke center, Detroit Receiving is a leader in senior care with our nationally recognized Rosa Parks Geriatric Center. 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.

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• Facilitates mechanisms designed to guide the provision of nursing care required for all patients.
  

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• 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.
  

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• 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.
  

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• 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.
  

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• Systematically evaluates the quality and effectiveness of nursing practice and nursing administration.
  

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• 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.
  

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• Evaluates his/her own performance based on professional practice standards, relevant statutes and regulations, and organizational criteria.
  

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• 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.
  

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• Acquires and maintains current knowledge in administrative practice.
  

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• 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.
  

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• Collaborates with nursing staff at all levels, interdisciplinary teams, executive officer, medical staff, and other stakeholders.
  

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• 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.
  

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• Decision and actions are based on ethical principles.
  

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• 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.
  

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• Accepts supervisory responsibility for department functions and promotes hospital-wide leadership image.
  

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• 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:

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• 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.
  

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• 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.
  

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• Participates in interdisciplinary rounds and provides guidance in the delivery of nursing care.
  

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• Acts as a preceptor to affiliating graduate nursing students involved in CS programs as requested.
  

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• Responsible for the selection and preparation of all educational materials purchased by the hospital.
  

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• Assumes resp...