Hospital Chief Nursing Officer

Job Title: Chief Nursing Officer

Job Summary:

The Chief Nursing Officer provides strategic leadership as the senior executive position responsible for all nursing and other designated patient care functions and services within the hospital organization.

Key Responsibilities:

• Retailing great people at the facility
• Collaborating with human resources and other team members to select, on-board, orient, and provide coaching for direct reports.
• Evaluating and monitoring facility level people pillar statistics, participating on related calls, as necessary.
• Considering and/or implementing nurse residency programs to ensure pipeline for facility.
• Collaborating with team members to formulate programs to enhance work life balance.
• Partnering with related team members to promote a safe work environment that is based on a zero tolerance for sexual harassment, workplace violence and verbal and physical abuse.
• Collaborating with related team members to promote an effective facility level competency program.
• Collaborating to promote a robust employee development and education program that responds to the unique needs of employees across the career continuum (novice to expert).
• Working cohesively with related team members to develop and implement recruitment and retention strategies that ensure a qualified and stable workforce. Participating in workforce planning to ensure an adequate and competent workforce.

• Effectively communicating with all internal and external constituents, including staff, colleagues, and physicians.
• Communicating and administering human resource programs and procedures in accordance with established policies.
• Managing organizational relationships in a manner which builds mutual trust and respect. Establishing trusting and collaborative relationships.
• Addressing and managing conflict in a constructive and productive manner.
• Giving timely feedback and reinforcing positive behaviors.

• Creating and communicating a compelling shared vision.
• Developing effective strategies for addressing organizational priorities.
• Developing, communicating, and monitoring performance expectations.
• Formulating objectives, goals, and specific strategies related to the organization's mission and vision.
• Understanding effective organizational outcome measures in order to balance cost, quality, and service.
• Measuring and analyzing performance from the learning and growth, business process, customer, and financial perspectives.
• Promoting a results-oriented environment.
• Developing succession plan for nursing leadership.
• Demonstrating effective change management; able to serve as an organizational change agent.
• Caching and mentoring aspiring nurse leaders.
• Creating an environment in which professional and personal growth is an expectation.
• Articulating the application of ethical principles to operations.
• Managing organizational and individual performance with appropriate rewards.
• Representing nursing and patient care issues within the organization's governance and medical staff structures.
• Representing nursing and patient care in strategic planning and quality initiatives with the governing body.
• Educating the organization's board members and physicians regarding healthcare/value of nursing care.

• Creating an environment that recognizes and values diversity.
• Developing processes to incorporate cultural beliefs into care.
• Designing strategies that address the unique needs of a diverse workforce, patient population, and community.
• Assessing the current environment and establishing indicators of progress toward cultural competency.

• Engaging staff and others in decision-making.
• Promoting decisions that are patient centered.
• Providing an environment conducive to opinion-sharing.
• Promoting systems thinking as a value in the nursing organization.
• Considering the impact of nursing decisions on the health care organization as a whole.
• Providing leadership in building loyalty and commitment throughout the organization.
• Synthesizing and integrating divergent viewpoints for the good of the organization.
• Involving employees in decision-making.
• Attending and participating in regional CNO calls and meetings.

• Understanding and articulating patient care standards reflected in federal and state regulation, TJC, the state Nurse Practice Act, and organizational policies and procedures.
• Maintaining knowledge of current nursing practice and roles and functions within nursing and other healthcare disciplines.
• Maintaining current knowledge of patient care delivery systems and innovations.
• Ensuring that nursing practice is consistent with current standards and current evidenced based practice.
• Ensuring that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients.
• Serving as change agent when patient care work/workflow is redesigned.
• Advocating use of documented best practices.
• Teaching and mentoring others to routinely utilize evidenced based data and research.
• Assuring that the clinical perspective is included in organizational decisions.
• Supports regional senior director and Tenet CNO.

• Providing a supportive and stimulating learning environment for nursing students.
• Participating in the academic community through advisory and collaborative efforts.
• Ensuring that the educational system is aligned with organizational needs.
• Collaborating with nursing programs to provide required resources; evaluating graduates.
• Collaborating with academia in nursing research and incorporating nursing research into practice.

• Demonstrating a comprehensive understanding of organizational revenue, expense performance and capital planning.
• Managing fiscal, human, and material resources in a cost-effective manner.
• Designing and maintaining effective systems for resource management in nursing.
• Managing patient care processes such as care management/length of stay to ensure optimal revenue.
• Utilizing effective performance management in managing key areas of responsibility.

• Contribute to the development and implementation of the organization's performance improvement program. Supporting the development and implementation of an organization-wide patient safety program.
• Monitoring and evaluating quality through public reported measure (i.e., core measures, nurse sensitive patient outcomes, infection control, etc.) in collaboration with the facility DCQI and ICP, as well as national resources.
• Actively participating in facility clinical close calls.
• Defining quality metrics by identifying the problem/process, measuring success at improving specific areas of patient care, analyzing the root causes or variation from quality standards, improving the process with the evidence, controlling solutions and sustaining success.
• Interpreting information from research.
• Participating in studies that provide outcome measurements.
• Utilizing research findings for the establishment of standards, practices, and patient care models in the organization.
• Disseminating research findings to patient care team members.
• Supporting the development of a facility-wide patient safety program.
• Supporting a non-punitive environment and a reward system for reporting unsafe practices.
• Designing safe clinical systems, processes, policies, and procedures.
• Allocating nursing resources based on measurement of patient acuity/care needed.
• Ensuring staff is clinically competent and trained on their role in patient safety, performance improvement, and risk management.
• Supporting a safe culture that assures accountability and respects values and individual contributions.
• Incorporating safety as a design element as appropriate.
• Collaborating with RM to monitor and follow up on clinical risk trends.
• Identifying, mitigating, and taking action to correct areas of risk/liability in patient care.
• Facilitating facility level annual pressure ulcer prevalence and incidence study results with corrective action.
• Collaborating with related team members to monitor and evaluate a Culture of Safety through active coaching of direct reports to ensure that the culture of safety is cultivated at the facility.
• Supporting the annual AHRQ Patient Safety Survey and following up with corrective actions.

• Supporting and embracing role in the adoption of EMR within facility.
• Demonstrating basic competency in technology applications related to business and clinical functions.
• Recognizing the relevance of nursing data for improving practice.
• Utilizing facility database management, decision support, and expert system programs to access information and analyze data from disparate sources for use in planning for patient care processes and systems.
• Participating in system change processes and utility analysis.
• Evaluating and revising patient care processes and systems.
• Participating in the evaluation of information systems in practice settings.
• Using computerized management systems to record administrative data (billing data, quality assurance data, workload data, etc.).
• Using applications for structured data entry (classification systems, acuity level, etc.).
• Recognizing the utility of nursing involvement in the planning, design, choice, and implementation of information systems in the practice environment.
• Demonstrating awareness of societal and technological trends, issues, and new developments as they apply to nursing.
• Demonstrating proficient awareness of legal and ethical issues related to client data, information, and confidentiality.
• Reading and interpreting benchmarking, financial and occupancy data.

• Monitoring and evaluating service indicators in collaboration with related team members at the facility level.
• Facilitating education of employees related to service.
• Actively facilitating Physician satisfaction survey, monitors result, and collaborates with facility team members to develop and implement action plans.
• Monitoring and evaluating results of annual Employee Satisfaction Survey and collaborating with related team members to develop and implement action plans.

• Advocating for nursing.
• Assuming personal and professional accountability.
• FOLLOWING THROUGH ON COMMITMENTS.
• Integrating high ethical standards and core values into everyday work activities.
• Maintaining a professional network of colleagues.
• Contributing to the profession of nursing through professional organizations, publication, and other professional endeavors.
• Participating in the legislative process and health policy issues that impact nursing and health care delivery.

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 patient-centered decisions (e.g., plans to reduce noise in patient areas at night).
• Promotes