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Sutter Health Foundation Executive - Orthopedics/NeuroMuscularSkeletal Service Line in Los Altos, California

Position Overview:

The Neuromuscular Skeletal Service Line (NMS SL) includes the physician practices of the Sutter Bay Medical Foundation (SBMF) and the associated four affiliated medical groups including orthopedic surgery, sports medicine, podiatric surgery, physiatry, physical therapy and neurosurgery. SBMF serves 1.5M unique patients with a significant concentration seen within PAMF with 1M lives. In the case of NMS SL approximately 95% of the clinical work with SBMF markets is provided by PAMF providers and thus historically much of the service delivery planning and initiatives are centered within these geographic markets. However, there is strong interest in growth within San Francisco, Santa Rosa and East Bay where Sutter owned acute facilities afford opportunities for delivery system planning as an enterprise. In the PAMF markets the acute relationships are largely non owned centers including El Camino Hospital, Sequoia Hospital, Dominican Hospital, though also include Sutter Maternity and Surgery Center in Santa Cruz and Mills Peninsula Medical Center in Burlingame. The current priorities of the NMS SL include:

  • Total joint replacement value stream improvement to include variation reduction in patient care process and creation of a clinical registry

  • Creation and spread across SBMF patient reported outcome measures for total joint replacement, hand surgery, spine surgery

  • Value based care program development to include BPCI-spine and co-management agreements with owned and non-acute centers

  • Creation of standardized staffing models for NMS clinic practices

  • Enterprise wide service delivery planning for orthopedics for integration of Sutter ambulatory and acute care services across multiple markets

This position will be expected to engage Sutter acute care and foundation leadership in service delivery planning to achieve a major realignment of ambulatory and acute care services and relevant experience within orthopedic or other specialty lines of business will be essential. Work is performed in a matrix structure with multiple physician and operational dyad partnerships.

The primary function of this position is to plan, monitor, integrate, coordinate, and evaluate the operations within their scope of responsibilities within the medical foundation. The position functions as a member of the SHBA Operating Unit service line team and is a senior member of the foundation leadership team in setting overall administrative and strategic direction and ensuring positive medical group relations.Leads cultural change, create a patient-centered, seamless care experience across all service areas. Ability to integrate clinical services with an eye on human-centered design and with key clinical partners, promote employee engagement and continuous improvement through innovation are key areas of focus. This position exercises necessary and appropriate authority and accountability for the service line, including quality of care, patient satisfaction, financial goals, and responsible for managing local capital priorities that align with and meet the overall capital expenditures for the Bay Area operating budget.

Incumbent will set the direction for the medical foundation service line work – standards, work flows, manpower planning, quality, etc. Will work closely with the contracted medical group’s service line and operational leadership (CMO, CSO, ect.).Will be responsible for implementation of the strategic service line direction as set forth by the OU Service Line leadership, under the direction of the BAOU Physician Executive and VP, Operational Integration.Ensure consistency of care delivery standards across all geographies in the integrated foundation. The position requires a workingunderstanding of business and financial practices, strategic planningactivities, and the ability to communicate, interact and work with all levelsof staff, physicians, and leadership within Sutter Health effectively – toemulate the Sutter leadership values. Incumbent will have financial accountability for budget and revenue forthe assigned service line.

Service Line Management:

  • Provide strategic and executive leadership accountability for the assigned service line(s) including departments across the foundation geographies

  • Ensure collaborative, partnership and positive medical group relations regarding operational issues; acts as a liaison among physicians, staff and other members of the foundation and the local healthcare community

  • Collaborates with foundation leaders to achieve “One Sutter Organization” with common operating policies and procedures

  • Applies California laws and regulations to the operations to ensure compliance

  • Administers functions of service line operations to achieve a common patient experience in every clinical location

  • Ensures administrative procedures/systems are functioning at optimal levels and evaluates processes regularly for continuous improvement

  • Ensures appropriate implementation of clinical effectiveness projects for the foundation

  • Ensures that the service line achieves improved productivity through greater cost containment, integration and standardization while maintaining high quality patient care and services

  • Openly and honestly communicates and disseminates key issues, events, and initiatives to ensure a well-informed staff is ready to respond to emerging issues and priorities

  • Maintains an effective system of operations monitoring and oversight control within the service line in order to improve organizational performance and to effectively monitor operations and quality, including identifying emerging trends and initiating corrective and/or proactive actions as needed

  • Implements, develops and improves the LEAN Management System within the designated areas and drives for ongoing continuous improvement

  • Adheres to and follows DCI (decision, consult, information) matrix with key Service Line and geographic leaders, business development and marketing leaders

  • Ensures that SH Bay Foundation Service Lines align effectively with SH Bay Area Service Lines

Financial Management:

  • Develops long and short-term service line operational plans relative to staffing, budget and policy development

  • Ensures cost effective financial management and efficient use of all resources

  • Develops and monitors annual operating and capital budget for the service line. Responsible for budgetary and financial success of the service line

Leadership, Goals and Objectives:

  • Reports directly to the CEO Foundation for the service line operational and clinical responsibilities

  • Works in close partnership with Foundation Area CEOs in the geographical area in which the clinical service and service line is located

  • Partners with the Medical Directors of the clinical and specialty service line(s)

  • Partners with medical foundation area operation leadership to assure operational integration between geographically based operations and services

  • Works effectively with medical groups at the leadership and individual physician level

  • Partners with the Foundation Area CEO in the annual planning and execution of the Strategic Deployment Process (SDP)

  • Partners with Sutter Health leaders to ensure alignment of ancillary and clinical services within the broader system

  • Actively participates in the development of long term and strategic objectives

  • Leads and directs operations staff in developing and implementing operational plans and standards of practice to ensure deployment and achievement of identified strategic initiatives within the service line

  • Ensures that foundation fulfills identified objectives through effective administration

  • Ensures services are integrated, optimally coordinated, and support the mission and objectives

  • Reviews reports and monitors progress on goals, objectives and operations; provides progress reports to the geographic leader to ensure accountability

  • Provides leadership and organizational direction in an environment of trust for employees and physicians across the service line

  • Establishes and maintains relationships with key constituencies, including medical group, employees and patient advocates

  • Ensures that focus is maintained on key strategic initiatives to ensure organizational success. This involves clarifying processes and holding others accountable for meeting clearly defined performance expectations

Manages Human Resources:

  • Hires, directs, and develops immediate subordinates, consistent with human resources practices and ensures that effective HR practices are maintained by successive levels of management

  • Provides constructive coaching, counseling, disciplinary action and implements performance improvement plans to achieve desired performance

  • Manages and directs assigned staff, makes hiring and termination decisions and appraises performance

  • Builds, supports and leads effective work teams

  • Holds individuals and work teams accountable by providing timely, measurable and quantifiable performance feedback

  • Analyzes and assesses service line performance improvement opportunities incorporating operational goals/priorities in prioritizing department staff development activities and resources, orientation process, training, continuing education and competency assessment

  • Leads meetings and distributes information in a manner that fosters maximum staff participation, effective two-way communication and creates focus on expected performance

Organizational Relations, Community Relations and Personal Competence:

  • Keeps abreast of industry and market trends relative to the changing practices in health care management and the service line operations

  • Participates in professional, industry and community affairs to advance the image of the foundation and enhance the incumbent’s knowledge base

  • Demonstrates commitment to professional self-development through the advancement and active involvement in various healthcare associations and professional groups

Qualifications:

Required : Masters Degree Required, preferred in Health Care Administration

  • Will demonstrate setting the vision and means to achieve the strategic direction of the clinical service line and in performing the duties of this position, the Service Line Vice President works closely with the SHBA Service Line leadership, under the direction of the SHBA Physician Executive and VP, Operational Integration.and with the SHBA Service Line Medical Director, Medical groups and ambulatory staff in developing the highest possible quality of patient care

  • Must have an in-depth working knowledge of healthcare SHBA administration, operations and departments, with a strong emphasis on and understanding of financial management, strategic planning, physician relations, patient care, quality assessment and improvement, risk management and human resource management

  • Must have a solid working knowledge of applicable laws and operating guidelines. Must have a firm understanding of the trends and issues affecting the healthcare industry, including managed care, clinical integration and quality outcomes

  • The incumbent is frequently involved with physicians in problem-solving concerning patient care and professional services. This person is the lead person for this within the assigned service lines. The incumbent must be able to effectively bring about positive working relationships and support services from departments that do not report directly to this position

Organization: Palo Alto Medical Foundation

Employee Status: Regular

Employee Referral Bonus: No

Benefits: Yes

Position Status: Exempt

Union: No

Job Shift: Day

Shift Hours: 8 Hour Shift

Days of the Week Scheduled: Monday-Friday

Weekend Requirements: None

Schedule: Full Time

Hrs Per 2wk Pay Period: 80

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

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