To support the development and operation of an integrated network of affiliated heart programs that:
(1) Improves the care delivered to the adult population in the community setting.
(2) Facilitates establishment and operation of affiliated programmatic strategies for program development such that national accreditations and standards are upheld in the community programs and associated practices.
(3) Supports development of professional education programs to meet the needs of affiliate members.
(4) Alignment with Duke University Health System (DUHS) and the Duke Heart Center (DHC) strategy, mission, vision, values, and quality system.
(5) Extends Duke's presence locally, regionally, and nationally.
SCOPE OF RESPONSIBILITIES:
The Senior Director position oversees significant responsibilities for programmatic operations including quality improvement, business development, and education for affiliate heart programs. The Senior Director provides management and operations oversight for the Duke Heart Network (DHN) that includes administrative responsibility for DHN relationships with externally facing cardiovascular relationships including, but not limited to Program Development, Education, and Management Affiliations. Responsibilities also include Network Services representation with the DHC, coordination of all financial aspects in support of affiliate programs, and collaboration with the Physician Diagnostic Clinic (PDC) to align strategies and operations for professional service agreements for Duke cardiovascular providers located at in regional heart programs.
The Sr. Director interacts with executive leadership and clinical entities for distinct purposes and with varying levels of frequency:
Duke University Health System (Duke Hospital, Duke Raleigh Hospital and Duke Regional Hospital)
Duke University Hospital Heart & Vascular Service Line
Duke University School of Medicine (DUSOM) Divisions, including Cardiology, Cardiothoracic/Cardiovascular Surgery and Vascular Surgery
Duke Private Diagnostic Clinics, LLC (PDC)
Duke Life Point (DLP)
Duke Cardiovascular Affiliates
The following description of job responsibilities and standards reflect the major duties of the job and do not describe minor duties of other responsibilities that are assigned time to time.
Translate Enterprise vision into functional priorities; develop strategic and operational goals and objectives for the DHN in collaboration with the DHC; execute strategy through initiatives; ensure the right priorities are aligned to meet critical strategies
Design new and innovative strategic services for existing DHN affiliate sites in alignment with the DUHS and DHC missions and strategic priorities
Based on DUHS, DHC, Duke Network Services (DNS), and DHN strategy, combined with market data and trends in cardiovascular care, proactively identify new potential local, regional, and national affiliate opportunities
Continuously evaluate new and existing cardiovascular program/service progress toward goals, effectively and swiftly adapting to changing needs and/or environment
Ensure strategies are data-driven and enhance DHN operational effectiveness, enhance value and expand the Duke Heart Network
Guide market assessments, feasibility studies and financial analyses, obtaining support from DUHS, DHC, DUSOM, community leadership and medical staff; assemble and communicate recommendations and evolve strategy as a result of the analysis
Collaborate with DNS, DUHS, and PDC Marketing to optimize the marketing of DHN services and foster new, desired relationships
Develop and maintain strong working relationships and maintain open communication with DUHS, DUSOM, PDC, DHC and DHN affiliate leaders to assure ongoing alignment with DUHS strategy
DHN Program Development and Operations Management
Oversee the management of daily operations of the DHN programs and staff
Manage the relationships with each programmatic affiliate assigned
Continuously evaluate effectiveness and value of DHN services; guide ongoing redesign of DHN infrastructure and services to advance the DUHS and DHC vision and the affiliate site's programmatic goals and quality
Ensure that appropriate quality management initiatives are in place within all affiliate sites and are moving towards goals
Oversee implementation of DHN site-specific work plans, leading the DHN team in evaluating effectiveness of work plans in driving quality metrics and strategic objectives
In collaboration with the DHN Director, lead Performance Oversight Committee meetings that clearly communicates program effort, project status, and shows value of the relationship
Guide the DHN team in pre-affiliation baseline assessments and/or targeted program assessment efforts to effectively evaluate alignment of clinical practice and business operations with national standards; direct the completion of a written report to address findings and recommendations
Oversee the development of all pre-affiliation and/or existing affiliate reports and presentations
Develop, negotiate, and execute agreements for new DHN affiliations and services; maintain a thorough knowledge of all DHN contractual obligations, and ensure processes in place to meet these
Ensure DHN services remain in alignment with affiliate agreements and fulfill associated obligations
Guide the implementation of an educational plan which will effectively advance DHN affiliate site staff competencies and patient safety
Oversee CME, CE and community educational activities which will advance cardiovascular knowledge and promote the affiliate organization's affiliation with Duke
Consult/ oversee the DHN team to develop and implement strategies which will meet cardiovascular program accreditation, regulatory and certification standards
Advise DHN and affiliate site leaders and staff in planning, testing and implementing changes to processes and systems related to cardiovascular care, and in effectively measuring results to guide decision-making
Oversee the review of marketing materials specific to cardiovascular services for affiliates and DLP sites
Collaborate with other DNS entities when sites have more than one relationship or affiliation to ensure alignment of efforts and overall recommendations
Finance and Growth
Develop and monitor DHN revenue and expense budgets for assigned affiliations
Oversee budgeting process, routinely assessing DHN budget variance; secure and manage resources; focus resources when necessary by making appropriate, strategic trade-offs
Assure ongoing information related to financial aspects of cardiovascular programming are communicated, developed and evaluated on an ongoing basis at affiliated programs.
Determine fiscal requirements and ensure availability of needed resources, to effectually implement DHN services, employing creative, budget neutral, strategies wherever possible
Use budgeted resources to assist in the assessment, plan, implementation, and evaluation of service improvement opportunities
Ensure DHN is completing expense reports accurately, efficiently, and timely
Demonstrate ability to assist with and complete market assessments, feasibility studies and financial analysis for new affiliations.
Performance Monitoring and Reporting
Oversee DHN operations, finance and quality and report on the operations and performance of DHN programs. Identify and address gaps in performance
Collaborate with affiliate executive teams to confirm alignment of DHN efforts with affiliate strategic plans
Oversee creation, presentation and/or dissemination of performance reports to Network Services Leadership, DUHS leadership, the DHC, and DHN affiliate sites
Develop quality oversight reporting structures for all sites. Ensure functionality and effectiveness. Collaborate with other DNS entities when sites have more than one relationship or affiliation to ensure alignment of recommendations and approach
Advise sites regarding budgetary recommendations and assure communication of anticipated variable budget (travel, accommodations) expenses in alignment with DHN affiliate fiscal year
Work with the DHN Director to oversee memorandum of understanding (MOU) process supporting transfer of funds to DUSOM and DUHS and accurate tracking of physician activities in support of DHN contracted services; ensure the transfer of funds to the designated business manager in alignment with MOU specifications
Assess customer experience on an annual basis; develop and implement action plans to address opportunities for improvement
Staff Oversight and Work Culture
Engage in and promote DNS work culture; ensure DHN work culture aligns with department; participate in and role model Network Services work culture initiatives and hold staff accountable through their behaviors and actions to the department's foundational beliefs: One Connected Team, Act Like an Owner, and Respect & Develop
Oversee the supervision of the DHN staff either directly or through direct reports; ; regularly assess reporting structure of DHN to ensure optimum development and performance of staff and team
Provide focus by setting functional priorities that align with strategic objectives
Assign clear accountabilities; appropriately delegate tasks and responsibilities
Proactively position the DHN team to effectively adapt and deliver in response to external factors and changing environment
Participate in leadership rounding for DHN, DNS, and other program strategies supported by DUHS.
Engage in living our values and other HR related programs promoting high performing teams
Empower DHN staff by creating a learning environment, providing space and sufficient direction and support to succeed and learn
Maximize and develop strengths of the team to raise performance and output
Proactively look for ways to collaborate across DNS and DHC; role model inclusive behavior for DHN team
In collaboration with the DHN Director, oversee/develop position descriptions and performance standards for accurately monitoring DHN team performance
Direct, mentor, guide and professionally develop assigned staff; build talent through development plans for all; perform mid-year and annual reviews for direct reports evaluating alignment of performance with expected job results
Oversee recruitment/hiring process, orientation activities and terminations (as necessary) assuring staff are adequately trained and effective in driving DHN strategy; participate in the recruitment, orientation activities of other Network Services teams as requested
Oversee mid-year and annual reviews for all DHN staff to ensure performance reviews are meaningful and are completed in a timely manner
Participate as an active member in and/or lead DNS committees, including but not limited to, mandatory Leadership Committee; and other departmental and DUHS committees as assigned or per interest
This position requires the individual to have the ability to respond appropriately in high profile environments, both on and remote to the Duke campus, in high pressure situations. A person with experience at Duke Health or another academic-based health care delivery system with knowledge of clinical services, cardiovascular related business experience and establishing affiliations and outreach services is preferred.
Position requires analytic, organizational and communications skills generally acquired through completion of a bachelor's degree program. Clinical/health care concentration with a Master of Nursing, Master of Health Care Administration, and/or Master of Business Administration is very strongly preferred.
Significant experience in hospital management, and planning (>7 years) with relevant experience in program development and management across cardiovascular services and group practice operations including strategic planning, financial analysis or an equivalent combination of relevant education and/or experience
Experience in program management in hospital and practice based settings across all cardiovascular service lines (medical, interventional, cardiothoracic and vascular and physician practice),
Experience managing the cardiovascular service line at both academic and community hospital setting
Strong leadership experience with proven track record of employee management and enhancement
OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE
DEGREES, LICENSURE AND/OR CERTIFICATION:
Licensed as a registered nurse in North Carolina (or possesses credentials to become registered in NC), preferred, with clinical experience in cardiovascular care. Other healthcare professionals may be considered with commensurate clinical experience
KNOWLEDGE, SKILLS AND ABILITIES:
Effective communication skills; ability to present information and effectively respond to questions from internal and external individuals and groups. Sr. Director is responsible for presentations to hospital leadership and board members throughout the southeast
Strong writing and presentation development skills: Position is responsible for written program assessments, RFP submission, Business Plans, formal executive level presentations
Ability to develop and communicate a broad and long term strategy; adapt to change, and assess risks/benefits (business vs. relationship vs. personal) to grow business
Facilitation and consensus-building skills; success in leading and implementing successful teams and programs
Knowledge of current leadership, management and quality improvement concepts
Knowledge of and ability to develop strategies and apply current theoretical approaches to the delivery of patient care; understanding of and proven effectiveness in achieving results in both a community and an academic environment
Appreciation and proven results for cost containment, managed care, finance/reimbursement and healthcare reform
Adept in process re-design, six-sigma and LEAN principles
Ability to manage several projects and processes simultaneously, and effectively communicate progress toward goals
Ability to work with all types of individuals in multiple settings and locations
Ability to promote diversity in the workplace; demonstrates accountability for developing and recruiting people of different backgrounds
Creates a sense of security and continuity in the face of constant change
Sensitivity for and understanding of clinical disciplines and issues
Ability to travel to affiliated sites (mainly within a 4-hour drive; however, air travel overnight travel, and weekend travel will also be required)
DISTINGUISHING CHARACTERISTICS OF THIS LEVEL:
This position requires the ability to respond appropriately in high profile environments, remote to the Duke campus and in high-pressure situations
This individual must demonstrate ability to function in matrix organizations
A person with experience within DUHS or another academic-based health care delivery system preferred. Complimentary professional experience within community healthcare organizations is highly desirable
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.