Nurse Manager – Operating Room, Hospital of the University of Pennsylvania

• Employees Satisfaction:
  Regularly meets with employees to improve communication and to build productive relationships.
  Continuously communicates to staff the importance of patient satisfaction, quality of care, and sound financial performance; and champions our successes and priorities for improving performance in meeting and exceeding patient and customer expectations.
  Analyze employee satisfaction data& identify opportunities for improvement.
  Collaborate with staff to develop action plans.
  Implement and follow through with action plans.
  Manage & eliminate process workarounds.
  Focus energy on collaboration and not blame.
  
  Internal Partnerships:
  Works with UPHS leadership, clinical leadership, and Entity leadership in developing programs, services and initiatives to anticipate future customer needs, build customer loyalty and generate profitable growth.
  Sets standards and drives operational integration of programs by ensuring alignment of communication to Nursing and Non-Nursing Leadership.
  
  Establish/update processes and work practices for the unit/department:
  Manage and eliminate process workarounds by appropriately and consistently sharing with organizational partners the issues, which require their attention.
  Review survey comments and follow-up where appropriate on a monthly basis.
  Analyze the data on a quarterly basis and identify opportunities for improvement.
  Share data with staff and mutually identify opportunities for improvement within the department’s span of influence.
  Collaborate with the staff to develop action plans for improvement.
  Implement and follow through with action plan.
  
  Manage team and individual performance in alignment with the UPHS vision of service excellence:
  Drive patient/client loyalty and physician referral by ensuring staff under your supervision understand the UPHS commitment to service, their own work processes, and have the necessary skills to meet service expectations.
  Focus energies on collaborating in problem resolution rather than finding blame.
  Manage patient/client complaints and provide timely follow up to ensure satisfaction.
  Ensure that staff understand and demonstrate service recovery commitment.
  
  Establish/update processes and work practices for the unit/department.
  Build work practices and team processes based on the Institute of Medicine’s (IOM) Six Aims for Improvement:
  Safe: avoid injuries to patients form the care that is intended to help them.
  Effective: provide services based on scientific knowledge.
  Patient-Centered: provide care that is responsible to individual patient preferences, needs and values and assuring that patient values guide all clinical decisions.
  Timely: reduce waits and sometimes-harmful delays for both those who receive care and those who give care.
  Efficient: avoid waste, including waste of equipment, supplies, ideas, and energy.
  Equitable: provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location or socio-economic status.
  In conjunction with all stakeholders involved in the patient care processes, institute operational changes based on data (e.g. Saftey Net. unit/department operations data).
  Communicate, reinforce, and update as necessary environment of care procedures, (e.g. safety, security, hazardous materials, emergency, medical equipment, and utility management.)
  Continuously improve unit/department operations to maintain and exceed internal/external regulatory compliance and achieve clinical excellence.
  Participates in and supports patient safety goals and initiatives (FMEA,RCA)
  
  Manage team and individual performance in alignment within the Institute of Medicine’s (IOM) Six Aims for Improvement.
  Communicate roles, accountabilities and performance measures to all staff.
  Identify unit quality metrics, review and track monthly; communicate to the staff, and develop/implement action plans to improve performance.
  Train staff in PORTs and encourage and use as intended to capture patient safety trends.
  
  Regulatory Compliance (In partnership with Leadership Team):
  Ensures compliance with all federal, state and local regulatory standards and requirements, including TJC Department of Health, funding agencies, FDA, HIPAA, HCFA, DPW and others
  Demonstrates understanding of Magnet standards and aligns organization to meet them.
  
  Change Management:
  Proactively develops change management strategy for major organizational activities and events
  Implements change management strategy within Nursing and UPHS in alignment with UPHS objectives.
  Identifies and facilitates agreement of major messages which are consistent regardless of audience, credible and reflects UPHS’ core values
  Communication plans are effectively implemented
  Ensure appropriate follow-up of major issues
  Manage routine and crisis communications throughout the entity/community as they arise
  Demonstrates recognition of the systemic impact of employee communication and/or policy changes and solicits proactive feedback prior to implementation.
  Evaluates effectiveness of change and implementation plans.
  
  Nursing Leadership:
  Provides vision and leadership for Nursing Practice Model.
  Participates in the selection, career development and annual performance review of their staff and peers as requested.
  In cooperation with interdisciplinary colleagues, assists in improving system-wide capability by capturing and sharing best practices across the Entity. Collaborates with other Nurse Managers and leaders in rapid and effective implementation of these best practices in ways appropriate to each health delivery setting.
  In collaboration with physician and administration proactively promotes efforts to improve cost effective quality patient care.
  
  Shared Governance:
  Mentors unit council chair, providing problem solving, conflict resolution and meeting management support.
  Assumes accountability for scheduling release time for clinical nurses to attend Shared Governance Council meetings.
  Tracks clinical nurse release time for council meetings for budget monitoring and future budgeting considerations.
  Facilitates and supports unit council decision-making and action planning.
  Assures the effectiveness of the PAH Nursing Shared Governance Model by serving as an advisor to the unit council and its chair.
  Assesses unit council members’ development and skills and addresses ongoing educational needs.
  Evaluates outcomes of unit council against identified goals.
  
  Community:
  Represents the interests of the Hospital of the University of Pennsylvania in the served community.
  Supports clinical nurses participation in community outreach projects such health education and screening.
  Participate on/in community boards, ad hoc committees and community organizations in area of responsibility or expertise.
  Supports requests for clinical experiences for area Schools of Nursing.
  
  Patient Flow:
  Promotes and helps maintain efficient patient flow initiatives through facilitation of Care Coordination activities.
  Collaborates with APNs, physicians and health care team members to facilitate strong interdisciplinary communication regarding patient flow.
  Utilizes available patient flow reporting, determines gaps in efficiency and work with the health care team to meet unit and system wide goals.
  Communicates patient flow successes and barriers to unit and department leadership.
  
  Evidence Based Nursing Practice:
  In collaboration with Clinical Nurse Specialist, shares/disseminates to Nurses, and other clinical leaders, and administrators throughout Entity, research-based clinical nursing interventions and health service delivery models that have demonstrated potential to improve patient care and achieve cost savings.
  Assists these Nurses in rapid and effective implementation of these best practices.
  
  Nursing Research/Translational Medicine:
  Collaborates with the School of Nursing and other researchers in promoting and coordinating research-based practices, which foster improved methods for patient care and nursing practices in inpatient, ambulatory, and other community care settings.
  
  Financial Management:
  Develop understanding of Revenue & Reimbursement in HealthCare
  Develop budget for individual AU/Dept based on assumptions and decisions made by UPHS and Dept Leaders
  Budget management for AU/Dept
  Seeks opportunities to reduce supply costs.
  Review Financial Reports distributed via eBroadcast monthly or monthly financial tool to ensure all activity within an AU is expensed in the month.
  Preview monthly expense reports to detect errors/discrepancies and resolve issues
  Provide budget variance explanations to Finance/Division Business Manager and UPHS management monthly
  Analyze and manage data as tool to manage expenses
  Ensure Requestor/Drafter understands Material Management Processes
  Support Supply Value Initiatives
  Ability to balance financial and staffing models to achieve budget targets and organization objectives
  Successfully negotiates resourcing needs across boundaries with partners as appropriate
  
  Workforce Planning:
  Talent management plan in place for current and future staff
  Succession plan in place for critical positions
  Support Magnet and Shared Governance initiatives and principles of inclusion.
  Attract/Recruit:
  Recruitment of competent staff to meet operational needs (“scope of service” “products & services”) and who demonstrate the ability to be service orientation and align with the core values
  On-Boarding- proper orientation of staff to their roles, accountabilities and performance measures within probationary period
  
  Development:
  Development of staff - Encourages continuous growth and helps staff to realize full potential by identifying stretch objectives and creating learning plans
  Effective and timely performance management such that:
  Clearly defines work expectations
  Recognizes and rewards individuals for a job well done.
  Addresses performance issues immediately and directly.
  Conducts performance appraisals annually
  
  Retention:
  Employee retention strategy in place
  Employee survey implementation and action planning
  Positive employee relations
  Effective employee communications
  Employee total compensation is market based and competitive
  Employee recognition
  
  Compliance:
  Ensures that Entity utilizes consistent, effective processes for establishing and monitoring the credentials of its nursing staff.
  Ensure continuous survey readiness
  Ensure department human resource management practices comply with labor law, state & federal requirements
  Employee safety

Credentials:

• Basic Cardiac Life Support (Required)
• BLS/CPR as a healthcare provider as per the American Heart Association required.
• Registered Nurse - PA (Required)
• RN Required. Currently licensed as a professional nurse in the Commonwealth of Pennsylvania.

Education or Equivalent Experience:

• Master of Arts or Science (Required) with Education Specialization: A Master's Degree or currently matriculated in a master's level program preferably Nursing (MSN) with Equivalent Experience and 5+ years Progressive nursing experience required with demonstrated leadership and management skills
• Bachelor of Arts or Science (Required) with Education Specialization: BSN required.