OVERVIEW OF POSITION: Responsible for the oversight, engagement, integration, and management of all risk adjustment and comprehensive health assessment strategies and programs for HealthCare Partners. Serves an essential leadership role in guiding the clinical policies, practices, and programs of HealthCare Partners with final clinical accountability for the quality and appropriateness of clinical documentation and data integrity. Functions in a critical leadership role in transforming and aligning geographic market practices and the organization’s overall vision of a value-based, clinically integrated system that is committed to care delivery that is patient-centered, efficient, timely, effective, equitable and safe. ESSENTIAL …show more content…
□ Be the voice regarding importance of comprehensive health assessment, accurate clinical documentation and closing the quality gaps to improve patient experience and care. □ In partnership with physician leaders identify best practices and lift and scale practices in order to improve patient outcomes, strengthen performance while driving consistent process/tools across markets, both for employed and affiliated physician group models. □ Serve as national leadership champion for the integration of enterprise comprehensive health assessment programs and risk adjustment strategy. Lead design and implementation of projects designed to facilitate high quality patient care and complete and accurate clinical documentation. □ Collaborate with Physician Leaders and HealthCare Partners’ Executives; interact directly with Senior Leaders of various affiliated Medical Groups within the HealthCare Partners network. □ Provide leadership, administrative and management support, strategic planning and overall direction to the National Risk Adjustment and Comprehensive Health Assessment Program. Leverage and improve existing models and design new systems to identify gaps that would improve metrics and clinical documentation. □ Promote quality of care using and developing clinical analysis of performance as it relates to risk adjustment and quality data. Influence present model processes and design/implement new programs to improve clinical
The superior act of living an effective life lies in the pursuit of excellent vision, to move from where we are to where we ought to be, either as a person or as an organization. A health care leader must motivate the organizational team, find how to work with the associates to effectively dedicate their time and energy to achieve the identified goals and objectives through the established vision. The team members need to buy into the vision, where they are currently doing what the leader envisions, the leader must encourage them, keep them on track and set standards for the team by setting goals and objective, flowing from the vision. This will enable the leader to move the health care organization to the expected performance level within the set time period. The leader must ensure that individual responsibilities of the associates are identified, motivated and resources provided to achieve the identified goals. To pursue the vision, I will lead the development of the health care organization’s strategic alignment of clear goals and objectives, to preserve the core mission and encourage progress toward the envisioned future state. Also, I will encourage and provide the direction for the organization without hindering the development of the goals that we expect to accomplish.
The successful evolution of this organizational structure in a competitive marketplace has required a close partnership between managers and physicians supported by a culture of physician group accountability for quality and efficiency. An overarching agenda for achieving excellence focuses on high-impact health conditions, provides goal-oriented tools to analyze population data, proactively identifies patients in need of intervention, supports systematic process improvements, and promotes collaboration between patients and professionals to improve health.
As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the next year, It is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.
A third strength of my leadership practice is my ability to meet the goals of the organization in a timely matter. The trust that I have for our CEO allows me to challenge any of my assignments enough to clarify the needed outcomes and then I become fully supportive. With the weakened state of the healthcare systems across the nation, it is imperative that my team and I are responsive and quick to take action when called upon. The fact of the
It is true that collaboration between healthcare leaders and providers is essential for effective and efficient care delivery. However, “the ability to collaborate consistently, and in a way that ensures quality care, continues to elude” (Bankston & Glazer, 2010, p.1). This is as a result of insignificant interdisciplinary challenge for nurses, providers, and leaders in today’s healthcare. The openness and autonomy of bringing healthcare leaders, and healthcare professionals is to achieve positive patient outcomes. Bankston et al. declared that “one approach to bridging this interprofessional-collaboration gap could be the development of partnerships to facilitate the creation of interdisciplinary laboratories, sometimes called “collaboratories,”
Analyzing a complex health system is necessary to understand the various leadership roles and how that can affect a dynamic system. In this paper, the Cypress Regional Health Authority will be analyzed with a focus on a subsystem in Leader Saskatchewan. A critique of the system and its strengths and areas for improvement will follow. Finally, a discussion into how that system relates to the LEADS framework will occur.
Public health program managers drive the development of reporting and analytic tools to measure program performance, understand related data and prepare reports with recommendations to leadership. They may develop sustainable programs that ensure ongoing process stability and clinical quality success. They provide ongoing support and supervision of departmental employees, including evaluating, coaching, motivating and disciplining.
Stakeholders at all levels of a healthcare organization benefit from the collaborative practice model since it crosses boundaries that span all disciplines and departments to create a team-based planning and treatment approach. This strategy is conducive to meeting the requirements of healthcare reform that promote patient-centric care while maintaining efficient operations, optimized reimbursements, reduced costs, and most importantly better patient
For better business and patient health — Practice Partner is a certified electronic health record (EHR) and practice management
The integrated-physician-model is described as an innovative model of organization and collaboration of medical doctors which grants tasks and interprets roles differently for primary medical services within the hospital. This model aims to improve participation between competing medical groups within the same hospital and between competing hospitals. By establishing this improvement, the integrated-physician-model creates merit for doctors, hospitals,and also patients.”To achieve a hospital-physician integration strategy that is sustainable for both parties, hospitals and health systems must lay the needed groundwork of knowledge, capabilities, infrastructure, resources, performance targets and physician
How does the leadership and governance of a health care organization influence the development and implementation of risk-management and quality-management policies?
For almost 18 years of providing exemplary program management and cross-sectional leadership for various organizations, I have acquired ample knowledge and skills to serve the Office of Health Equity as a Health Program Specialist II. Throughout my career, I have consistently displayed my impeccable work ethic and considerable skills to ensure that I accomplish my duties on time and with high quality. With these attributes, I am capable of producing remarkable results with any organization.
The director of the CARE Program has many different responsibilities. He handles all HR issues amongst staff, interviews, hiring, and firing of staff, decide the worksite placement of all at-risk youth, balancing of the budget, and marketing of the program. He said through his previous education and work experience he felt very qualified working in all of these areas. He has also taught classes for the City of Columbia on the importance of leadership and communication. The only area he felt he originally lacked knowledge in was managing the budget of his 200 trainees’ wages.
Oliver (2006) has stated a few roles of leadership in healthcare. The key roles are teaching, inspiring confidence, empowering, improving the performance by having the supporting reflection or clinical observation. The other roles are rewarding and recognizing individual contributions and recognizing the needs of the service from clinically based environment.
“Mimic the best brands on costumer satisfaction strategies” (Carmine Gallo 2016). Leaders must convey a vision and mission of the objective in order to get employees to contribute to a great cause, “healing human kind one patient at the time by alleviating suffering, promoting health, and delivering acts of kindness”(Feinberg 2016). Effective leaders project values and ethics among employees by leading by example on a daily basis. Successful health care leaders take action by helping others to accomplish their duties by going to their work areas and helping with their medical task in order to take care of the patients needs. Effective communication is an essential key component in effective and successful health care leadership. The medical practice must train all employees to communicate effective in writing and verbally so there is no misunderstandings between patient and health care provider. Lastly, a great health care leader must be able to inspire confidence with exceptional bedside manner that allows patients to feel comfortable and connect with their medical provider. A good provider tells a great story and invites patients to do the same instead of reading from a chart, “invite patients to speak” (Carmine Gallo