Administrative Director of Health Information Management Loyola University Health System Maywood, Illinois

Transcription

1 Administrative Director of Health Information Management Loyola University Health System Maywood, Illinois Position Specification April 2015

2 Summary Loyola University Health System (LUHS) is seeking an Administrative Director (AD) to lead Health Information Management (HIM). The primary function of this position is to provide strategic financial and operational oversight for the department and to ensure alignment with organizational goals and objectives. As such, the AD will assume a critical role supporting the strategic goals of LUHS to ensure the delivery of world class healthcare through the optimization of a high functioning, respected HIM department. The Opportunity Reporting to the Vice President of Physician Financial Services, the Administrative Director of Health Information Management will manage a group of eighty six FTE s within the department of Business Services Administration. S/he will assume responsibility for leading a team of four managers in the functional areas of coding, clinical documentation improvement, back office operations and the cancer registry. The Administrative Director will have the opportunity to review all departmental activities and staffing to ensure appropriate resource management. S/he will ultimately assume a more strategic role, assisting the Vice President with specific organizational objectives and goals relating to project related initiatives within HIM and also for the Center for Clinical Effectiveness led by Dr. William Barron, Chief Quality Officer at LUHS. The Organization The people of Loyola promise patients that we go beyond the illness to treat the whole person. Loyola University Health System Mission Statement LUHS is comprised of a comprehensive Academic Medical Center - Loyola University Medical Center (LUMC), Loyola Gottlieb Memorial Hospital, a community hospital located in nearby Melrose Park, and over 30 suburban satellite locations. It boasts the largest NICU in the state of Illinois and has level 1 trauma status. With 775 faculty and 638 residents and fellows, LUHS has a strong tradition of providing high-quality patient care. Grounded in Jesuit traditions, they seek to provide the best patient care through three mission areas: excellence in clinical service, education of tomorrow s healthcare leaders, and research that improves human health in our communities and around the globe. Since 2012, LUHS has been a member of Trinity Health, one of the largest Catholic health care systems and the 12 th largest health system in the United States. Trinity Health was formed in 2000, when Holy Cross Health System merged with Mercy Health Services in a singular mission. In 2011, LUHS selected Larry M. Goldberg as its new President and Chief Executive Officer. Formerly, the Chief Executive Officer at Vanderbilt University Hospital, he brings a plethora of experience to LUHS, most notably as a veteran of academic medicine and strategic business leadership. U.S. News and World Report magazine has for the eighth year in a row, ranked Loyola University Hospital as one of the top 50 hospitals nationwide for heart and heart surgery (29 th ). It was also ranked within the top 50 hospitals for ear, nose, and throat (43 rd ), urology (44 th ), neurology, and neurosurgery 2

3 (45 th ). These prestigious honors place Loyola University Hospital among an elite group of hospitals that provide the highest caliber of care for some of the nation s most at risk patients. Rankings are based upon reputation, death rates, patient safety, and care related factors. In addition to these nationally ranked programs, LUHS also provides transplant programs for heart, lung, kidney, liver, and bone marrow. Culturally, the organization is committed to excellence, service, and compassionate care giving. Quality and Safety are longstanding top priorities for Trinity Health. In order to fulfill its mission, the leadership fosters an environment that encourages innovation, embraces diversity, respects life, and values human dignity. As part of its core value system, LUHS also treats the human spirit. For more details, please visit The Position The AD is charged with the overall management of the HIM Department, which includes program design, implementation, and improvement, financial and human resource management, marketing, public relations, strategic planning and managed care contracting. S/he will also assume responsibility for achieving a level of shared operational management between physicians and health care services through effective coordination of resources and transparent, consistent communications. Scope of the Director Position: Health Information Management (HIM) Design programs, policies and processes to ensure provision of an efficient and legally responsive health information system. Ensure that patient data is maintained in accordance with accepted standards based on hospital policy, legal and regulatory requirements. Additional responsibilities include: effective management of clinical coding, medical record chart storage, and compliance with tracking chart documentation deficiencies. Ensure confidentiality and security in handling all health information records in accordance with regulatory standards. Planning Initiate strategic planning activities for Health Information Management and analyze environmental issues, together with quality and financial data to collaboratively develop systematic plans for the achievement of goals. Adapt goals and plans to provide response to the environment and successfully meet challenging, but achievable goals. Coding Determine processes to ensure all medical charts are coded timely and accurately, and correctly report the services performed. Develop and monitor systems to ensure proper coding of diagnosis, analyzing, appraising, storing, retrieval, retention and disposition of information. Work with Utilization Review and other relevant departments to ensure that all physician inquiries regarding documentation are complete and chart is ready to be coded. Responsible for the management of all budgetary and financial components of coding, reimbursement and revenue cycle, as related to health information management. Facilitate and manage Recovery Audit Coordination (RAC) processes and requirements as related to HIM. 3

4 Performance Improvement In collaboration with hospital leadership and department chairs, assist in establishing strategic initiatives and standards for quality patient care that focus on a goal of positive patient outcomes. Routinely measure and monitor the well-being of patient population within areas of responsibility; create and oversee the management of processes that ensure continual performance improvement. Actively support and promote the Lean journey within areas of responsibility and ensure assigned areas meet or exceed regulatory requirements established by The Joint Commission (TJC), Illinois Department of Public Health (IDPH), The Centers for Medicare & Medicaid Services (CMS) and other licensing/accrediting agencies. Financial Management Develop an annual budget to ensure the appropriate allocation of resources within the department. Oversight of all budgetary elements including: operational budget including revenue, expenses, staff levels and capital equipment sufficient to meet current and projected patient volume or service requirements as well as departmental goals. Organization of Resources Implement systems and functions to achieve organizational objectives and maximize quality of care, patient satisfaction, and/or efficient operations. Recruit, interview and select staff in collaboration with Human Resources and ensure that staffing guidelines/standards are maintained in accordance with patient care and/or departmental requirements. Utilize measurements of quality and productivity to evaluate systems and staffing, and develop and implement policies and management structures to ensure continuous quality care, patient access, customer service excellence and enhanced profitability. Team Building Foster positive team collaboration and staff development to facilitate efficient operations, employee engagement and meet patient quality/safety/satisfaction goals. Oversee Human Resources functions including recruitment, training and performance management to maintain the highest quality workforce. Establish and maintain effective relations with medical staff and provide proactive support for physician development and active involvement in decision-making. Compliance Work closely with the Corporate Compliance Department to ensure all coding, queries and any other communications with staff and physicians are compliant with state and federal guidelines. Communication Provide effective communication to administration, faculty, management and staff to establish a common understanding of the organizational mission and strategic goals necessary to achieve defined objectives. Meet regularly with senior leadership, other departments and direct reports to facilitate communication, goal setting and decision making. Represent specific service areas and achievements as well as organization to the community, referring physicians, regulatory, agencies, media and government. 4

5 Professional Development Actively engage in professional development to maintain current skills and knowledge of environmental trends, clinical developments and/or best practices and business opportunities. The Candidate The candidate for this position will be a mission driven, experienced professional already operating in an academic medical center environment within Health Information Management. S/he will hold an undergraduate degree in a relevant field and ideally be Masters prepared. The Administrative Director will be a strong and effective leader, who is comfortable working in the day to day operations of a large department. S/he will be ready to assume a more strategic leadership position and relish the challenge of moving an important service and department to the next level. Most important is the desire to become part of an organization and department poised for major change and whose vision is to be a world class leader in the delivery of high quality patient care. Other personal attributes include: The poise and sophistication to operate in a system-wide, leadership role and promote the important mission and activities of LUHS, especially as they relate to Health Information Management The ability to ensure that a high performing, collaborative team is in place, whose shared mission is the provision of measurably world class healthcare at LUHS The ability to support and partner with physician leadership and other clinical leaders to drive strategic Health Information Management initiatives organizationally The ability to partner effectively with the Center for Clinical Excellence to drive quality projects, especially those related to appropriate coding and documentation An understanding of the changing landscape as it relates to regulatory issues and the importance of accurately reporting on quality information/metrics, and the critical connection to increased revenue streams A high level of Emotional Intelligence; being highly skilled at building relationships and gaining buy in through engagement, listening, and possessing a transparent communication style The ability to foster an atmosphere of respect, trust, and aligned commitment to organizational goals consistent with the Jesuit mission of LUHS Working collaboratively with peers and others at the LUHS and all of its affiliated organizations The ability to manage conflicting priorities and adapt to changing demands in a complex academic setting Being a skilled facilitator who understands the nuances of serving many masters in a complex and matrix environment 5

6 Critical Success Factors The Administrative Director will: Ensure that a skilled and effective team is in place within the department of HIM Assume a leadership role, including the mentoring of a team so that day to day operations can be managed at the appropriate level Co-lead the development of a multi-year strategic plan, outlining key goals and objectives relevant to continuous improvement within the arena of HIM Build solid relationships within the Center for Clinical Effectiveness and partner with leadership to drive quality documentation and coding initiatives that directly impact patient care and safety Be a credible and transparent communicator, a resource to the HIM team and related peer group, which includes: Director of Hospital Billing, Director of Revenue Integrity, Director of Admitting and Registration and a Director of Physician Billing. The Community Loyola University Medical Center and Gottlieb Memorial Hospital are located ten miles west of downtown Chicago. Chicago is renowned for many things; its size (almost 3,000,000 residents), its cultural diversity, which spans almost 100 designated neighborhood areas and its twenty six miles of beautiful lakefront. It is estimated that there are over 7,000 restaurants and almost 400 theaters and art galleries combined. As architecturally diverse as it is culturally, it enjoys a national reputation for being a sports town, is famed for its jazz and blues music, and currently boasts some of the most accomplished chefs in the nation. A multicultural city that thrives on the diversity of its neighborhoods, Chicago embodies the values of America s heartland - integrity, hard work and community that reflects the ideals in the social fabric of its ethnic history. Today, Chicago is a leader in reforming public schools, enhancing public safety and security initiatives that provide affordable housing in attractive and economically sound communities, ensuring accessibility for all, and fostering social, economic and environmental sustainability. Compensation A compensation package will be constructed commensurate with the background and experience of the selected candidate and includes a comprehensive benefits program. Most significant is the opportunity to assume a key leadership role in a thriving organization renowned for its delivery of high quality patient care and its compassionate approach to treating the patient in a holistic manner, one that is consistent with Jesuit philosophy and values. For More Information We appreciate all referrals. Interested parties please send resume and cover letter to LoyolaADHIM2125@ZurickDavis.com. For additional questions please contact Ellen Mahoney or Annette Cooke at All contact with ZurickDavis will remain confidential. Loyola University Health System is an Equal Opportunity Employer 6