Operations Manager Orthopaedic Surgery Surgical and Ambulatory Services Position Description



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Date: July 2015 (Review July 2016) Operations Manager Orthopaedic Job Title : Operations Manager Orthopaedic, Surgical and Ambulatory Services Department : Location : All WDHB sites, including North Shore and Waitakere Hospitals Reporting To : General Manager, Direct Reports Operational Oversight : : Perioperative Nurse Co-ordinator Orthopaedic Services Patient Service Centre Scheduling Clerks Orthopaedic Services Specialty CNS Orthopaedic Service (Professional line to Nursing HoD) PA Orthopedic Services RMOs Fellows Functional Relationships with : Internal Provider Group Management Team. Senior Management Team Clinical and non-clinical staff Operations Managers Provider Group DoN, CMO, CFO, Director of Allied Health Head of Divisions Nursing, Allied Health and Medical Waitemata Planning and Funding Elective Waitlist Lead Special Projects and Quality Lead GP Liaison Clinical Board Quality Team Decision Support Human Resources healthalliance (payroll and procurement) Elective Centre External Waitemata District Community MOH Primary Health Sector Primary Service Providers Our Purpose, Values and Standards At the heart of Waitemata DHB is our promise of better care for everyone. This promise statement is the articulation of our three-fold purpose to: 1. promote wellness, 2. prevent, cure and ameliorate ill health and 3. relieve the suffering of those entrusted to our care. At the heart of our values is the need for all of us to reflect on the intrinsic dignity of every single person that enters our care. It is a privilege to be able to care for patients, whānau and our community, a privilege that is sometimes overlooked in our day to day work. Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 1

Our standards and behaviours serve as a reminder to us all about how we are with our patients and with each other. Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 2

Purpose of the role : This role will provide leadership and management in partnership with the Clinical Director of the designated operational service group. To effectively contribute as a member of the divisional management team and to the management of Surgical and Ambulatory Service across both North Shore and Waitakere sites, in line with the business plan and the Waitemata DHB strategic direction. The Operations Manager will also have full operational responsibility for the effective delivery of ward/unit based services, achieved by working in partnership with the clinical director along with the Medical, Nursing and Allied Head(s) of Division. To co-ordinate and manage the service activities to ensure that the service consistently delivers high quality, cost effective care for its patients by supporting managers to deliver on unit and ward plans. Key Overall Expectations : To ensure the delivery of high quality patient care and outcomes and to have robust systems to evaluate performance against health targets. To be responsible for the financial performance for directly managed services. To ensure the achievement of performance targets and indicators within the directly managed service. To ensure staff are appropriately supported to deliver on the corporate objectives as set out in the annual statement of priorities through the development and implementation of effective systems and processes. Key Specific Expectations Clinical Partnership with Clinical Director Liaise with the senior management team to ensure the service is most effective, through promotion of evidence based practice, responsive patient focused care, and collaboration with other clinical and nonclinical services across the DHB. Facilitate and engage with clinical staff in budget and business plan development for the Service. Clinical Practice Manage the day-to-day business and operations of the service area within the portfolio to ensure that clinical services are provided in a safe and timely manner. Practice at all times in accordance with the infection control standards specified in health service policies Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 3

and procedures. Operational plans for all services are established and key performance indicators met. Patient outcomes are evaluated and there is evidence of on-going improvement. Clinical services are provided within the context of the WDHB promise and quality outcomes, are efficient and are aligned to WDHB promise, values and strategic direction. Statutory & Treaty of Waitangi obligations Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. Shows sensitivity to cultural complexity in the workforce and patient population Education Take an active lead in local and national health service projects to both promote and develop themselves, their services, their profession and WDHB. Strategy and Service Level Planning Contribute to setting the strategic aims of WDHB and devolving these into service plans. Collective responsibility, as a member of the senior management team, for the consideration of key issues impacting and WDHB. Ensure the Service/s are planned to meet agreed DAP volumes. Manage overall performance against Ministry of Health elective service targets ensuring that central systems and processes support effective performance and that specialty performance is actively monitored and action plans are developed as required to ensure targets are met. Develop appropriate workforce development plans in conjunction with the organizations direction and expectations, relating to each professional group within the Service. This includes benchmarking, FTE establishment and balance between professional groups in line with service delivery and professional trends. Manage the development of quality, business and operational plans in accordance with the WDHB s mission and overall operational and strategic plans including workforce, equipment and capital planning. Risk Management Within a framework of effective and prudent controls ensure key risks are reported, assessed and managed; implementing mitigation strategies as appropriate. Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 4

Continuous Improvement and Quality Management Work with the Medical and Nursing Head of Division to develop, implement and evaluate a range of patient safety initiatives. Ensures and demonstrates a serious commitment to continuous improvement. Responsibility to challenge constructively the decisions of colleagues in the best interests of patients and the organization using the organizations values as a framework. Complaints are responded to with any trends being noted and appropriate corrective actions taken. Lead and advocate quality for each service through development of a quality plan, ensuring there is an internal quality team who can support the wider WDHB quality team. Ensure operational group services are accessible for Waitemata patients in a fair and equitable way to ensure the best quality of care for patients. Maximise the effectiveness of the service by promoting evidence based practice, responsive patient focused care, streamlined and collaborative integration across WDHB provider services and primary and community networks. Works proactively with the Quality team to introduce patient improvement initiatives. Ensure safe staffing levels across the services. Creates an environment that improves health outcomes for all. Champions improvements in people s access to all services and service information. Develop and lead service delivery improvements to enhance WDHB capacity to provide accessible health services and to manage demand. Financial and Resource Management Lead the budget process within the operational group, ensuring participation and ownership by the key stakeholders. Manage the preparation of service budgets to fulfil operating objectives. Achieve agreed activity targets and access indicators are met within agreed budget. Monitor and analyse the operational services financial and performance results to ensure remedial action is implemented to manage variances so as to ensure all services are within agreed performance and financial parameters. Ensure there is an equipment replacement plan in place and submit bids for capital funding as appropriate. Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 5

Leadership and Team Management Provide leadership to all staff within the service and, working closely with the Medical and Nursing Head of Division, will be responsible for clinical governance, patient quality and safety and improving the patient experience to ensure outcomes are evaluated. Be responsible for the performance management of direct reports and for succession planning to ensure that the Hospital s performance process is robustly implemented across the service. Performance management systems within the program, including performance management of direct reports, are maintained. Lead by example; living and demonstrating the WDHB values. Ability to have open, honest and respectful discussions. Manage teams of motivated and well trained staff focused on providing the best possible patient care, by agreeing accountabilities and standards of performance. Performance planning and coaching of staff and appraisals completed at least annually according to WDHB policy and in conjunction with the relevant HoD and Clinical Director. Statutory Requirements Ensure the service meets all statutory, regulatory and contractual obligations and complies with all WDHB policies and procedures including financial reporting, occupational health and safety and human resource policies. Direct reports operate within appropriate authorisations and delegations according to WDHB policy. Services comply with all guidelines and all other relevant standards as objective measures of service delivery. Equalities and Treaty of Waitangi Ensure that the operational group is continuously improving the equality with which they impact on healthcare outcomes. Specifically to ensure that outcomes are equal regardless of race, age, domicile, or socioeconomic status. Ensures the professional and political integrity of WDHB by carrying out all functions in compliance of the Treaty of Waitangi and by demonstrating a serious commitment to keeping the treaty alive. Promoting and Compliance with Health and Safety Requirements Managerial responsibility is understood for Workplace Health & Safety under the Health and Safety in Employment Act 1992. WDHB health and Safety policies are read and understood and relevant procedures applied to Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 6

To recognise individual responsibility for workplace Health & Safety under the Health & Safety Act 1992 & Amendments 2002 operational group and to your own work activities. Workplace hazards are identified and reported, including self-management of hazards where appropriate. A health and safety plan is implemented and managed in all services. A health and safety representative is appointed and trained for each area. Actively ensures that hazard IDs are completed and corrective actions are taken when necessary. Provide a work environment that is safe and without risk to health for all employees, contractors, visitors and any other persons affected by the organisations' activities. Ensure that OHS risks are understood, assessed and documented. Appropriate systems are implemented and maintained to minimise the risk of harm. That appropriate resources are made available to manage risks. That OHS risks are addressed in a timely manner. That values, attitudes and behaviours you expect of your workforce are actively promoted and modelled. Compliance with the actions set out in the relevant section(s) of the OHS Roles and Responsibilities Guideline. Support WDHB H&S Culture by: All Level Managers Following, implementing & ensuring compliance of all H&S policies & processes Planning, organising & managing H&S activities directed at preventing harm & promoting wellbeing in the workplace Ensuring a safe working environment & safe working practices through the Safe Way of Working H&S system Support WDHB H&S Culture by: All Employees Following & complying with H&S policies & processes & applying them to their own work activities Identifying, reporting & self-managing hazards where appropriate Early and accurate reporting of incidents at work Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 7

PERSON SPECIFICATION POSITION TITLE: Operations Manager, Orthopaedic, Surgical and Ambulatory Services Minimum Preferred Qualification Healthcare management qualification or comparative relevant management experience. Degree or post-graduate tertiary education in health Healthcare Management or other relevant Management (Business/Finance) qualification. Experience Experience in healthcare sector within a unit / operational management senior health professional role. Demonstrated leadership experience. Demonstrated experience in change management and process implementation. An established understanding of health services and service delivery objectives. A record of achievement in delivering services in accordance with the stated performance objectives of the healthcare organisation Experience in managing change processes that meet the organizations requirements. Demonstrated experience and ability in strategic (preferred) and operational planning. Demonstrated ability to plan, secure and manage projects within budget and timeframe Advanced team management ability. Demonstrated leadership experience in a clinical setting. Skills/Knowledge/Behaviour Ability to build strong relationship with all Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 8

stakeholders. Experience in financial analysis/budgeting skills within a medium/large organisation. High level facilitation and negotiation skills. Ability to interpret and evaluate diverse and complex information. Ability to write formal papers, discussion documents and business cases for senior management and Board. Ability to translate evidence into practice. Ability to support the development of a continuous quality improvement culture in the clinical areas. Capacity to work with stakeholders including patients, staff and the community to ensure the continued delivery of safe and high quality services. Waitemata District Health Board -JOB DESCRIPTION Operations Manager Orthopaedic, S&AS Page 9