Director - Emergency Room

Basic Function

As a member of the Management Staff, the Directors of Critical Care Services, Emergency Services, Gero-psych Services, and Inpatient Services/Outpatient Special Procedures participates in formulation of policy, in organization of procedures essential to the achievement of objectives and in development and evaluation of programs and services. The Director is responsible for the development of nursing policies for assessing, planning, implementing, and evaluating knowledge and practice activities of nursing service staff.

The Director is accountable for fostering the participation of nursing staff in assessment, planning, implementation and evaluation of practice to provide safe, efficient and effective nursing care. The Director of the above services is responsible for administrative planning, organizing, directing and managing the resources, daily operations and patient care activities for multiple departments on a twenty-four (24) hour basis. Departments of Responsibility include:
Intensive Care, Progressive Care, Dialysis, 3W, Outpatient Special Procedures (OSP), IV Coding and Charging, Senior Care Unit, Cardiac Rehab, Imaging Nursing, Emergency Department and Services.

• Formulates sound fiscal operations including the timely and accurate compilation, analysis, development and publication of annual expense, FTE (full time equivalent), Volume and Capital Budgets.
• Exhibits knowledge of financial systems and budgetary guidelines.
• Develops, implements and oversees cost savings initiatives.
• Prepares monthly variance reports for assigned departments.
• Oversees patient IV coding and charging processes.
• Reviews and evaluates cost accounting reports for accuracy.
• Continually monitors and evaluates initiatives to decrease length of stay, decrease re-admissions and improve unit efficiency.
• Oversees and directs all activities of the Clinical Nurse Leaders (CNL) for each specific unit.

• Attends (or delegates CNL) the Clinical Value Analysis Committee for appropriate materials for patient care.
• Meets with Sales Representatives to evaluate/initiate new products/equipment.
• Works in conjunction with the Director of Materials Management to ensure appropriate par levels of safe, cost effective equipment and supplies, including purchases.
• Ensures appropriate service contracts and works in conjunction with each service company for appropriate quality monitoring.

• Recommends institutional policy changes. Interprets and applies policies.
• Develops, reviews, revises, and implements policies and procedures as required.
• Ensures adherence to departmental policies and procedures. Knowledgeable of all policies and procedures that affect the outcomes and safety of patient care, and employee rights and responsibilities.
• Ensures compliance with all applicable regulatory, accreditation requirements and HFAP standards for all assigned departments-maintains regulatory readiness.
• Works with Information Technology (IT) Department to create and revise physician order sets.
• Utilizes technology to support unit and patient outcomes.

• Develops, administers, facilitates, and appraises Quality Improvement/ Performance Improvement processes within assigned departments and throughout the hospital, as applicable.
• Develops and implements strategies based on evidence-based practice to improve patient outcomes and satisfaction.
• Cooperates with the Medical Staff and other hospital personnel to ensure that high quality services are being rendered to patients within the hospital.
• Maintains appropriate departmental quality improvement projects and maintains PDCA documentation.
• Ensures departmental participation in Culture of Safety and Customer Satisfaction initiatives.
• Maintains High Reliability Organization (HRO) tools and tones for High Reliability processes and outcomes.
• Participates in Service Excellence initiatives.
• Evaluates services delivered in pursuit of improvements.
• Develops and maintains quality dashboards for assigned departments.
• Maintains patient restraint and patient complaint logs for assigned departments.
• Identifies key result areas (KRAs) and continually monitors department metrics.
• Provides report to Peer Review for metrics, restraints, patient complaints, medication scan rates, Rapid Response Team monthly data, Emergency Response Team monthly data and Stroke Alert/F.A.S.T. Alert monthly data for assigned departments.