As a compassionate non-profit organization since 1983, Chapters Health System is committed to enhancing the lives of those affected by advancing age or illness. Through our comprehensive system of healthcare choices, we deliver expert care and heartfelt support to guide the community during the aging and end-of-life journey. From hospice and palliative care for adults and children suffering with life-limiting illnesses to in-home and community-based services for frail but independent seniors, Chapters Health offers a wide range of support services along life's ever-changing landscape. We'll help you navigate your individual experience – empowering you with more choices, education and guidance for these important chapters of life.
The affiliate Medical Director (MED) has overall responsibility for the medical direction of the care and treatment of patients served by its program's care teams. S/he provides physician direction and guidance to the hospice and staff to ensure the maintenance of quality care for patients and families.
The MED serves as liaison between the program and community physicians, as well as with others engaged in health care services. S/he serves as an educator of hospice care. S/he or his/her designee provides direct medical care, as needed, to patients in the home and in multiple health care settings. The Medical Director supervises and manages the medical staff and contract physicians in the specified service area.
Responsibilities of all staff:
- Represent Company professionally at all times through care delivered and/or services provided to all clients.
- Comply with all state, federal and local government regulations.
- Comply with company policies and procedures.
- Observe company's health, safety and security practices.
- Maintain the confidentiality of patients, families, colleagues and other sensitive situations within company.
- Use resources in a fiscally responsible manner.
- Promote organization through participation in community and professional organizations.
- Participate proactively in improving performance at the organizational, departmental and individual levels.
- Improve own professional knowledge and skill level.
- Advance electronic media skills.
- Support organizational research and educational activities.
- Share expertise with co-workers both formally and informally.
- Participate in Quality Assessment Performance Improvement activities as appropriate for the position.
Leadership Success Factors:
- Communication. Express thoughts and ideas clearly. Adapt communication style to fit audience.
- Initiative. Originate action to achieve goals.
- Management Identification. Identify with and accept the problems and responsibilities of management.
- Judgment. Make realistic decisions based on logical assumptions which reflect factual information and consideration of organizational resources.
- Planning, Organizing and Controlling. Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitors results.
- Leadership. Use appropriate interpersonal styles and methods in guiding others toward task accomplishment.
- Work Standards. Set high goals or standards of performance for self and others. Compel others to perform
- Tolerance for Stress. Maintain stability of performance under pressure and/or opposition.
- Innovativeness. Generates and/or recognizes imaginative, creative solutions in work related situations.
- Delegation. Allocate decision making and other responsibilities effectively and appropriately.
- Staff Development. Develop the skills and competencies of subordinates.
- Organizational Sensitivity. Perceive the impact and the implications of decisions on other components of the organization.
- Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
- Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance.
- Recruit and hire medical staff, as needed.
- Recruit and hire contract physicians, as appropriate, for the respective service area.
- Work cooperatively with the lead Clinical Services Positions.
- Serve on appropriate organizational and corporate committees.
- Lead specific projects, as appropriate, and directed by the Executive Director, AVP or CMO.
- Develop and monitor departmental budget.
- Review and utilize monthly medical services management tool and provide appropriate feedback to staff.
- Represent hospice at appropriate local, state and national forums.
- Implement organizational clinical practice standards for physicians and nurses in the practice of hospice.
- Assist in developing unique roles for physician extenders (ARNP, CNS, PA, etc.) in order to expand medical services in a cost-efficient manner.
- Work cooperatively with AVP, Medical Services/Chief Medical Officer to ensure quality care to hospice patients.
- Coordinate the work of medical staff, chair medical staff meetings, and supervise educational plans of fellows, residents and students who rotate at the hospice.
- Assist in the development of written guidelines for symptom control and recommend such guidelines to appropriate committees.
- Provide authorization of non-formulary medications for medical staff.
- Enforce care consistent with patient/family care policies and procedures.
- Monitor and advise medical staff of cost effective prescribing habits.
- Participate in medical reviews, as needed, and directed by the AVP, Medical Services/Chief Medical Officer.
- Respond to issues identified in Ethics Point in a timely manner, develop an action plan, and provide education/implement changes, as needed, based on findings.
- Participate and lead medical staff quality assurance/performance improvement program.
- Maintain a regular schedule of medical participation in all components of the hospice care program, and maintain 24 hour, 7 day per week medical staff coverage.
- Provide supervision including feedback, both positive and negative, as well as performance reviews to the medical staff that reports to the Medical Director.
- Provide clinical expertise and participate in interdisciplinary team decisions regarding diagnosis and medical management of patient/family needs, assuring that the highest quality of medical care is provided and that continuity and comprehensiveness of care is maintained.
- Provide suggestions to the IDG that foster high quality cost effective care for all patients.
- Provide or coordinate direct patient hospice care through home visits, clinic visits, or inpatient care, as appropriate.
- Ensure a member of the medical staff reviews the admission history and physical examination for each patient, including all available hospitalizations, office notes, laboratory data, etc.
- Provide or ensure that a medical staff member will provide medical validation of the plan of care for each patient/family with the coordination of the patient's attending physician and medical staff.
- Ensure the medical validation of the estimated prognosis of the patient as provided by the patient's attending physician.
- Participate in decisions regarding appropriateness of admissions, as necessary.
- Act as a consultant to patient's physician and other members of the interdisciplinary team, as needed.
- Act as a liaison with patient's primary or attending physician. The primary physician is encouraged to provide primary care to his/her patient while the patient receives hospice care.
- Ensure that each new medical staff receives appropriate orientation to the organization and are competent to serve in their medical staff position role.
- Provide medical coverage or ensure medical staff coverage for each patient who is deemed appropriate and who has no attending physician.
- Assist in improving the quality of medical documentation by the medical staff and ensure timely completion.
- Assist in securing medical records to better determine appropriate medical care for patients.
- Provide coverage in the event of absence of other medical staff coverage.
- Supervise the hospice medical staff including advance practice nurses in their respective service area.???????
- Contact practicing physicians to introduce the hospice; encourage referrals, answer medical and other physician concerns regarding such care.
- Introduce the hospice program to nursing homes, health maintenance organizations, hospitals, and other potential referral sources.
- Present educational offerings to physicians, nurses and other health care personnel whose support is necessary to ensure hospice services are accessible to all patient/families who need them.
- Provide updates and ensure medical staff practices are consistent with organizational protocols and guidelines.
- Provide ongoing education to medical staff regarding determination of related or unrelated medications, procedures and hospitalizations as well as determination of hospice eligibility.
- Participate in the ongoing in-service education of the hospice medical and clinical staff.
- Actively participate in research to improve hospice care, as appropriate.
- Perform other duties as assigned.