SHARED HEALTH PROVINCIAL SPECIALTY LEAD - CRITICAL CARE

SHARED HEALTH PROVINCIAL SPECIALTY LEAD - CRITICAL CARE (the “Provincial Specialty Lead”)

Leadership opportunity in this environment represents a powerful system and structure to allow individuals appointed as Clinical Academic Department Heads and Provincial Medical Specialty Leads to innovate and excel.

The responsibilities and accountabilities as Provincial Medical Specialty Lead are outlined below.

The magnitude of this task requires excellent ability to recruit a strong team, delegate well, create good systems and processes and prioritize.

RESPONSIBLE FOR:

1. Administrative Services

1.1. Human Resources
1.1.1. Develops overarching provincial strategies supporting regional health authorities’ efforts to recruit, retain, and develop all medical staff active in the specialty area.
1.1.2. Ensures appropriate processes are in place within the specialty area to support impact analyses and appointment and privileges requirements.
1.1.3. Conducts or appropriately delegates performance evaluations for all members of the medical staff in the specialty area on a frequency determined by the U of M, Shared Health and the regional health authorities. The evaluations shall focus on staff development and appropriate remediation for areas of deficiency.
1.1.4. Encourages and supports staff development programs.

1.2. Financial Services

Shared Health and regional health authorities provide budget that support clinical services primarily, but that overlaps significantly with the academic mission.
1.2.1. Provides input to ensure that these funds work in a complimentary fashion with those provided by the U of M.

1.3 Other - Some travel in Manitoba outside of Winnipeg will be required as requested by the Shared Health CMO.

2. Clinical Services

2.1. Provincial Medical Specialty Leadership

The Provincial Specialty Lead provides leadership in the specialty area across facilities in the acute care sector throughout the province. Specific responsibilities of the incumbent include:

2.1.1. Clinical and Preventative Services Planning – Providing leadership in the development of the province’s clinical and preventive services plan for the specialty.
2.1.2. Alignment of Planning Activities – Through the Provincial Clinical Team (PCT) and Provincial Clinical Leadership Team (PCLT), provides specific expertise and advice to other provincial clinical teams and provincial cross-clinical working groups in the development and implementation of the provincial clinical and preventive services plan.
2.1.3. Standards of Practice – Working with regions, facilities and other specialties, takes the lead to ensure that standards of care for specific clinical services are consistent across regions. Partnering with others, the Specialty Lead ensures establishment of provincial clinical guidelines and protocols for the specialty services.
2.1.3. Resource Allocation – The incumbent is responsible for advising Shared Health of appropriate allocation and use of resources across all regions within the province in respect to the specialty.
2.1.4. Implementation – Provides support to the implementation of the province’s clinical and preventative services plan and to transformation of health care delivery initiatives in Winnipeg, rural and northern Manitoba.

2.2. Quality of Care and Patient Safety

The Provincial Medical Specialty Lead – Critical Care, working with other members, is responsible for monitoring and improving the quality of care and patient safety in the clinical area. The Provincial Medical Specialty Lead will work to:

2.2.1. Establish relevant provincial-level quality of care and safety indicators that can be used to monitor and improve clinical services.
2.2.2. Encourage and facilitate quality improvement efforts within the specialty area, and support improvement efforts targeted at processes that cross other clinical areas.
2.2.3. Ensure appropriate medical staff representation and involvement on Standards committees and multi-disciplinary Quality Improvement and Safety committees.
2.2.4. Ensure that appropriate call coverage is provided and that emergency response and disaster management procedures are in place.

2.3. Interdisciplinary Practice

The Provincial Medical Specialty Lead is expected to work with other disciplines to promote effective interdisciplinary team-based care for patients and clients. The Provincial Medical Specialty Lead will support efforts geared to making the interdisciplinary teams more patient focused.

3. Education

3.1. Postgraduate Medical Education: The incumbent will be expected to support the spectrum of clinical delegation, educational supports, and research activities to support strong residency training programs in those disciplines accredited within their department.
3.2. Undergraduate Medical Education: The incumbent will be expected to support the spectrum of clinical exposure, educational supports and didactic teaching necessary to maintain a vibrant undergraduate medical education program.
3.3. International Medical Graduates: The incumbent will be expected to work with the director of the international medical graduate to training program to assure adequate clinical teaching and exposure is available.
3.4. Physician Assistant Education Program: The incumbent will be expected to work with the director of the physician assistant education program to assure adequate clinical teaching and exposure is available.
3.5. Nurse Practitioner Program: The incumbent will be expected to assure that adequate faculty support for and clinical exposure is available to members of the nurse practitioner advance training program.
3.6. Continuing Professional Development: The incumbent will be expected to support continuing professional development programs and ensure adequate clinical teaching and exposure is available.
3.7. The incumbent will be expected to support interdisciplinary educational programs geared towards enhancing team functioning in clinical practice by exposing students to other disciplines early in their training.

4. Research

4.1. Program Development. The incumbent will be expected to support the development of an appropriate research program within the Critical Care provincial clinical service.
4.2. Participation in provincial strategy development is an expectation of the incumbent to obtain the best possible leverage for the institutions of the province more broadly.

5. WRHA

5.1 As part of their provincial role, the Provincial Medical Specialty Lead - Critical Care will coordinate activities across the critical care sites in the Winnipeg Regional. For those services within the WRHA, the incumbent will be accountable to the WRHA Chief Medical Officer.

6. Time Allocation

6.1 The time allocation for the various services set out herein is to be approved by the Provincial Chief Medical Officer, Shared Health

7. Other

7.1 Performs other services as required.

APPENDIX B – SERVICES TO BE PROVIDED

ROLE DESCRIPTION - SITE MEDICAL LEAD, CRITICAL CARE PROGRAM,
HEALTH SCIENCES CENTRE

PRIMARY ROLE:
1. To be the site medical leader of the Clinical Service – Critical Care team at the Health Sciences Centre to ensure effective and efficient delivery of quality care.

REPORTING RELATIONSHIP:
This position will have a dual reporting structure:

1. The incumbent will report to the Shared Health Provincial Specialty Lead – Critical Care for the overall planning and coordination of service delivery within the Health Sciences Centre.
2. For day-to-day activities, the incumbent will report to the Site Medical Lead - HSC of the Health Sciences Centre.

The Site Medical Lead also liaises with the University’s academic program head for enhancing the teaching and research activities, where appropriate.

RESPONSIBILITIES

A. Shared Health
1. Assists the Provincial Specialty Lead – Critical Care in the planning and coordination of service delivery based on a system wide model. This will include collaboration with other site program managers in developing a centralized system.
2. Ensures that Shared Health Medical Staff By-law is observed by Site Clinical Service members.
3. Recommends to the Provincial Specialty Lead – Critical Care the appointments of medical staff in accordance with guidelines.
4. Keeps the members of the Site Clinical Service informed as to Shared Health policies, program objectives, and other relevant matters.
5. Keeps the Provincial Specialty Lead – Critical Care informed of all relevant activities within the site program.
6. Attends required meetings.
7. Other duties as required.

B. Health Sciences Centre: Working other team members
1. Supports the Health Sciences Centre Mission Statement.
2. Acts as the site medical leader for the Site Clinical Service at the Hospital.
3. Assists in the development of budgets and plans for the deployment of resources and submitting the budgets and plans to the Health Sciences Centre for approval.
4. Responsible to participate in the fiscal management of the budget assigned to the Site Clinical Service in Health Sciences Centre.
5. Performs evaluation of the program plans, budget variances, resource utilization, and other indicators to make sure that resources are optimized.

• Establishes program policies and procedures, rules and regulations, where appropriate.
• Establishes a Quality Improvement Plan.
• Participates in the development of common interdisciplinary program standards in the region.
• Identifies and monitors relevant indicators within a continuous quality improvement model.
• Identifies quality, risk, and utilization issues and works to remove or reduce them.
• Promotes evidence-based decision-making at all levels of service delivery.
• Facilitates ongoing education of staff in Clinical Quality Management initiatives.

6. Initiates development of new program proposals designed to advance the scope and quality of program services at the Health Sciences Centre across the continuum of care.
7. Establishes guidelines for service loads, patient management information systems, quality assurance policies and procedures.
8. Ensures established clinical standards are followed..
9. Chairs Site Clinical Service meetings and reporting relevant information to the Site Lead HSC.
10. Attends meetings representing the Site Clinical Service.
11. Communicates effectively with all staff in the Site Clinical Service and those individuals outside of the Site Clinical Service.
12. Develops relevant linkages between the Site Clinical Service and other stakeholders including but not limited to:
• other related clinical programs of the Health Sciences Centre,
• out of hospital and paramedical services,
13. Reports activities within Site Clinical Service to the Site Lead - HSC.
14. Ensures that the Clinical Service medical staff at the Health Sciences Centre observes the Health Sciences Centre rules and regulations.
15. Performs regular performance evaluation for those individuals who report directly to the position, e.g. Site sub-program managers.
16. Other related services as required.

APPENDIX D – SERVICES TO BE PROVIDED

ROLE DESCRIPTION –DIRECTOR, CRITICAL CARE MEDICAL INTENSIVE CARE UNIT (“MICU”)

REPORTING RELATIONSHIP: The incumbent will report to the Site Medical Lead – Critical Care at Health Sciences Centre.

SERVICES & RESPONSIBILITIES: The MICU Director will be responsible for maintaining high standards of patient care in accordance with the mission, goals and objectives of the Hospital.

Specifically the MICU Director will:

1. Ensure adequate medical coverage for all patients in the Intensive Care Unit by advanced scheduling of certified attending physicians through a weekly Monday to Monday roster in conjunction with the Site Medical Director and/or Provincial Specialty Lead.
2. Direct /supervise the scheduling of House medical Officers, residents, and Clinical/Physician Assistants where appropriate.
3. Ensure that attending physicians comply with the duties and responsibilities contained in their Job Description
4. Support and facilitate the incorporation of evidence based medical practice in their Intensive Care Unit.
5. Support and facilitate the process of data collection as described for the purposes of information based management processes in their Intensive Care Unit.
6. Coordinate and encourage a multi-disciplinary team approach to the provision of patient care and the institution of policies and other decision making in their Intensive Care Unit.
7. Ensure their availability and participation in a Critical Care Management Committee under the auspices of Shared Health and/or HSC.
8. Ensure availability and participation in the information based management activities directed towards improving patient outcomes, efficiency of resource utilization and consistency in patient management in all Critical Care Units. This includes participation on the appropriate Critical Care Outcomes Improvement Committee and unit specific Quality Circle.
9. Identify and address site specific issues, problems and obstacles including resource shortages which directly or indirectly impair the intensive care unit’s efficient functioning and its ability to meet patient needs.
10. Participate in performance appraisals on individual attending physicians and House Medical Officers, Clinical/Physician Assistants where appropriate.
11. To support and participate where appropriate in the development and implementation of educational programs for allied health care staff working in their unit.
12. Inform the Site Medical Lead for Critical Care and/or the Site Medical Lead for the hospital of any issues, problems, and/or concerns that may require their involvement.
13. Participate in the recruitment and selection of attending physicians and house medical officers at their site as well as the selection of site allied health team leaders where appropriate.
14. Participate as required in hospital based standards committees, the Critical Care coordinating committee, and in the preparation of documentation for hospital accreditation exercises.
15. Support and facilitate research projects.
16. Prepare reports as requested.