Executive Director, Advanced Practice Providers (ED-APPs), Memorial Sloan Kettering Cancer Center
EDUCATION AND CERTIFICATIONS:
• If PA, graduate of an ARC-PA-approved Physician Assistant program required. Master’s degree in PA studies or a related discipline preferred.
• If NP/APN, Master’s degree, Nursing or DNP required.
• If PA, current (or need to obtain) NY and NJ licensure as a Physician Assistant, NCCPA certification is required.
• If NP/APN, current (or need to obtain) NY and NJ licensure as a Registered Nurse required. In NY, current NP license required; in NJ, current APN license required.
EXPERIENCE AND COMPETENCIES:
• Extensive clinical-practice experience (10+ years) is required.
• A seasoned professional with significant management/leadership experience (minimum 5 years) in healthcare/hospitals is required. Experience in a cancer-treatment center is highly desirable but not required.
• Having led or played a key role in a successful integration of APPs into highly functioning and successful patient-care model(s) is highly desirable.
• Excellent leadership skills and experience managing a large department/function through well-established performance management skills. Proven success in developing an engaged and high-performance work environment/culture with diverse workforces.
• Proven problem solver, with the ability to analyze issues and opportunities systematically in order to make decisions that will support MSK’s mission, vision, values, and goals.
• Experience in change management and process improvement; exposure to process- improvement techniques (e.g. Lean/Six Sigma) are a plus.
MSK is seeking a transformational, visionary leader to manage the integration of its Advanced Practice Providers (APPs) into a successful practice that will implement state-of-the-art patient-care models aligned with the institution’s future vision and operational needs. The success of the APPs practice is key to MSK’s long-term strategy, and as a result, the number of Providers is planned to continue to grow accordingly.
This newly created position will report directly to the Deputy Physician in Chief of Clinical Operations and to the EVP & Hospital Administrator, with an indirect reporting relationship to the SVP & Chief Nursing Officer (CNO). A key objective for the ED-APPs is the transformation of MSK’s patient- care models to ensure that they support APPs working at the top of their licensures.
The ED-APPS will direct the operational and human-resource functions of the clinical program. This includes managing both the fiscal and informational requirements of the department. S/he will provide leadership to over 500 APPs (i.e., Nurse Practitioners/Advanced Practice Nurses, and Physician Assistants) through excellent management, coaching, and mentoring in order to make sure their development is in concert with MSK’s mission, values, and goals.
Practicing outstanding performance-management skills, s/he will cultivate and foster an empowered and engaged workforce by establishing and maintaining a practice environment consistent with MSK’s commitment to patient- and family-centered care, new knowledge and innovation, team collaboration, and evidence-based practice. By building collaborative relationships with multiple counterparts and key stakeholders, including physician, nursing, and administrative leadership, the ED-APPs will assure the advancement of organizational goals, programs, and projects.
The ED-APPs will be responsible for ensuring that policies and procedures regarding hiring, credentialing, privileging, care-delivery model, performance appraisal/competency assessment are expertly met. In addition, s/he will help create a continuing-education curriculum that aligns with appropriate career-progression plans customized for APPs.
The ED-APPs will develop well-structured metrics and data for assessing outcomes of APP quality-of-care, ensuring that APPs meet State and Federal regulatory-agency requirements. These metrics and data will provide accurate information for major changes and improvements going forward and will ensure that APPs participate in cost-saving and revenue-generating opportunities critical to MSK’s long-term goals.
The ED-APPs will be expected to represent the institution appropriately in all of his/her interactions and to role-model its core values and philosophy.
RESPONSIBILITIES: The specific responsibilities include, but are not limited to:
1. PROGRAM DEVELOPMENT AND PLANNING
• In collaboration with senior leadership, explore, recommend, develop, and implement new opportunities to optimize clinical care and enable better utilization of APPs to drive MSK’s growth and expansion.
• Direct and prioritize resource allocation to ensure that service needs are met, while maintaining MSK’s quality standards.
• Develop structured APP-associated metrics for assessing productivity and outcomes of APP quality of care and use data to identify and implement changes to optimize care- delivery models.
• Represent the function and all APPs, ensuring that they are included in multi-disciplinary activities by chairing or serving as members of various committees that contribute to the organization’s excellent clinical care.
• Identify and resolve issues, communicate information, and/or facilitate required actions.
2. OPERATIONS AND FISCAL MANAGEMENT
• Oversee the overall operation of the APP practice, ensuring appropriate and efficient provision of services to meet clinical-programs and MSK goals and objectives.
• Oversee the development and management of the APP budget in accordance with institutional financial goals and expectations.
• Oversee APP billing practices and ensure compliance with all regulatory requirements.
• Monitor reimbursements and evaluate productivity to ensure that budgeted revenue targets are met.
• Establish mechanisms to continually evaluate and respond to short- and long-term operational and fiscal needs.
3. PEOPLE MANAGEMENT
• Management oversight of the APP (Physician Assistants, Nurse Practitioners, Advanced Practice Nurses) practice.
• Collaborate with the Deputy Physician in Chief of Clinical Operations and the EVP & Hospital Administrator to set the strategy and establish standards for the hiring, credentialing, privileging, performance appraisal/competency assessment, and clinical practice of APPs. The SVP & CNO will also provide expertise, as needed.
• Establish job expectations, performance standards, and methods for measurement of standards for APPs.
• Coordinate with Human Resources and physician, nursing, and administrative leadership in the development and implementation of policies and procedures that apply to APP staff.
• Ensure that Nurse Practitioners/APNs practice the tenets of Nursing’s care-delivery model and adhere to ANCC Magnet standards, including participation in Nursing’s shared-governance structure, peer review, and RN-satisfaction surveys.
• Coach, mentor, and develop staff through innovative mechanisms (e.g., peer reviews) designed to improve performance.
• Maintain awareness of team engagement; identify and respond to key challenges and areas of opportunity.
4. QUALITY MANAGEMENT
• Identify and develop process and outcome metrics specific to the practice environments to ensure the highest quality of care and patient satisfaction.
• Ensure the completion of focused/ongoing professional-practice evaluation with appropriate leadership.
• Engage APPs in developing and implementing process-improvement initiatives, while anticipating downstream impacts of the changes; communicate and collaborate with stakeholders regularly and accordingly.
• Promote clinical inquiry by conducting research and translating research findings into practice, utilizing an evidence-based practice (EBP) approach.
• Ensure integration with the hospital’s and the clinical departments’ QA/Safety structures and processes.
• In collaboration with the CNO and MSK’s Regulatory Affairs; develop and evaluate clinical policies, procedures, and protocols.
• Communicate and ensure compliance with institutional policies and procedures and with State medical boards and State nursing boards regarding APP practice at MSK, deferring to the CNO in matters related to State Board of Nurse Practice requirements, legal scope, and associated interpretation.
• Deferring to Hospital Regulatory Affairs and the CNO, monitor physician supervision of APP practice in accordance with all applicable regulations, appreciating the differences that may exist among NPs/APNs, and PAs, as well as the State variations in requirements.
• Within the process defined by MHCCAP, oversee the APP credentialing and privileging process. Collaborate with Clinical Department Chairs and the CNO, as appropriate.
• Keep abreast of current and future legislative issues and actively participate in State and national activities as they relate to APP practice.
6. PROFESSIONAL DEVELOPMENT/CONTINUING EDUCATION
• Foster an engaged and learning environment by promoting APP participation in continuing education programs (e.g., CME/CEU).
• Support academic-degree achievement to enhance professional knowledge and clinical practice. Support APPs’ engagement in research.
• Develop and oversee a comprehensive orientation/onboarding program and a formal residency/fellowship program for APPs.
• Create a pipeline of talent to meet current/future needs by promoting APP clinical rotations. Develop and foster relationships with PA-training programs and collaborate with Nursing Professional Development on academic affiliations within schools of nursing to support NP/APN placements.
• Role-model professional growth and development and keep abreast of trends through participation in educational programs and workshops. Present APP-relevant topics at State and national organizational meetings. Consult with other healthcare organizations on APP activities.