Cedars-Sinai Health System in Los Angeles has embarked on a search for a new Senior Vice President and Chief Nursing Executive (CNE). The CNE serves as the senior executive overseeing the practice of nursing across all clinical settings, including Cedars-Sinai Medical Center (inpatient, outpatient, emergency, Operating Room and other procedural areas), Cedars-Sinai Medical Network, and Marina Del Rey Hospital.
Cedars-Sinai Health System (CSHS) is among the nation’s leading providers of healthcare services, medical education and medical research, with total annual revenues of $3.3 billion.
Since its beginning in 1902, CSHS has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service. Today, as a private non-profit healthcare organization and one of the largest academic medical centers in the nation, CSHS is widely known for its national leadership in transforming healthcare for the benefit of patients. The organization is deeply committed to providing the highest quality patient care. Quality is measured in high patient satisfaction scores, continuous clinical performance initiatives, excellent medical outcomes, ongoing research programs and state-wide and national designations and awards for both its hospital and physician services.
Cedars-Sinai is one of the most recognizable healthcare brands, both nationally and locally. Cedars-Sinai Medical Center has been voted “most preferred for all healthcare needs” by Los Angeles residents for more than 20 years according to the National Research Corporation Healthcare Market Guide survey, has consistently been named one of America’s Best Hospitals by U.S. News & World Report and has the longest-running Magnet designation for nursing excellence in California.
Cedars-Sinai includes the 886-bed Cedars-Sinai Medical Center, the 145-bed Marina Del Rey Hospital, a multispecialty physician network of 887 doctors (Cedars-Sinai Medical Network) and many primary care, urgent care and specialty care centers throughout the Los Angeles region. It also is a major research and education center, with more than 1,500 current research projects and 480 clinical trials, and it trains 473 medical residents and fellows.
Cedars-Sinai recently announced plans for a formal affiliation with Torrance Memorial, which includes the 470-bed Torrance Memorial Medical Center in addition to a multispecialty physician group, an independent physician association and an accountable care organization, which collectively include more than 500 physicians. The affiliation will focus on new opportunities for coordination of care and resources between the two organizations and joint programs to provide access to more people for needed medical services, clinical trials, and the latest developments in medical research.
Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards in quality and innovation for patient care, research, teaching and community service. Today, Cedars-Sinai is widely known for its national leadership in transforming healthcare for the benefit of patients.
Cedars-Sinai is one of the largest non-profit academic medical centers in the U.S. with 886 licensed beds, 2,100 physicians, 3,000 nurses and thousands of other healthcare professionals and staff. Clinical programs range from primary care for preventing, diagnosing and treating common conditions to specialized treatments for rare, complex and advanced illnesses. In addition, Cedars-Sinai serves the community through its Medical Network, which includes the highly rated Cedars-Sinai Medical Group and Cedars-Sinai Health Associates.
Cedars Sinai Medical Center (CSMC) provides a broad spectrum of care, with 886 acute care licensed beds and 43 licensed specialty clinics, outpatient surgical and diagnostic imaging facilities, and an Emergency Department which has a Level 1 Trauma Center. Services include acute adult and pediatric medical/surgical care, obstetrics and gynecology, rehabilitation and outpatient diagnostic and treatment services. CSMC has 47,320 annual inpatient admissions, a Level 1 Trauma Center treating 1,500 cases, among more than 88,422 Emergency Department visits and more than 697,539 outpatient encounters. Over 13,000 staff work in CSHS including approximately 2000 MDs and 3000 Registered Nurses.
CSMC serves both as the community hospital for the 2-3 million people living in the immediate strategic market area and as a national and international referral center, caring for patients requiring the most advanced, complex care. It is particularly well known for a wide range of tertiary and quaternary clinical services in heart disease, cancer, organ transplantation, neurology and neurosurgery, high risk obstetrics, metabolic diseases and orthopedics. CSMC treats more patients requiring the most advanced treatments than any hospital in California.
Cedars-Sinai serves a broad socio-economic spectrum of Los Angeles and beyond. It is the largest Medicare provider of any hospital in California. Over one-third of those patients are also dual eligibles and, as such, are also covered by the Medicaid (Medi-Cal) program. It is also one of the largest private hospital Medi-Cal providers in California. The community benefit provided by Cedars-Sinai, in the form of losses sustained caring for Medicare and Medi-Cal patients, the uninsured, the unreimbursed cost of education and research and more than 100 programs aimed at promoting health and disease prevention exceeds $500 million annually.
Cedars-Sinai is a leader in the clinical care and research of heart disease, cancer and brain disorders, among other areas. Pioneering research achievements include using cardiac stem cells to repair damaged hearts, developing minimally invasive surgical techniques and discovering new types of drugs to target cancer more precisely.
Cedars-Sinai also impacts the future of healthcare through education programs that encompass everything from highly competitive medical residency and fellowship programs to a biomedical science and translational medicine PhD program, advanced training for nurses and educational opportunities for allied health professionals. Most notably, Cedars-Sinai demonstrates a longstanding commitment to strengthening the Los Angeles community through wide-ranging programs that improve the health of its most vulnerable residents.
Marina Del Rey Hospital
Marina Del Rey Hospital (MDRH) joined the CSHS in September of 2015. MDRH is a 145-bed community hospital which offers expertise in several specialty areas, including: spine, weight loss, orthopedics, minimally invasive surgery and internal medicine. The hospital will remain a community hospital and will continue to provide general acute medical services and 24/7 emergency care.
In May of 2017, Cedars-Sinai and Torrance Memorial announced plans for a formal affiliation designed to strengthen both organizations' ability to serve the community and to enhance access, coordination and quality of care for the public. Under the proposed affiliation, each institution will retain its respective board of directors and continue to operate separately but will affiliate under a new parent organization with a new board of directors, to be called Cedars-Sinai Health System.
The proposed affiliation will provide a platform for collaborations in primary and specialty care, expanded access to the latest clinical trials and an efficient sharing of resources between the institutions.
Torrance Memorial includes the 470-bed Torrance Memorial Medical Center in addition to a multispecialty physician group (Torrance Memorial Physician Network), an independent physician association (Torrance Health IPA) and an accountable care organization (Torrance Memorial Integrated Physicians), which collectively include more than 500 physicians. Torrance Memorial also has several outpatient centers throughout the South Bay region.
The Medical Network (MN) is home to over 1,000 physicians who each practice in one of 12 highly-rated medical groups, including Cedars-Sinai Medical Group and Cedars-Sinai Health Associates. Each of the groups has a professional services agreement with the Cedars-Sinai Medical Care Foundation (CSMCF). The Medical Network (MN) also includes medical group support functions including physician billing services and a management services organization (MSO).
First established in 1994, the MN is rapidly growing as additional, highly prestigious groups have joined. The MN is now broadly geographically dispersed, with primary care and specialty medical and surgical groups in Los Angeles County and some sites in Orange County. Total revenue of the MN and related ambulatory surgical and diagnostic centers is more than $248 million.
The MN serves as the principal population health-based physician contracting entity for CSHS. In this role, as well as through specialty care related initiatives, it serves as an important site of innovation and development with regard to quality and clinical efficiency performance improvement under value-based contracts that CSHS pursues. It is also a key strategic venue for the development of patient engagement initiatives and the deployment of information technology in support of quality, safety and efficiency in the ambulatory setting. The Cedars-Sinai Medical Group and Cedars-Sinai Health Associates are among the best performing medical groups in California.
Medical Groups in the Medical Network:
Cedars-Sinai Medical Group (CSMG)
Cedars-Sinai Health Associates (CSHA)
Inpatient Specialty Physicians (ISP)
California Heart Center (Cal Heart)
Tower Hematology Oncology (THO)
Los Angeles Cardiology Associates
The Angeles Clinic and Research Institute (TACRI)
The Kerlan-Jobe Orthopedic Center (KJOC)
The Santa Monica Orthopedic Group (SMOG)
Valley Internal Medicine and Nephrology Medical Group (VIM)
Santa Monica GI Medical Group
Burns and Allen Research Institute/Academic Enterprise
Education and research have been integral components of CSHS for more than half a century. In addition to operating one of the most sought after and largest graduate medical education programs in the country, it also serves as a major training site for students affiliated with multiple medical schools. Beyond medical education, CSHS conducts extensive education programs in nursing, pharmacy, medical technology, imaging technology, and many other allied health fields and has an accredited program for Ph.D. and master’s degree students in biomedical sciences and translational medicine.
Clinical translational research, focused on advancing laboratory discoveries into patient care, is the focus of the research enterprise. Over the past several decades, numerous discoveries have been made that not only have advanced both the quality and safety of medical care, but also addressed the pressing need to improve the cost effective delivery of healthcare. The discoveries and innovations have been both in the scientific/medical realm as well as the organization and delivery of healthcare services.
Cedars-Sinai Health System is committed to:
Leadership and excellence in delivering quality healthcare services;
Expanding the horizons of medical knowledge through biomedical research;
Educating and training physicians and other healthcare professionals;
Striving to improve the health status of the community
Quality patient care is the priority. Providing excellent clinical and service quality, offering compassionate care, and supporting research and medical education are essential to the mission of the organization. This mission is founded in the ethical and cultural precepts of the Judaic tradition, which inspires devotion to the art and science of healing, and to the care given to patients and staff.
Cedars-Sinai Health System will enhance its position as the leading healthcare provider in the Los Angeles area and rank highly among the nation's most respected, admired and trusted healthcare organizations. In fulfilling this role, Cedars-Sinai will:
Attract and enhance relationships with the most well-qualified, accomplished and respected physicians, scientists, nurses, other healthcare professionals and staff;
Demonstrate excellent clinical quality, service quality and value;
Foster a culture of superb clinical and operational performance, as well as responsive and compassionate care;
Provide distinguished programs and services of excellence that build upon a tradition of clinical innovation, biomedical research, medical education and community service;
Remain at the forefront of advances in medicine and science through a strong, ongoing commitment to biomedical research and medical education;
Provide superior capabilities, facilities and technology for the full continuum of healthcare services;
Attract patients from regional, national and international markets by providing services directly, as well as through arrangements with other healthcare organizations that meet Cedars-Sinai Health System's standards of quality and service
In the pursuit of this Vision, the actions of leadership, staff and other physicians will be guided by the following values:
Teamwork and Collaboration
A measure of success is reflected in patient satisfaction scores, increasing clinical performance initiatives, excellent medical outcomes, ongoing research and academic programs, and national designations and awards. The highlights of these rankings include:
National Research Corporation Survey (NRC)
For the 19th year in a row, Cedars-Sinai has won the National Research Corporation's Consumer Choice Award for providing the highest quality medical care in the Los Angeles region based on a survey of area households.
Every year the NRC conducts an independent survey of hospitals. Cedars-Sinai has ranked number 1 in best overall quality of healthcare and has been awarded its prestigious Consumer Choice Award every year since 1996. NRC's surveys are considered Southern California's "gold" standard in healthcare information.
In 2014-15, Cedars-Sinai was the only medical center in the Los Angeles area to win the Consumer Choice Award for:
Best Overall Healthcare Quality
Magnet Designation in Nursing
Cedars-Sinai has received its fourth consecutive Magnet® designation for nursing excellence from the American Nurses Credentialing Center (ANCC), becoming the hospital with the longest-running Magnet designation in California. As the first Southern California hospital to earn the Magnet honor in 2000, Cedars-Sinai also has earned the distinction of becoming one of only nine hospitals worldwide to receive this designation four times. The ANCC found that Cedars-Sinai's nursing services "represent the highest standards in the nation and internationally."
Top-Rated Physician Groups in Los Angeles
Cedars-Sinai Medical Group and Cedars-Sinai Health Associates, independent physician associations (IPA), both ranked among the top 10 physician groups in Southern California by Integrated Health Care Associates (IHA), a California leadership group of health plans, physician groups, and health systems. They were selected from 225 participating physician groups by the IHA based on their provision of recommended care, patient satisfaction, and investment in information technologies (IT) that support quality care.
For the fifth year in a row, Cedars-Sinai Medical Group and Cedars-Sinai Health Associates have been awarded the highest possible designation for quality care by a leading national organization representing managed care physician groups. CAPG, formerly known as the California Association of Physician Groups, gave both Cedars-Sinai groups its “elite” ranking in all six criteria used in its 2014 Standards of Excellence. The annual survey rated 86 medical groups that represent 11.1 million patients nationwide.
U.S. News & World Report Ranking
Cedars-Sinai is ranked nationally in 12 specialties and has been named to the "Honor Roll" in U.S. News & World Report's "Best Hospitals 2017-18." The 12 specialties for which Cedars-Sinai was ranked nationally are:
Cardiology and Heart Surgery
Diabetes and Endocrinology
Ear, Nose and Throat
Gastroenterology and GI Surgery
Neurology and Neurosurgery
As a global leader in medical research and care, Cedars-Sinai generates lifesaving discoveries that benefit patients suffering from heart disease, brain disorders, cancer and innumerable other conditions. Cedars-Sinai also pioneers research that improves the quality, safety and efficiency of healthcare delivery. The more than 1,200 research projects currently underway encompass basic, translational, clinical and health services research. Scientific leaps forward include using cardiac stem cells to repair damaged hearts, developing a vaccine to fight the most aggressive malignant brain tumors and developing more effective anticancer drugs aimed at specific molecular targets.
The academic medical center’s world-renowned faculty and extensive training programs prepare the next generation of healthcare professionals to provide innovative, high-quality care and to advance medicine through biomedical research. Education at Cedars-Sinai encompasses highly competitive medical residency and fellowship programs in a wide range of specialty and subspecialty areas, as well as graduate research education programs that combine scientific and translational medicine curricula with mentoring by researchers and clinicians. The organization also provides advanced research training for postdoctoral scientists, programs that enable nurses to develop specialized skills and advance in their careers, and training for allied health professionals such as clinical laboratory scientists. Learning takes place in the most advanced facilities in the world with state-of-the-art simulation and training equipment and the latest medical technology.
Residencies and Fellowships
Through Cedars-Sinai’s highly competitive medical residency and fellowship programs, physicians in training gain clinical experience with a diverse patient populations ranging from the hospital to clinics to the community. Some 500 medical residents and fellows are enrolled in programs covering 86 specialty and subspecialty areas. Residency programs include anesthesiology, dentistry, general surgery, internal medicine, neurology, neurosurgery, obstetrics and gynecology, orthopedic surgery, pathology and laboratory medicine, pediatrics, pharmacy, radiology, thoracic surgery and urology. Cedars?Sinai’s renowned physician-scientists teach the most innovative, advanced treatment methods using the latest medical technology.
Nation’s Most Highly Trained Nurses
Since its founding in 2002, the Geri and Richard Brawerman Nursing Institute at Cedars-Sinai has helped more than 2,500 nurses advance their careers through its extensive educational programs. The institute currently offers specialty training internships in critical care, oncology, neonatal care and obstetrics, perioperative and post-anesthesia care, cardiology, orthopedics and transplantation care, and other specialties as practice requires. More than 82 percent of Cedars-Sinai’s direct care nurses have a specialty certification; while 86 percent have earned a bachelor’s or master’s degree, making Cedars-Sinai nurses among the nations most highly trained. Through a 12-month residency program, Cedars-Sinai helps train 100 to 125 new nursing school graduates each year.
Donors support every facet of Cedars-Sinai’s mission, from clinical care and medical research to education and community outreach. Many of the gifts honor longstanding family traditions, while others come from new supporters. All gifts reflect a passion for making a difference in people’s lives as well as a desire and determination to invest in the health of Los Angeles and beyond, and a commitment to the wellbeing of generations to come. Philanthropy’s role in supporting research and education is essential to the medical center’s mission. Donors are a vital, valued part of the Cedars-Sinai family.
NURSING AT CEDARS-SINAI
Cedars-Sinai employs approximately 3,000 Registered Nurses who provide clinical and research services in over 100 different operating units. The Nursing Division is a critically important and valued organizational component and is integral in advancing the mission, strategies, and performance of CSHS and CSMC. Significant resources have and will continue to be allocated to this professional function in order to nurture and grow an engaged, high quality nursing workforce and culture.
The medical center was also recognized in the Magnet process for its commitment to continued nurse training and education. CSMC Nursing was a pioneer in participating with the Robert Wood Johnson’s Transforming Care at the Bedside initiative in the mid-2000’s. Many advances piloted at that time remain in full effect including a highly successful MD-RN set of collaboration councils. Cedars-Sinai has been providing nurses with free educational programs and financial assistance through the Geri and Richard Brawerman Nursing Institute since 2002. The medical center also sponsors free Baccalaureate and Masters' classes for employees through an on-site nursing school affiliated with Cal State Los Angeles and offers specialty certifications review courses and exams. As a result of the institute programs, the number of nurses holding baccalaureate and master's degrees has increased, as well as the number of nurses with specialty certifications.
Cedars-Sinai nurses are respected for their science, compassion, skill and expertise. Nurses collaborate with physicians on numerous projects, lead project teams and manage service lines. They drive leading edge technology programs that have a positive impact to the nursing profession at the national level. In addition, their nurses are a vital part of Cedars-Sinai's many community services programs, which touch the lives of over 60,000 underserved people each year.
The CNE is responsible for alignment of nursing care across the system’s clinical settings through appropriate standardization and the identification and adoption of evidence based clinical guidelines and consistent management standards to reduce variation in practice. The CNE provides strategic direction and clinical leadership for all aspects of nursing practice, and works in collaboration with executive management to set annual and long term performance goals and monitor outcomes in all key focus areas. She/he participates in the organization’s strategic and long range planning process; provides leadership in determining clinical and performance indicators and oversight of nursing practice. The CNE is responsible, in collaboration with others, to develop and maintain a national reputation for excellence in nursing service across all sites of care.
The CNE collaborates with a wide cross section of system leadership to enhance the provision of excellence in clinical care, education and research. She/he promotes a team orientation in the areas of quality and safety, research, learning and education, people and culture, business operations for assigned areas, community health, advocacy, planning and finance.
As Chief Nursing Officer, CSMC, the incumbent has executive leadership responsibility for operations of the inpatient units at CSMC, as well as the clinical practice and clinical policy development in the ambulatory clinics and across the system. These responsibilities also include providing leadership and expertise in regulatory, accreditation, licensure, and relevant compliance activities.
The annual operating budget for the Division exceeds $397 million with 2,600 FTEs.
As the strategic nursing leader for Cedars-Sinai, the SVP/CNE will:
Serve as the Chief Nursing Executive leader across the system, ensuring a collaborative and integrated approach to value based care;
Function as the nursing executive to system policies and programs of care that address patient needs, and ensures that all patient care areas establish and deliver the necessary patient services as required by the level of acuity and patient mix;
Lead CSHS and CSMC quality, safety, satisfaction, and value initiatives as designated to achieve top decile performance levels
Develop and implement strategy to ensure nursing excellence as evidenced by, and sustaining, Magnet Hospital designation at CSMC.
Lead the assurance and delivery of high quality, safe patient care that provides patients, families and referring physicians with a consistent, best-in-class customer experience;
Develop system-wide educational and development strategy and curricular goals for the clinical nursing workforce that optimizes clinical outcomes, employee engagement, patient satisfaction, and internal development and retention of the workforce;
Participate, with executive leadership, in the development, revision and dissemination of the CS strategic plan;
Serve effectively on various Board, CSHS, CSMC and Management committees to increase awareness of nursing activities, advance achievement of strategic goals and strengthen inter-divisional cooperation and collaboration.
Develop, and recommend guidelines and policies and procedures designed to improve the delivery of safe, efficient, and effective nursing care. Oversee the implementation of those guidelines at CSMC;
Promote clinical integration, improvement and alignment to advance patient safety and outcomes while monitoring quality and maintaining continuous readiness for regulatory inspections;
Ensure that patient care delivery model(s) and clinical and staffing standards for nursing are consistent with contemporary research in nursing practice and professional standards, compliant with accreditation standards, state and federal regulations and laws, and are aligned with CS’s mission, vision and values. Participates in planning, and evaluation of clinical programs and service;
Monitor key satisfaction metrics (i.e., employee, patient and family), identifies opportunities for improvement and strategies to ensure key stakeholder support, confidence and satisfaction;
Consult across CHSH and provide resources to other disciplines from standard and policy development; practice issues and the patient experience.
Direct the development of strategies to promote recruitment, retention and recognition of excellence in nursing;
Understand and promote the adoption and use of technology, including information technology, to advance continuity of care;
Lead in the development of strategy and tactics designed to identify and develop leadership talent and skills of the nursing management team;
Provide executive-level leadership in the design and creation of programs to improve quality care.
COMMUNICATIONS AND RELATIONSHIP MANAGEMENT:
In collaboration with key stakeholders and constituents, responsible for overseeing the development of a collaborative and coordinated inter professional approach to patient care delivery inclusive of promoting and fostering proactive and positive relationships with physicians, clinical staff, executive and operational leaders within the system;
Encourages and facilitates cooperation within the organization to connect people to best thinking and practices. Involve others by listening to team decisions and actions; values and uses individual differences and talents;
Act as a coach and mentor, while promoting professional growth and accountability within nursing leadership staff, and colleagues in order to promote and build the pipeline of future healthcare professionals;
Actively participate in committees, councils and taskforces and regularly submits reports to appropriate committees, boards and agencies regarding results;
Represent CS nursing in the community through active participation and engagement. Establishes and maintains relationships with business, civic and government entities to position the care continuum within the system;
Actively support the philanthropic goals of CS, especially those relevant to philanthropy that supports nursing strategies and initiatives;
Collaborate with schools and colleges and nursing to ensure an effective learning environment for students, opportunities for employed staff, and pathways for engagement of new staff to the system;
Direct reports include the following:
Executive Director of Nursing, Med/Surg, CSMC
Executive Director of Nursing, Critical Care, CSMC
Executive Director of Nursing, Women’s and Children’s, CSMC
Executive Director of Nursing Resources
Executive Director of Nursing, Brawerman Institute for Professional Nursing Development
Nursing Research Scientists
Indirect (dotted line) reports include the following:
Chief Nursing Officer, Medical Network (solid line to VP MN)
Chief Nursing Officer, Marina Del Rey Hospital (solid line to COO/Site Administrator)
Executive Director of Nursing, Emergency Department, CSMC (solid line to Service Line VP)
Executive Director of Nursing, Operating Room Services, CSMC (solid line to Service Line VP)
Executive Director, Office of Licensure and Regulatory Compliance, CSMC (dotted line to CSMC COO)
Executive Director of Nursing SOCCI Cancer Center (solid line to Service Line VP)
Executive Director of Women’s and Children’s Services (solid line to Service Line VP)
Executive Director of Nursing Neurosciences (solid line to Service Line VP)
Director of Nursing Tower Hematology and Oncology
Key relationships include the following:
Executive Management Committee members (includes Chairpersons and all VPs)
Administrator and Director of Nursing at MDRH
Chief of Medical Staff
Faculty leadership and Service Line Program Directors
Vice President, Graduate Medical Education
Experienced nursing executive with a proven track record leading nursing and patient care transformation to reduce variation in care;
Prior leadership experience with other nationally recognized academic institutions strongly preferred;
A strong business, planning, communication and financial skill set with the ability to manage complex projects involving multiple stakeholders;
Strong demonstrated transformational nursing leadership skills (inspiring, problem solving, communication across multiple organizations, executing);
Strong communication and relationship-building skills with all levels of employees, management and community leaders and a proven leader who is an effective, creative and visionary problem solver;
A proven leader of people who is able to recruit, develop and mentor a top-notch team capable of supporting future growth and has demonstrated nursing leadership in promoting diversity and inclusion in the workplace and community;
An understanding of how to achieve quality and other key business results in a geographically diverse health system with many types of clinical business units, having sensitivity for and an understanding of academic disciplines and issues;
Knowledge of applicable federal, state, and local regulatory agency guidelines and laws;
Experience in an academic medical center environment preferred.
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