Job Title: San Francisco Health Network (SFHN) Associate Chief Health Informatics Officer at ZSFG
The School of Medicine Vice Dean’s Office at ZSFG supports the clinical, teaching and research activities of the UCSF faculty, residents, students and staff at SFGH that are intended, in partnership with the administration of DPH, to support both the mission of UCSF and ZSFG.
Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) has been a training hospital for UCSF since it opened in 1872. The Affiliation Agreement between the UCSF School of Medicine and the City/County of San Francisco includes providing all of the professional medical staff at ZSFG across approximately 40 different service lines. Currently, there are over 700 active and courtesy UCSF faculty working at ZSFG. UCSF also operates undergraduate and postgraduate medical training programs at SFGH. More than 900 UCSF residents and 350 medical students rotate at ZSFG each year. There are also approximately 1,000 administrative and research staff based at ZSFG.
ZSFG is a licensed general acute care hospital, which provides a full complement of inpatient outpatient, emergency, skilled nursing, diagnostic, mental health and rehabilitation services for adults and children. It is the largest acute inpatient and rehabilitation center for psychiatric patients in the city. Additionally it is the only acute hospital in San Francisco that provides twenty-four hour psychiatric emergency services and operates the only trauma center (level 1) for the 1.5 million residents of San Francisco and Northern San Mateo County.
ZSFG serves approximately 120,000 patients per year and provides 20% of the city's inpatient care. As San Francisco's public hospital, ZSFG’s mission is to provide quality healthcare and trauma services with compassion and respect to patients that include the city's most vulnerable. ZSFG is also one of the nation's top academic medical centers partnering with UCSF on clinical training and research. It is home to 20 research centers and labs that benefit patients worldwide. U. S. News and World Report ranks UCSF 4th best nationally in research training and 5th best in primary care – the only medical center rank in the top five in both categories.
The San Francisco Health Network (SFHN) is operated by the San Francisco Department of Public Health. It is the city’s only complete system of care and includes Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) with University of California, San Francisco (UCSF) physicians providing hospital care, specialty, diagnostic and ancillary services. SFHN also includes Laguna Honda Hospital and Rehabilitation Center, primary care clinics in the community, and a comprehensive range of substance abuse and mental health services.
The SFHN (San Francisco Health Network) Associate Chief Health Informatics Officer (ACHIO) at ZSFG will have a dual reporting structure, reporting directly to the ZSFG Chief Medical Officer and the DPH Chief Health Informatics Officer. The ACHIO will co-lead and collaborate with the UCSF electronic health record team on the installation, standardization, implementation, adoption and optimization of an enterprise electronic health record (EHR) in all care settings to support ZSFG, as well as provide clinical leadership to drive SFHN’s strategic plans to harness health IT that can empower patients, families, communities and the healthcare team to achieve health and equity for all San Franciscans.
In order to accomplish this, the ACHIO will collaborate with and build strong relationships with ZSFG leadership in all settings including, but not limited to, administration, medical staff, nursing, pharmacy, diagnostics and other ancillary services. S/he will provide facilitative leadership to a team of implementation champions that will work closely with the IT Informatics team, other ACHIOs throughout SFHN, and external partners that are critical to the success of this EHR implementation. S/he will ensure the design, integration, and deployment of the EHR can fully support all clinicians and end-users’ informatics needs and can enhance their ability to achieve the highest value for patients, staff and SFHN.
The ACHIO will serve as both a collaborative leader and an advocate for all ZSFG users of the EHR. As such, s/he will need to balance competing needs of the DPH, SFHN, ZSFG and users across myriad disciplines, services, and programs. S/he will need to build teams, influence decision-making, manage change and expectations, conduct deep discovery of current states and gaps, promote workflow process standardization, and instill accountable practices into the EHR implementation. The ACHIO will foster an informatics culture that respects the contributions of all users, that recognizes line staff are content experts, that values providing the right information, every time, anywhere to ensure every ZSFG clinician and user can deliver coordinated, safe and top quality care, and paramount that can help SFHN and ZSFG achieve organizational True North and its vision: “To be every San Franciscan’s first choice of health care and wellbeing.”
The role will be 20% dedicated to clinical responsibilities with the remainder 80% dedicated to ACHIO responsibilities, which include:
- Establish trust and confidence with the DPH CIO and CHIO, their respective Offices, ZSFG executive and program leaders, UCSF medical staff leaders and Service Chiefs, SFHN executive leaders and ACHIOs, and UCSF Health Informatics leadership.
- Assist the Chief Executive Officer in applying informatics to ensure ZSFG meets all regulatory and compliance requirements for accreditation as these relate to the provision of care and financial stewardship.
- Provide facilitative leadership to engage ZSFG leaders, clinicians and managers in formulating and approving difficult decisions amidst competing drivers.
- Support the IT Department in the design and integration of informatics and infrastructure for the EHR and other clinical applications at ZSFG.
- Work closely with the ZSFG senior operational leaders to apply informatics and analytics in the provision of clinical care, ensuring standard work, quality and safety are consistently upheld.
- Lead in the design and implementation of clinician training and support strategies for maximizing the adoption and use of the EHR and other clinical technologies at ZSFG.
- Lead in the development of consistent standards and “rules” in medical terminology for use across ZSFG IT platforms and applications to optimize efficiency and effectiveness in patient care.
- Work with end-users or program leaders to define concretely and measurably the value proposition of every EHR customization request in support of clinical workflow and business requirements.
- Participate in business planning and establish milestones and metrics for monitoring performance of clinical informatics/technology providers.
- Apply LEAN principles and methodology to maximize ZSFG’s adoption and optimization of workflows and the utilization of technology.
- Identify and implement resource management opportunities and outcomes management programs, including: pathway development, disease management, and clinician education related to inpatient medicine.
- Remain vendor technology neutral and maintain the highest ethics when relating to vendors.
Required Skills and Attributes:
• Leadership that is simultaneously visionary and operationally effective
• Highly developed organizational skills with demonstrated ability to prioritize and manage complex projects on time and within budget
• Creative, data-driven systems thinking
• Strong management skills characterized by adaptability, coaching of direct reports and a collaborative, team-based approach
• Outstanding communication skills with an ability to listen deeply, and speak, present and write in an articulate and compelling manner, as well as teach and coach others
• Deep understanding of medical informatics trends and a high-level of knowledge and experience with information technology and architecture, clinical information systems, and analytics, coupled with strong technical capabilities
• Stellar interpersonal skills including respect, approachability, calmness, and demonstrated ability to connect with and work across a wide range of stakeholders from executive leadership to line staff
• Demonstrated ability to navigate complex organizational structures with a diversity of cultures and personalities
• Negotiation and conflict management skills, with demonstrated ability to build consensus
• Expertise in process improvement, data analytics and the use of information systems to develop and support outcome measurement and management
• Relevant contemporary experience (at least five years of progressive responsibility for design and implementation of unified clinical informatics systems) and a genuine passion for practice in a technologically enabled environment.
• Demonstrated ongoing clinical practice experience with delivering care (inpatient or outpatient) in an EHR (preferably Epic) environment
• Exhibit a high degree of professionalism, ethical values, and deep respect for diversity
Education and Experience:
• Licensed and board certified M.D./D.O. to practice in California, with a preference towards generalist specialties.
• Additional degree in MPH, MBA, MPA, MS and/or PhD desirable.
• A minimum of five years serving as an IT physician leader with progressive leadership responsibilities in a complex, multi-specialty healthcare environment.
• Prior academic health IT experience.
• Established track record of accomplishments in management, particularly involving successful, collaborative work with physicians.
UC San Francisco seeks candidates whose experience, teaching, research, or community service has prepared them to contribute to our commitment to diversity and excellence. The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.
Please apply online at https://aprecruit.ucsf.edu/apply/JPF00927