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Vice President Associate Chief NSG Officer Perioperative Services

Providence, RI, USA | Lifespan

  • Industry:
    Healthcare - Hospitals
  • Position Type:
  • Functions:
    General Management
  • Experience:
    10-12 years
    12-15 years
Job Description:
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Reporting to the Senior Vice President Chief Nursing Officer (CNO) is accountable for executing the strategic direction and plan implementing key initiatives and oversight of operations management for the nursing department including direct responsibility for surgical services inclusive of Perioperative Services Pre-Post Anesthesia Care Unit Surgical Short Stay Sterile Processing Department (SPD) all procedural areas respective of nursing practice and sterile processingThis role is both an RIH affiliate role and partial system role. The major focus is RIH with advancing level of Lifespan system responsiveness over time. The role provides oversight of the perioperative business and strategic planning.Functions as Chief Nursing Officer in the absence of the Senior Vice President CNO when requested.

The Vice-President Associate Chief Nursing Officer (VP ACNO) Perioperative Nursing is a contemporary leader assumes responsibility for the operations and administration of nursing for the perioperative designated clinical areas and procedural areas as outlined in limited oversight for nursing and associated compliance for continuity of regulatory practice under perioperative and anesthesia services is accountable for the quality of nursing care that includes continuously monitoring patient outcomes against established standards; evaluating and improving performance in clinical programs; establishing systems to evaluate and promote staff proficiency; developing educational goals to meet staff and patient needs; and supporting clinical research to generate nursing sensitive outcomes to improve patient care delivery. Responsible for creating and maintaining a work environment that fosters staff satisfaction employee growth interdisciplinary collaboration team building and excellence in customer service across the continuum of care.

Aligns fosters and embraces the triad perioperative leadership model working closely with the Chief of Surgery and Chief of Anesthesia for both Rhode Island Hospital and the System. Collaborates with Chiefs and Chairs of departments physician leaders the Senior Vice-President Chief Nursing Officer unit leadership nursing and interdisciplinary colleagues to plan design and implement customer-focused coordinated delivery of perioperative patient care and clinical programs. 



Leads and advances a system vision for Lifespan perioperative services participating in the dissemination of the system mission statement and values.Consistently communicates a system vision for Lifespan perioperative services that is aligned with mission and values. 

Works in collaboration with the Chief of Surgery and the Chief of Anesthesia to form a triad leadership model for Lifespan perioperative services.Has administrative accountability for perioperative services and clinical accountability for ensuring consistent standards of perioperative nursing practice across all Lifespan sites.Considers the impact of potential decisions on all Lifespan sites selecting the best decision to support advancement of the system. Partners with physician leaders to co-lead a system-wide perioperative council.Supports physicians physician leaders and affiliate directors in day-to-day operations.  

Develops a Lifespan system-level strategic plan for perioperative services in collaboration with key physician leaders and system and affiliate executives.In collaboration with local perioperative directors develops and coordinates affiliate-specific tactics in support of the system plan.In collaboration with affiliate executives develops and implements additional strategies to optimize the use of Lifespan�s perioperative resources and position the system for success.

Collects analyzes and disseminates market data identifies local surgical practice patterns and emerging national trends and evaluates the impact of payer practices and models on reimbursement. 

Leads the development of annual and multi-year system-wide volume projections.Coordinates the development of annual affiliate operational budgets.Creates an annual and multi-year system-wide capital budget.

Develops a perioperative services quality dashboard for the system and for affiliates.Oversees the collection analysis and communication of quality data for the system and affiliates.Ensures consistency and transparency of key metrics such as cost per case by defining each metric and standardizing data collection processes.Initiates discipline-specific and interdisciplinary quality improvement projects based on data.

Provides leadership to affiliates to ensure that health safety and regulatory standards are met and practices are evidence-based. 

In collaboration with affiliate directors creates system-wide education and competency-verification plans for all levels of staff.Plans will be based on generic education and competency requirements at all affiliates and affiliate-specific requirements based on the populations served and the types of services and programs provided.


Facilitates the development of short- and long-term goals for Perioperative Care Endoscopy and Bronchoscopy. The dyad/triad partnership with the three areas will be advanced to the affiliated areas of responsibility in collaboration with system oversight of the perioperative services unit management other leadership and staff while promoting Lifespan�s mission its values and key business objectives aligning HCH nursing with the RIH overall goals. Monitors analyzes and reports on healthcare industry trends formulates environmental assessments and makes recommendations.

Supportive and aligns in the planning and direction of the organization�s programs and facilities in accordance with federal state and local standards guidelines and all regulatory standards.Collaborates with the surgical anesthesia and procedural leadership dyad physician chiefs or designees in strategic planning for perioperative services and evaluation of perioperative clinical programs.

Assures compliance with standards set by the Nursing Executive Committee regulatory and accreditation agencies. Evaluates the quality and efficiency of nursing care based on optimal patient care outcomes established by institutional/regional/national benchmark outcomes data.

Ensures a system to assess patient family and community needs for services and programs. Ensures all perioperative patient care activities support established clinical standards of care and consider diversity and age-specific needs of the patient populations served.Facilitates and supports in the development implementation and evaluation of new programs operations and services for all areas of outlined responsibilities as assigned working closely with all operating functions of the organization to ensure permanence of programming and services. Assures the programs and services meet and exceed expectations of the customer supporting continuous quality improvement practices.

Promotes effective planning and coordination of services with physicians other departments and outside agencies.Ensures effective customer relations between the perioperative service emergency department other inpatient units and services associated affiliates ambulatory services physicians and the community.

Facilitates continuous performance improvement by encouraging innovation supporting reasonable risk-taking and maintaining openness to new ideas.Collaborates with the Center for Professional Practice and Innovation. Fosters development of staff through learning needs assessment and program development to foster an environment of continuous learning.

Participates in and leads where appropriate system-wide and interdepartmental strategic initiatives related to areas of responsibility. Champions projects within the organization influencing patient services and hospital leadership appropriately allocating resources.

Collaborates and consults with peers and colleagues by defining functional standards and translating them into usable applications and/or care patterns.Collaborates with peers colleagues and physicians to develop mutually workable solutions to ensure consistency and continuity of functional applications across nursing such as improved patient placement and flow of the patient through the continuum of care across the system.

Ensures services are coordinated and integrated both intra- and inter-departmentally to demonstrate patient-centered coordinated care to reduce system patient caregiver and community variances to the plan of care.

Coordinates and serves as a liaison between the surgical support medical support nursing staff and other disciplines to ensure that specific issues and problems are communicated and resolved in an appropriate and timely manner.

Facilitates the effective utilization of resources (people financial material and equipment) to meet established goals and objectives of Lifespan and RIH/HCH academic medical center.Accountable for operating priorities to ensure activities support the system�s strategies while maintaining fiscal responsibility. Focuses on the enhancement of the financial strength of the Affiliate System to fulfill its long-term mission.

Formulate and approve short and long-term goals and objectives plans and budgets for assigned functions including but not limited to: developing and securing approval of fiscal year budgets and goals for assigned organizational components; monitoring progress to goals objectives and budgets and making necessary adjustments. In conjunction with unit leadership develops recommends implements and monitors capital and operating budgets for surgical services. Develops and approves capital requests and expenditures for surgical services to meet the needs of replacement and innovative practice needs for surgical services and associated supporting departments.

Provides sponsorship to the function by identifying resources required to achieve the operating results and advocates for them during resource allocation. Demonstrates operational responsibility for productivity in all areas of responsibility. Ensures all professional standards of practice and scope of services are aligned with RIH staffing plans and work assignments.

Participates in development and assessment of new programs; assesses market position and provides analysis for decision-making process; participates in the development of related business plans.Ensures perioperative and associated supporting departments billing process for billable services. Ensures required/supporting documentation in the electronic medical record is implemented to maintain billable procedures surgical services and supporting services.

Understands and remains current in the fiscal requirements which will optimize reimbursement from government payors and third-party payors. Utilizes preplanning of Outpatient Perspective Payment and Inpatient Prospective Payment (DRG) proposed rules and changes to align surgical and perioperative services to optimize revenue.

Ensures effective recruitment selection development and evaluation of managerial professional and support staff to optimize achievement of goals and objectives. Implements and facilitates the direction of professional development and leadership development.

Fosters the development and implementation of succession plans for key clinical education and leadership positions within the organization by seeking out leaders and staff who demonstrate the actual or potential skills desire and commitment to advance.Supports professional and leadership development in nursing by promoting collegial and collaborative relationships with area nurse educators and by offering preceptorships to graduate students in nursing administration. Ensures that processes are in place for selecting aligning developing motivating and retaining a team of highly skilled managers and staff.

Supports the organizational infrastructure for ongoing orientation training education and professional development for perioperative focused nursing staff in current new and developing technologies to ensure competent nursing staff capable of providing effective efficient nursing care for the pediatric population.

Provides effective labor and employee relations to promote employee manager effectiveness and satisfaction in the workplace. Ensures compliance with collective bargaining agreements and human resource policies.

Serves as a role model to staff by continuously demonstrating Lifespan�s values and principles creating and maintaining effective positive customer service relationships by identifying customers and their needs ensuring the needs are met or exceeded and responding appropriately to difficult interactions and educating staff on the importance of quality customer service.Effectively and continually communicates with staff management and customers to facilitate the flow of information necessary to the success of employees department function and the organization.                         

Supports and participates in the vision of attaining and maintaining the Magnet designation for RIH/HCH.Ensure that Magnet standards are incorporated and sustained wherever nursing is practiced and across the organization.

Ensure structure and processes are sustained across the organization to maintain the highest quality in patient care outcomes and patient/family experience.

Shares accountability with unit leadership and staff to develop the plan for providing perioperative patient care which is designed to support improvement and innovation in professional practice based on patient need and the mission of the hospital. 

Maintains level of knowledge of and expertise in cutting edge developments in the field of perioperative nursing including but not limited to perioperative nursing SPDincluding all aspects and standards of instrument management procedural area alignment and innovations in technology by participating in ongoing independent study education-related professional activities and professional affiliations.Participates in or leads various committees task forces and quality improvement teams as needed. 

Supports research opportunities in the associated clinical practice and administrative environment to contribute to the knowledge base of professional practice for all related disciplines in the perioperative and associated supporting departments age specific populations.Collaborates with outcomes research and evidence-based practice to facilitate interdisciplinary patient-oriented research and unit/departmental performance improvement projects.

Demonstrates evidence of career advancement through continuing education scholarly accomplishments (e.g. presentations research publications) and/or leadership in local/regional/national professional organizations. Performs other related duties as assigned.

The Vice President ACNO of Perioperative Services is expected to embrace Lifespan�s mission of �Delivering health with care� and successfully role model Lifespan�s values of Compassion Accountability Respect and Excellence as these guide our everyday actions with patients customers and one another. 


� Effective utilization of resources

� Management of continuous quality improvement

� High quality high value patient-focused services

� Resource productivity

� Fiscal responsibility

� Development and implementation of effective quality programs

� Customer satisfaction

� Performance improvements year-to-year

� Positive feedback from peers direct reports and staff

Other information:


� Bachelor�s Degree in Nursing from an accredited college or university.

� Master�s Degree in Nursing or a related field such as healthcare administration or its equivalent. 

� Doctor of Nursing Practice or PhD preferred

� Must have current licensure to practice as a Registered Nurse in the State of Rhode Island or in another state that participates in the Nurse Licensure Compact.

� Professional certification in the field of nursing or healthcare


A minimum of 10-15 years of progressively responsible related experience preferably gained in a similarly diverse and operationally complex healthcare environment. A minimum of five years of which must be at a large complex tertiary teaching hospital or an academic medical center. Experience should demonstrate a very high level of written and verbal communication skills; the ability to conceptualize develop and effect quality in-patient services; effective leadership/management skills; and commitment to continuous quality improvement.Thorough knowledge of the Nurse Practice Act of the State of Rhode Island is required.


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