VP Inpatient Services and APSI

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

The Vice President of Inpatient Services and APSI (VP) is accountable for the overall administrative and strategic leadership, operating results, and cost center financial performance of the clinical operations, including:
• BWH / BWFH Inpatient Beds (1,000+)
• Respiratory Therapy
• Central Transport
• Complex Care Management / Social Work
• Analytics, Planning, Strategy, and Improvement
At the two Brigham Sites, there are ~49,000 and ~9,000 inpatient discharges annually.
This role will require extensive collaboration with inpatient nursing and physician leadership as well as with other hospital departmental, MGB operational and Dana Farber Cancer Institute leaders. In leading this portfolio, the VP will oversee:
• A senior administrative leadership team, including an Executive Director of Inpatient and Clinical Services, a Senior Nursing Director for Complex Care Management, Director of Social Work, a Senior Director for Strategy Implementation, and a Senior Director for Process Improvement
• Senior Medical Director of Clinical Operations for purposes of operations and administration within the units. The medical director reports to the Office of the Chief Medical Officer (CMO) for clinical responsibilities related to and within the units.
The VP reports to the Senior Vice President of Hospital Operations for the Brigham Sites (SVP). Due to the senior level of this position, the VP also regularly communicates with, prepares materials for, receives direction from, and provides counsel to the Chief Operating Officer, the Chief Medical Officer, the Chief Nursing Officer, the Department Chairs, and other senior leaders of other departments and the hospital. The scope of this senior management role spans the Brigham Sites.

Qualifications

As a not-for-profit organization, Mass General Brigham (MGB) is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, MGB supports a complete continuum of care including two academic medical centers, community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities.

Within MGB, the Brigham sites include Brigham and Women’s Hospital (BWH), Brigham and Women’s Faulkner Hospital (BWFH), Brigham and Women’s ambulatory sites, and Brigham and Women’s Physicians Organization (BWPO) (collectively the “Brigham Sites”). Brigham is an academic medical center that serves patients from New England, throughout the United States, and from 120 countries around the world, through clinical services at our hospitals and 150 outpatient practices with more than 1,800 physicians and 4,000 nurses. The Brigham conducts the second largest hospital-based research program in the world, with an annual research budget of more than $630 million. As a major Harvard Medical School teaching affiliate, the Brigham is a cherished training ground for physicians, nurses, and allied health professionals, with 1,500 graduate medical education trainees in over 140 of the most sought-after training programs in the world.

The Vice President of Inpatient Services and APSI (VP) is accountable for the overall administrative and strategic leadership, operating results, and cost center financial performance of the clinical operations, including:

• BWH / BWFH Inpatient Beds (1,000+)
• Respiratory Therapy
• Central Transport
• Complex Care Management / Social Work
• Analytics, Planning, Strategy, and Improvement

At the two Brigham sites, there are ~49,000 and ~9,000 inpatient discharges annually.

This role will require extensive collaboration with inpatient nursing and physician leadership as well as with other hospital departmental, MGB operational and Dana Farber Cancer Institute leaders. In leading this portfolio, the VP will oversee:

• A senior administrative leadership team, including an Executive Director of Inpatient and Clinical Services, a Senior Nursing Director for Complex Care Management, Director of Social Work, a Senior Director for Strategy Implementation, and a Senior Director for Process Improvement
• Senior Medical Director of Clinical Operations for purposes of operations and administration within the units. The medical director reports to the Office of the Chief Medical Officer (CMO) for clinical responsibilities related to and within the units.

The VP reports to the Senior Vice President of Hospital Operations for the Brigham Sites (SVP). Due to the senior level of this position, the VP also regularly communicates with, prepares materials for, receives direction from, and provides counsel to the Chief Operating Officer, the Chief Medical Officer, the Chief Nursing Officer, the Department Chairs, and other senior leaders of other departments and the hospital. The scope of this senior management role spans the Brigham Sites.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Leadership

• Under the general guidance of the SVP, determines the overall direction, goals, tactics, and objectives of Inpatient Services. Works with the SVP to establish and achieve long range goals and ensures the implementation of strategic business plans are aligned with the vision, strategic plans, and goals of the institution.
• Ensures that length of stay efforts, longitudinal patient flow, site of care, quality improvement, care model innovation and inpatient space planning are all managed in a coordinated and effective manner.
• Chairs the Quarterly Inpatient Medical Director meeting and the monthly BWFH Inpatient Quality and Operations Committee.
• Serves as a critical leader in the organization’s Enterprise Asset Management (EAM) efforts – leading performance improvement initiatives, presenting data and trends, and working to optimize volume, utilization, and year-over-year performance.
• Builds strong relationships and partners with Inpatient Medical Directors for each clinical service. The Inpatient Medical Directors have a dotted line to the VP.
• Is visible and available to staff and colleagues as a leader for Inpatient Services and fosters a culture of inclusivity and collaboration.
• Continuously assesses and improves the efficiency of systems and processes across Inpatient Services.
• Leads the APSI department which consists of centralized process improvement and project management teams.
  • Works with the SVP, other VPs, and departmental leaders to understand their strategic and operational priorities. Deploys the APSI teams to support project needs.
  • Ensures project support needs are being satisfied and helps to overcome barriers by working with other leaders and clinicians within the hospital and system.
  • Leads the development and implementation of the process improvement model (Daily Improvement, Six, Sigma, Lean, etc.) that meets the needs of the organization. Develops consistent tools for the project management team to use to support effective initiative completion.
  
  
• Ensures healthy and collaborative relationships among the faculty and staff within Inpatient Services, and with related departments.
• Collaborates with the offices of other hospital SVPs on issues related to multi-disciplinary inpatient operations and services delivery.
• Works with leaders across MGB enterprise to support coordination of inpatient capacity across the system.
• Demonstrates strong emotional intelligence with the ability to understand, manage, and positively influence relationships and prioritizes building a positive, supportive, and engaging workplace environment, aligning team dynamics with organizational values.
• Develops and implements policies and procedures consonant with the hospital’s policies. Assesses administrative and financial needs of the department and revises policies and procedures to meet changing needs.
  • Evaluates, initiates, and implements various systems and procedures, and revises as necessary to maximize efficiency.
  • Serves as a resource for resolution of administrative and operational questions, issues, and problems.
  • Works with management staff and representatives from other departments to evaluate, initiate, and implement systems and procedures and revises as necessary to improve and maximize efficiency.
  
  
• Develops effective, clear, and precise methods of communicating with the SVP, and with hospital and physician leaders, clinical faculty, and staff on a regular basis.
• Keep current regarding trends and developments in the health care field, particularly when they pertain to strategic planning, analytic and decision support tools, financial trends, evolving technologies, and programs.

Capacity Planning & Management

• In collaboration with the SVP and other departmental and operational leaders manages strategic capacity creation and maximization within and across Brigham sites.
• Analyzes data to understand the drivers of capacity; uses modeling to determine the optimal approach for leveraging and using all inpatient assets.
• Optimizes value by encouraging use of data to drive decisions, depersonalizing processes, and allowing clinical and administrative staff to actively engage in process improvement activities that reduce cost and improve revenue.
• Supports implementation of process improvement pilots where the goal is effective management of patient capacity.

Service Management

• In partnership with physician, nursing, and operational leadership at each site, supports the provision of harmonious, collaborative, safe and high-quality care, and the timely and efficient use of inpatient assets across the Brigham entities.
• Reviews the ongoing management of Inpatient Services, discusses and resolves any administrative problems that arise, and directs the planning of improvements in existing clinical services.
• Quality & Compliance
  • Works in concert with the medical and inpatient directors and the inpatient Associate Chief Nursing Officers (ACNOs) to maintain the highest quality and safety standards.
  • Co-leads, with the medical and inpatient directors and ACNOs, interdisciplinary initiatives with nursing, clinical support services, clinical faculty, and ancillary services to ensure safe, predictable, efficient, and effective delivery of Inpatient Services.
  • In collaboration with an interdisciplinary group of hospital, physician, and nursing leaders, directs the development and implementation of process improvement initiatives aimed at improving patient safety and compliance across the continuum of care.
  • Assures compliance with BWH/BWFH, MGB, TJC, OSHA, DPH and state and federal regulations.
  • Partners with the appropriate compliance offices for audits as needed and/or directed.
  
  
• Partners with clinical and administrative leaders to identify, prioritize, implement, and monitor progress of information system enhancements and upgrades, as well as new system introductions.

Capital Management

• In collaboration with the SVP, oversees all physical space that is part of the Brigham’s inpatient enterprise.
• Takes a leadership role in planning and space allocation for all current and future inpatient assets across the Brigham Sites.
• Oversees vendor relationships for Inpatient Services.
• Partners with the SVP and with Biomed for all capital planning
• Oversees device utilization planning and product approval processes for Inpatient Services.

Financial Management

• Fiscal Management & Fiscal Responsibility
  • Accountable for the budget performance of all accounts within the purview of the position.
  • Responsible for the cost center fiscal management of all areas of responsibility.
  • Establishes and achieves financial goals and measures, monitors, and ensures the on-going financial performance of Inpatient Services.
  • Facilitates effective cost containment practices through monitoring of volume trends, proactive management of capacity (physical and human resource), supplies, service contracts, and professional services agreements.
  • Oversees expense management issues; performs comparative analyses; develops and implements strategies for cost containment.
  
  

• Analysis & Reporting
  • Examines, analyzes, and interprets financial reports for the purpose of giving advice, preparing statements and projections, and managing resources.
  • In partnership with the SVP, prepares analyses and forecasting for introduction of new programs and services.
  • Understands and meets all financial reporting requirements in the prescribed format, per the direction of the SVP and the applicable budget office.
  
  
• Budgeting
  • Partners with the SVP and the departments to prepare annual hospital budgets in the prescribed format for the responsible areas of Inpatient Services. Presents and justifies budget requests to the SVP.
  
  
• Oversight
  • Supervises the activities of subordinates who are responsible for being familiar with and approving all expenditures, assigning cost centers, monitoring compliance with budgets, and identifying and investigating potential problem areas and proposing solutions.
  • Ensures the highest standards of integrity, ethics, control, and confidentiality are maintained across all financial and accounting matters.
  
  

System Alignment

• Where appropriate, ensures coordination and alignment in policy and approach with Massachusetts General Hospital Inpatient Services and Mass General Brigham enterprise.
• Consults with leaders across Mass General Brigham to advise on operational policies and practices related to patient progression and inpatient capacity.
• Supports implementation of Enterprise Asset Management across the system. As a role model and teacher to others, actively participates in rationalizing where care is delivered, and supporting the development of predictive capabilities.
• As a part of Mass General Brigham initiatives, leads standardization efforts aimed at cost savings, efficiency, and best practices for patient care.

Human Resources Management

• Management Actions
  • Coordinate with Human Resources for the interviewing, hiring, personnel transactions (hiring, salaries, promotions, job descriptions, etc.) and implementation of institutional corrective action policy for staff.
  • Using organizational management systems, initiates, approves, and coordinates with Human Resources for approval of human resources changes (i.e., salary adjustments, salary distributions, training records, etc.) for staff who reside under the VP.
  • Prepares performance reviews on direct reports.
  • Takes corrective and disciplinary action, up to and including termination, as necessary to maintain the highest level of staff productivity and effectiveness.
  
  
• Oversight
  • Provides direct supervision to and is responsible for the conduct, operations, and results of the professional and non-professional staff.
  • Develops and implements change management programs including efficiency and resource utilization projects.
  • In times of transition, supports areas that require interim leadership support.
  
  
• Development
  • Actively considers opportunities to grow the abilities, skills, and support of employees within Inpatient Services through professional development, enhanced communication vehicles, employee-focused initiatives, and otherwise.
  
  
• Culture/Equity
  • Reviews, supports, and ensures salary and wage equity for staff.
  • Creates a supportive, educational, and development-focused environment for all staff.
  • Ensures the support and maintenance of a diverse, inclusive, and professional environment for all staff.
  
  

Compliance

• Develops, implements, oversees, and approves departmental policies, procedures and systems and revises as necessary to maximize efficiency.
• Responsible for ensuring compliance with regulatory bodies and making managers aware of policy and procedure changes.

Other

• Oversees general administrative matters within Inpatient Services.
• Develops letters, presentations, announcements, and other communications; all documents must be of the highest caliber of refinement and professionalism.
• Serves as a stand-in for the SVP in relevant meetings when they are not available; serves on committees as needed or assigned.
• Leads or participates in special projects and performs other related tasks as requested or required.

QUALIFICATIONS

• 10+ years of experience as a leader within an academic medical center.

• Demonstrated track record of successfully leading teams.
• MBA, MHA, MPH, or equivalent advanced degree required.

SKILLS / ABILITIES / COMPETENCIES REQUIRED

• Analytical Skills
  • To create business trends and process analyses, profit and loss statements, operational reviews, and identification of system weaknesses. Demonstrated experience in operations, project management, strategy development, business, and financial planning, budgeting, and financial reporting.
  
  
• Organizational Skills
  • To manage many competing timetables and responsibilities. The ability to delegate, effectively supervise, and plan for the timely and successful completion of short- and long-term objectives is essential. The responsibilities of this position require detailed, concentrated effort and constant re-establishment of priorities as well as complex and sensitive decision-making.
  
  
• Theoretical Skills
  • To conceptualize systems approaches to problem solving and interrelationships of clinical, teaching, and research activities.
  
  
• Communication Skills
  • To effectively relate to a large and diverse constituency of individuals – including senior leaders, administrative staff, faculty at all levels, trainees and staff, representatives of other offices, and vendors. Must possess superior skills in financial, written, and oral formats.
  
  
• Interpersonal Skills
  • To facilitate cooperation and support from a broad range of people. Demonstrated ability to interact with all members of the organization in ways that enhance understanding, respect, collaboration, and problem solving.
  
  
• Negotiation and Contracting Skills
  • To come to settlement in situations that are complex, sensitive, and often multi-institutional.
  • To ensure the rights and responsibilities of all constituents are fairly and accurately represented.
  
  
• Other Abilities
  • Ability to work independently as well as collaboratively at all levels of a complex organization.
  • Ability to generate and encourage creative ideas, innovative thinking, and imaginative solutions to problems.
  • Ability to maintain the highest standards of performance, quality, credibility, and integrity.
  • Ability to maintain extraordinarily professional discretion in the handling of highly confidential and/or political information and data.
  • Ability to use Microsoft Office (Access, Excel, PowerPoint, and Outlook) and financial systems.
  
  

WORKING CONDITIONS

Works in both office and clinical services settings. Attends meetings in and out of the hospital. Is available for early and late meetings and flexible to meet frequent deadlines. Some evening and weekend work will be required.

SUPERVISORY RESPONSIBILITY

Supervises:

• Senior Administrative Team:
  • Executive Director of Inpatient and Clinical Services
  • Senior Nursing Director for Complex Care Management
  • Senior Director for Strategy Implementation
  • Senior Director for Process Improvement
  • Director of Social Work
  
  
• Senior Medical Director of Clinical Operations (for purposes of operations and administration)

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

15 Francis Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

The Brigham and Women’s Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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