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Division Head of Hospital Medicine

Henry Ford Health System


Location:
Detroit, Michigan 48202
Date:
01/06/2017
Work Type:
Employee
Job Status:
Full Time
Shift:
1st Shift
Specialties:
  • Hospitalist
  • Internal Medicine
Henry Ford Health System
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Job Details

The Henry Ford Medical Group (HMFG) part of the Henry Ford Health System (HFHS), in southeast Michigan, is seeking a Division Head of Hospital Medicine for one of the nation's largest integrated healthcare systems.  The Division Head is responsible for providing leadership, developing and coordinating long-range planning for the Division of Hospital Medicine in HFMG Department of Medicine and in collaboration with other System leaders.  The Division Head is responsible for motivating staff to be a highly-functioning, financially sound, integrated system-wide Division while maintaining the highest standards of medical care. He/she is expected to maintain a clinical identity while devoting his/her abilities to the proper management, function and efficiency of the division.  Hiring and recruiting physicians is an important function of the Division Head, as is retaining high-level physicians and other staff.  He/she will act as a liaison to other local hospitals and physicians by maintaining relationships that are helpful and collaborative, while focusing all physicians on the importance of community outreach and exemplary communication with referring physicians. 

The ideal candidate will be a clinical physician leader who has demonstrated, by earlier accomplishments, an ability to define a vision for hospital medical services appropriate for HFMG Hospital Medicine, establish ambitious goals for the Division and lead all involved in a comprehensive program to achieve those goals, including:

  • Further develop an infrastructure that allows the Division to succeed in a value-based accountable care environment, supporting the Triple Aim

  • Efficiently deploy resources to maximize the clinical impact of hospital medicine.

  • Support the growth and integration of the Section of Palliative Medicine at HFH.

  • Work closely with the HFHS Hospitals’ CMOs to reduce clinical variation, hospital operations, and the patient experience.

  • Maintain and expand an infrastructure that promotes continuous professional development of the clinical faculty.

  • Encourage innovation in quality and safety, including encouraging research, national presentations, and publications related to quality and safety.

  • Collaboration with an emergency department, primary care physicians, and other related departments in the delivery of patient care and development of clinical and operational protocols, procedures and clinical pathways, while developing a strong and harmonious working relationship, which enhances communication.

  • Serves as a Departmental/System expert in hospital medicine and a critical resource to hospital/system committees to support utilization review, hospital resource management, length of stay, collaborative practice standards, level of care, observation services management, documentation integrity, and Joint Commission readiness.


    Henry Ford Medical Group Division of Hospital Medicine

    The Inpatient staff service at Henry Ford Hospital (HFH) began October 1, 1987. In 2006, the hospitalists became the Section of Inpatient General Internal Medicine and started a period of growth in faculty, scope of practice, and influence in the Henry Ford Health System. Over the next three years, new HFMG Hospitalist practices were started at Henry Ford Macomb Hospital-Warren (2007), Henry Ford Wyandotte (2008), and Henry Ford West Bloomfield (2009) while continued expansion occurred at HFH in advanced cardiology, perioperative care, observation, and clinical education. When it became the Hospitalist Medicine Division in 2008, it was one of the first clinical divisions of hospitalists in the United States. The Division expanded to partner with the Palliative Medicine service in 2008 recognizing the importance of high-quality care during serious potential life-threatening chronic/acute illness. The Division of Hospital Medicine with nearly thirty years of service and 50 faculty at three hospitals remains committed to high-value patient-centered care.

    Section of Palliative Medicine

    The Henry Ford Hospital Palliative Medicine Service (PMS) began June 1, 2000. Hospital based consultative palliative medicine distinct from hospice was new to HFH but gradually grew. In the early 2000s, the staffing of the PMS grew to include additional senior staff, NPs, and a social worker. The PMS brought innovations of pain cards, the “Green Book,” Schwartz Center Rounds, IM Grand Rounds speakers, and multiple presentations to clinicians on palliative medicine topics. Originally based in Division of Hematology/Oncology, in 2007, the Palliative Medicine Service moved to the General Internal Medicine Division and later in 2008 to the Division of Hospital Medicine. In 2009, the Henry Ford /Wayne State School of Medicine Hospice and Palliative Medicine Fellowship, one of the first ACGME accredited fellowships in the country, enrolled its first fellow and continues to accept up to two fellows annually. In 2011, the Palliative Medicine Service became a Section within the Division of Hospital Medicine. The Section is an active clinical service providing over 1,200 inpatient/outpatient consultations annually.

    Divisional Performance Metrics

  • People

    • Dramatically increased hospitalist engagement to 86th percentile, best overall improvement in HFMG in 2015

    • 46 Hospitalists average years in practice 7+ years

    • 3 Palliative Medicine Physicians/2 Fellows

    • 7 Nurse Practitioners (HFH Observation Unit)

    • 5 Nurse Practitioners (HFWBH Observation Unit)

  • Service

    • Hospitalist total encounters in 2015 approximately: 70,000

    • Total Palliative Medicine Inpatient Consults in 2015: approximately 900

    • Coverage of nearly 85 beds at HFH Detroit Campus

      • H5/I5/P5 (Cardiology/Telemetry/ Structural Heart/Advanced Heart Failure)—35 beds

      • I1 (Observation Service) – 30 beds

      • Medical Consultations/Pre-surgical optimization clinic

      • F1 (Medical Resident Service) – 20 beds

    • Coverage of 45-55 beds at Henry Ford Wyandotte Hospital

    • Coverage of up to 100 beds at West Bloomfield

  • Patient Experience

    • Mean Top Box Score Physician Communication: 76.6%, 30th percentile

  • Growth

    • Division of Hospital Medicine was the 6th largest rate of growth of all clinical areas in the medical group in 2015

    • Continued expansion in South Region, Wyandotte service leads Division in overall growth (20%)

    • Overall Observation medicine growth led all sections at over 15%

  • Quality and Safety

    • Continued focus on safe, effective care practices, especially Choosing Wisely Initiatives

    • Overall divisional performance in appropriate transfusion practices in 2015:

      • Over 80% reduction in highly inappropriate transfusions (Hemoglobin > 8.5g/dL)

      • Nearly 25% reduction in mildly inappropriate transfusions (Hemoglobin > 7g/dL)

      • Mortality Rate 0.88% is 30% less than system average for medical patients

      • Average Length of Stay (LOS) 4.73 is 2% less than system average in medical patients

      • Average Charges per case $24, 352 is 8% less than system average in medical patient

  • Finance

    • Record Gross Patient Professional revenue over $25 million ($26 Million Projected 2016)

    • Continued dramatic growth in observation revenue by 20-30% annually

    • $3.5 Million in additional annual hospital contracts

Requirements

The successful candidate is expected to have a medical degree (MD/DO) with board certification by the American Board of Internal Medicine (preference Internal Medicine with a Focused Practice in Hospital Medicine). He/she must be qualified to be licensed to practice medicine in the State of Michigan and be BLS/ACLS certified. The successful candidate should have scholarly credentials appropriate to be proposed for a faculty appointment.

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