Vice President, Perioperative Services

NYU Langone Medical Center

The Organization

Located in the heart of New York City, NYU Langone Medical Center is one of the nation's premier academic centers of excellence in health care, biomedical research, and medical education. For over 167 years, NYU physicians and researchers have made countless contributions to the practice and science of health care. Today the Medical Center consists of NYU School of Medicine, including the Smilow Research Center, the Skirball Institute for Biomolecular Medicine, and the Sackler Institute of Graduate Biomedical Sciences; the three hospitals of NYU Hospitals Center which include:

Tisch Hospital—a 726-bed acute-care general hospital that serves as training site for students and offers a wide array of patient-care programs and leading-edge diagnostic and treatment services.

Rusk Institute of Rehabilitation Medicine—one of the world's largest university centers (174 beds) for treatment and training of disabled adults and children, as well as for research in rehabilitation medicine.

NYU Hospital for Joint Diseases—a leader in musculoskeletal care (160);

and other such major programs as the NYU Cancer Institute, the NYU Child Study Center, and the Hassenfeld Children’s Center for Cancer and Blood Disorders.

Additionally, the strengths of NYU Langone Medical Center include the talents of affiliates and partners, such as Bellevue Hospital Center, the oldest public hospital in the U.S. which provides both acute and long-term healthcare services to patients of all backgrounds, and the Manhattan Veterans Affairs Medical Center, which serves the healthcare needs of New York City's veteran population.

Thanks to a generous, unrestricted $200 million gift to the Medical Center, it was recently renamed the NYU Elaine A. and Kenneth G. Langone Medical Center, in honor of the chairman of its board of trustees and his wife. The gift is the largest in the Medical Center’s history and part of a $2.8 Billion capital campaign. The raised funds will be dedicated to the Medical Center’s plans for a major campus transformation. This will include a series of initiatives to expand NYU’s clinical, educational, and biomedical sciences presence on Manhattan’s East Side. The centerpiece of the multi-year transformation will be a new hospital that is medically, aesthetically, and environmentally state-of-the-art. The multi-year undertaking incorporates long-term growth and revitalization strategies for all major components embraced by the new NYU Langone Medical Center, including all new surgical and Perioperative facilities.

Perioperative Services Environment

Existing surgical and Perioperative services are managed from three locations, which include:

-TH6 Main OR 18 Suites +22 PACU, expanding to 14 more by early 2009)

-TH 10 Ambulatory OR (10 Suites + 30 PACU)

-HCC2 Ambulatory OR (5 Suites + 12 PACU)

A new freestanding Ambulatory Surgical Center will also soon be established at 333 East 38th Street and First Avenue. It will include four new outpatient ORs, recovery beds, observation spaces, and amenities for patients and staff. This off-site facility will free up campus ORs for more-complex inpatient surgeries, while better accommodating the special needs of patients who go home the day of their surgery.

There are presently about 25,000 surgeries performed at NYU Langone Medical Center each year. Some robotically-assisted procedures are performed in the HCC-2 Day/Ambulatory Surgery.

The OR information system recently went through a conversion from the McKesson legacy system, ORBIT to McKesson’s Horizon Surgical Manager (HSM); and the Medical Center plans to migrate its overall technology solution from Eclipsys to Epic in the near future.

NYU Hospitals Center (Tisch & Rusk) earned Magnet designation, the gold standard in nursing excellence, from the American Nurses Credentialing Center in 2005. The organization heavily recruits new BSNs from the region, and also is a charter member of the UHC/AACN nationally recognized nurse residency program for new BSN graduates. NYUHC has probably the highest percentage of BSN staff in the nation (92%), and among that, 15% hold masters degrees as direct care givers. Overall, the nurse vacancy rate averages about 7%; turnover has steadily decreased over the last 10 years to about 11 %, lower than the UHC average. Specialty certification is encouraged, and financially compensated, with about 33% of staff, and 65% of nursing leadership certified. A retention bonus was recently implemented in the OR. Not surprisingly, NYU Langone Medical Center is one of four hospitals in New York City without a nursing union.

In the 2007 U.S. News & World Report, NYU Medical Center ranked among the top 20 in the nation in cardiology, geriatrics, neurology, orthopedics, psychiatry, rehabilitation and rheumatology. Overall, it was ranked among premier hospitals in the nation for 12 different specialties.

For additional information about NYU Langone Medical Center, please visit http://www.med.nyu.edu/.

The Position

Location

New York City is an active, activity-filled city, one that enables its residents to enjoy an exceptional quality of life. New York City is a city in New York State, and is the largest city in the United States, with its metropolitan area ranking among the largest urban areas in the world. Founded as a commercial trading post by the Dutch in 1625, it has been the largest city in the United States since 1790. It now is home for more than 8.2 million residents within an area of 304.8 square miles New York City is the most densely populated major city in the United States. It also served as the capital of the United States from 1785 until 1790. Located on one of the world's finest natural harbors, New York is one of the world's major centers of commerce and finance. New York also exerts global influence in media, education, entertainment, arts, fashion and advertising. The city is also a major center for international affairs, hosting the headquarters of the United Nations.

New York City comprises five boroughs: The Bronx, Brooklyn, Manhattan, Queens and Staten Island each coterminous with the five counties of Bronx, Kings, New York, Queens, and Richmond respectively.

Many of the city's neighborhoods and landmarks are known around the world. The Statue of Liberty greeted millions of immigrants as they came to America in the late 19th and early 20th centuries. Wall Street, in Lower Manhattan, has been a dominant global financial center since World War II and is home to the New York Stock Exchange. The city has been home to several of the tallest buildings in the world, including the Empire State Building and the twin towers of the World Trade Center.

New York is the birthplace of many cultural movements, including the Harlem Renaissance in literature and visual art, abstract expressionism (also known as the New York School) in painting, and hip-hop, punk and salsa, and Tin Pan Alley in music. It is the home of Broadway Theater.

In 2005, nearly 170 languages were spoken in the city and 36% of its population was born outside the United States. With its 24-hour subway and constant bustling of traffic and people, New York is sometimes called "The City That Never Sleeps" and the "Big Apple."

For additional information about New York City, please visit: www.nyc.gov or www.nycvisit.com.

Reporting Relationships

The Vice President of Perioperative Services will report directly to both the Senior Vice President Operations, Kevin Hannifan and to the Senior Vice President & Chief Nursing Officer, Dr. Susan Bowar-Ferres, Reporting up to the Vice President are the Director of Perioperative Services (Tisch-10 and HCC-2), the Assistant Director of Perioperative Services (Tisch-6), and the Nurse Manager of the Tisch-6 PACU. The Director of the new Ambulatory Surgery Center will also be a direct report once the Center is operational. Other new areas of responsibility that will be incorporated into existing reporting relationships include those for Same Day Surgery Admitting staff and the four nurses and two nurse practitioners located in Pre-Admission Testing. There are almost 400 total FTEs in the newly-organized Perioperative Services division.

Key Working Relationships

In order to be successful, the Vice President of Perioperative Services will need to establish effective working relationships with a variety of persons and groups. Principal among them are: the Surgeon-In-Chief, Steven Hofstetter, M.D. and the Chief of Anesthesiology Service, Jung “Ted” Kim, M.D. Other close working relationships will need to be established with the Surgery Department Chairman, Leon Pachter, M.D., Chief Medical Officer, Robert Press, M.D. and the Vice President of Nursing Operations, Dr. Kim Glassman.

Responsibilities

The Vice President will oversee all aspects of Operative Services, Perioperative Services and related Post Anesthesia Care Units, and Pre-Admission Testing at NYU Langone Medical Center, and provide overall strategic and operational leadership for Perioperative Services. This person will be expected to provide leadership and direction to operating room, PAT and PACU staff as well as guidance in the development of professional standards and practices and advocacy for clinical professionals. Moreover, the Vice President will collaborate closely with surgical and anesthesia leadership to identify, develop and implement improved care processes relative to the patient population served.

The Vice President of Perioperative Services will serve as an integral part of a select group of Corporate Officers and Vice Presidents who collectively oversee NYU Langone Medical Center. The Vice President will also serve as a participant on various Medical Center committees and groups such as: the Executive Nursing Council, Administrative Department Heads, Perioperative Committee, and the Transfusion Committee as needed. This person will also represent the Medical Center with related University HealthSystem Consortium Benchmarking Projects.

The following comprise the major expectations of the person who accepts the Vice President of Perioperative Services position:

Take a look at Perioperative Services with a “fresh set of eyes.” Review and assess the area and make recommendations for improvement, including redesign of the table of organization within the service.
Establish credibility and work closely with the Surgeon-In-Chief, the Senior Vice President of Hospital Operations and the Senior Vice President & Chief Nursing Officer to create a shared leadership team for Perioperative Services at NYU Langone Medical Center.
Integrate the four new (38th Street) ambulatory surgical center operating suites into Perioperative Services management.
Consolidate Perioperative Services leadership and build a collaborative and cohesive team of Directors and Managers.
Within the context of the overall Medical Center conversion to Epic information technology, seek the best information management solutions for Perioperative Services and make appropriate recommendations for improvement. Work to establish Perioperative Services as an early adopter of state-of-the-art clinical technology and state-of-the-art information technology to obtain a competitive advantage through advancements in outcomes, access and communication.
Enhance Perioperative Services through measured indicators and benchmarks such as: improved patient satisfaction (i.e. Day/Ambulatory Surgery), improved physician satisfaction and by developing a fully-engaged employee workforce. Improved safety and quality management are related to these.
Help design a superior Perioperative care model for the future NYU Langone Medical Center hospital facility that incorporates patient and clinician ease of use (access and flow) and delivers the best possible clinical outcomes.
Participate in the upcoming Magnet re-designation process in spring 2009.

Opportunity

The Vice President will have the opportunity to strengthen Perioperative Services at NYU Langone Medical Center and take things to the “next level” in a comprehensive integrated, high quality patient care environment. Moreover, there will be much opportunity for personal and professional growth as the organization begins a new paradigm of leadership and carries out a major campus transformation.

Compensation

An attractive, competitive compensation program will be tailored to the specific needs of qualified candidates. The final candidate will receive full relocation assistance and benefits, which are usual and customary for this level position in the organization, as well as tuition remission for doctoral education at NYU College of Nursing

Education/Licensure

A Bachelor’s degree and a Master’s degree in nursing, nursing and/or business administration or other relevant discipline are required. Must be eligible for Licensure as a Registered Nurse in the State of New York. Certification as CNOR and/or CNAA is highly desirable.

Professional Qualifications

At least ten years experience with progressive leadership roles in a relevant, complex, high volume setting, and a track record of Perioperative Service operational excellence.
Demonstrated experience in building effective teams and an ability to delegate, lead, mentor and develop professionals.

Well-developed and effective written and oral communication and presentation skills and the ability to communicate at all levels of the organization with the ability to motivate others.
Excellent physician relationship skills and the ability to work collegially with medical professionals and other healthcare providers in partnership toward common objectives.
Experience with hospital construction planning and design as they relate to Perioperative Services.
Someone with good business acumen and a good working knowledge of Perioperative Service operations from a financial perspective, including financial analysis, benchmarking, decision support and budget.
Excellent interpersonal skills and the ability to work with a wide variety of people.
A collaborative team player, who values people and who can build consensus and motivate others toward common objectives, and who has the ability to form and develop high performance teams.
Experience working in a complex multi service line matrix structured organization.
Someone with a very good understanding of the continuum of patient care and a broad view of the patient experience.
A visionary leader and consensus builder who can manage change.
An understanding and working knowledge of the Magnet Recognition Program for Nursing Excellence.
Working experience in and an understanding of academic medical centers.
Experience working across lines of authority and demonstrated success with breaking down traditional silos. Demonstrated ability to develop collaborative teams and integrated services and programs.
Strong patient safety and quality improvement skills.

Personal Characteristics

A collaborative team player and colleague who can work closely with others in a team-oriented setting with consensus decision-making.
A polished healthcare executive with a high degree of intelligence and a professional demeanor.
A leader with the vision, who can strive for excellence and the development of a world class organization.
A charismatic leader who leads and enriches more than manages.
Someone who can quickly establish credibility with academic physicians, senior healthcare executives and other medical professionals based upon his/her personal characteristics and demeanor.
A person of integrity, who is confident, secure, relaxed, and positive in their approach to issues and people.
A thick-skinned, tenacious person who stays the course and who is assertive, but not negatively aggressive.
Someone who is generally likeable, and approachable with a good sense of humor political savvy and diplomacy.
A constructive, positive person who is able to fit into the NYU Langone Medical Center culture that is described as a “family” of associates with a “can-do” and “lend a helping hand” environment.
An organized person who demonstrates personal accountability while being both responsive and effective.
A results-oriented, motivated person with a strong work ethic focused on success.
A self-directed individual who can take broad instruction and distill it into achievable operational goals and objectives.

Contact:

Barry R. Cesafsky, FACHE

CES Partners, Ltd.

53 W. Jackson Blvd., Suite 1526

Chicago, Illinois 60604

312.987.4505 (direct)

312.386.1557 (fax)

bcesafsky@cespartners.net (e-mail)

www.cespartners.net (website)

53 W. Jackson Boulevard, Suite 1526
Chicago, Illinois 60604
312.987.4505 Fax 312.386.1557
toll free 866.987.4505