Job Description:

It is the responsibility of hospital and system leadership to ensure that the ED medical director is aware of the responsibilities and expectations outlined in this job description. It is the responsibility of the ED medical director, with the support of system and hospital leadership, to deliver on the responsibilities and expectations as outlined below.

General

• Values : Is a model physician who strives to live by Intermountain Health’s values: integrity, trust, excellence, accountability, mutual respect, and equity.
  • Maintains and encourages professional appearance and conduct for self, physicians, and/or APPs.
• Vision :
  • Helps Intermountain Health work towards its vision of becoming “a model health system.”
  • Creates a vision for the local ED that integrates with System and Hospital leadership.
• Mission : Partners with Intermountain to help patients live the healthiest lives possible.
• Fundamentals of Care: Provides physician (and APP, where applicable) oversight to ensure high safety, quality, and experience in the ED, which includes adherence to best practices.
  • Equity :
    • Follows Intermountain Health’s policies for diversity, equity, and inclusion (DEI) of all patients.
    • If opportunities to improve DEI efforts are identified by local or system leaders, the ED medical director will work collaboratively to create a goal to address the opportunity and ensure its execution.

System

• Alignment : Collaborates with system leaders in the creation of at least 2 system quality goals and 1 patient experience goal annually.
  • Goals must align with system KPIs or initiatives. This includes an entry, target, and stretch for each goal.
  • Goals are approved by ED/Trauma operations at least 2 months prior to the goal start date.
  • Coordination and approval with local hospital leadership is strongly recommended.
• Communication & Execution : Annually presents to ED/Trauma leadership the process to ensure education from meetings and system emails is understood and followed by the frontline physicians and APPs.
• Office of Patient Experience (OPE) :
  • Is the point person for system OPE representatives for patient complaints and grievances, peer review cases, and Harm Event And Learning (HEAL) cases. Meets with local and system OPE representatives when requested.
  • This responsibility cannot be delegated to another physician in the group.
• CME : Attends 2 Intermountain Emergency Medicine Journal Club or Grand Rounds CME events annually.

Local

• Nursing Partnership :
  • Partners with ED nursing leadership (manager and shared leaders) to ensure the ED care delivery model achieves high quality and safe emergency care.
  • This includes scheduled time (i.e., not during a clinical shift) with ED nurse manager to review goals, department performance, finances, and to develop strategy.
  • These efforts are then reported back to physician (and/or APP) colleagues.
  • Work with nursing staff to allow for industry and system care standards, including those for support staff members (i.e., PRGs/standing orders).
• Psychological Safety :
  • Fosters a psychologically safe environment where staff feel safe to voice their opinions and ensures caregivers voices are heard.
  • Achieves top tier performance in psychological safety, which is determined by local and system leaders, and is measured by the survey utilized by Intermountain Health.
  • Promptly takes the lead on any behavioral issues with ED physicians or APPs. Document all interventions and/or meetings. Communicate all efforts with Hospital Medical Director and HR partner.
• Caregiver Engagement : promotes and optimizes physician, APP, and all ED staff engagement.
• Collaboration :
  • As needed or requested, the ED Medical Director will coordinate with hospital department nursing managers and medical directors/department chairs (i.e., OR, MedSurg, L&D, Critical Care, Radiology, Respiratory, Lab, etc.).
  • Strives to achieve collegial and professional relationships between departments
• Recruitment :
  • Takes the lead on recruiting, in partnership with hospital administration.
  • Group composition: follows best practices for hiring that are consistent with Intermountain’s DEI policies. Focuses on hiring physicians and APPs that match community demographics.
• Onboarding :
  • Participates in a structured physician orientation process, including introducing new physicians to the One Intermountain operating model and clearly delineating the expectations of a system collaborator while also being a member of a physician group.
• Scheduling :
  • Oversees the ED physician and APP schedule and works with the group to ensure all shifts are filled.
  • Scheduling may be delegated to a physician(s) or APP within the group.
  • Ensuring ED shifts are filled may NOT be delegated to hospital administration.
  • Simulations : participates and leads simulations and/or drills.
• Debriefs : ensures optimal debrief opportunities occur following a traumatic event in the department (e.g., patient death or arrest, caregiver safety issue, never event, etc.)
• Trauma Medical Director : collaborates with Trauma Medical Director to review cases as needed and attend trauma committee meetings.
• Certifications : Ensures ED physicians remain board certified and up-to-date on other standards of care (e.g., ATLS for family medicine-trained physicians, EM ultrasound competencies).
• Trauma Certification : collaborates with trauma medical director and nursing leadership to ensure the hospital achieves targeted trauma certification.
• EMTALA : Ensure compliance with Medical Screening Exams (MSE), as well as all EMTALA policies and procedures
• Stewardship : participates in the development of capital and operating budgets for hospital emergency department with hospital administration.
• Advanced Practice Providers (APPs) – where applicable:
  • Promotes and provides an environment conducive to APP functioning at top of licensure
  • Support APPs in correctly using backup physician(s).
  • Ensures quality and patient safety via APP chart reviews. This may be delegated to a physician within the group, who reports to the medical director with trends, successes, or concerning findings.
• Health insurance : supports the hospital medical staff office (MSO) to ensure compliance and enrollment of physicians and APPs in Intermountain contracted insurance programs.

Meetings

• ED/Trauma Operations System Affinity Meetings :
  • Held once per month. Critical to receiving updates and just-in-time information regarding policies, best practices, and system-wide initiatives.
  • The ED medical director will ensure that all of her/his ED physicians (and/or APPs) are aware of and adhere to the policies, practices, and initiatives shared at this system meeting.
  • At this system meeting, she/he should also come prepared to share successes, innovations, and best practices from her/his department with system leaders and other medical directors.
  • ED Medical Director attendance of >80% annually. The Medical Director must be present for all or the majority of each meeting.
  • Attendance of this meeting cannot be delegated to another physician. However, a designated proxy may attend in the Medical Director’s absence (e.g., illness, vacation, clinical responsibilities) no more than 20% of these meetings. Please inform ED/Trauma leadership in advance when a proxy will be attending. Attendance by the ED medical director and/or her/his designee must be 100% annually.
• Hospital Medical Executive Committee (MEC) : attendance and participation is consistent with the hospital bylaws, where applicable.
• Emergency Department Meeting :
  • The ED medical director will hold a monthly department meeting.
  • The ED medical director creates the agenda and leads the meeting.
  • The following individuals are invited: ED nurse manager, Hospital Administrator, Hospital Medical Director, as well as all the ED physicians and/or APPs. This can satisfy the monthly coordination meeting with the Hospital Administrator and Hospital Medical Director recommended in this document.
  • ED nurse manager is invited to every ED group meeting and is given sufficient time on the agenda as determined by the nurse manager.
• Coordination & Communication :
  • At a minimum, monthly coordination with the following: ED Nurse Manager, Hospital Administrator, hospital ED Medical Director.
  • The monthly department meeting wherein the Hospital Administrator and Hospital Medical Director may count towards completion of this requirement.
• Hospital Trauma Committee :
  • Ensures ED representation and works to improve opportunities identified in this meeting.
  • Ensures ATLS standards are followed, as well as ATLS certification for those required by hospital or department rules and regulations.
  • May delegate trauma committee meeting attendance to an ED physician or APP who practices in the ED. Ensure close-loop communication with the ED medical director (if delegated) and the ED group members regarding initiatives, practices, or policies discussed.

Resources

• Reports & Metrics :
  • The ED medical director will have access to data and reports for the following fundamentals of care: safety, quality, patient experience, stewardship, growth, and equity.
  • She/he will have accountability to local and system leaders over these fundamentals of care.
• Laptop : ED Medical Director should have a designated workspace, including computer access, specifically to address ED Medical Director-related issues, interviews, tasks, projects, etc.
• Imail :
  • Due to the ever-changing landscape in emergency medicine, communication is crucial. Similarly, time spent in meetings is minimized with regular communication via an Intermountain-sponsored email account.
  • Therefore, expectations for the use of the ED Medical Director’s imail or imail2 address are as follows:
    • Reply to emails from system and local leadership within 7 days of receiving.
    • Exceptions: vacations, illness, or clinical time. Please utilize the “auto-reply” function of Outlook in these instances (exception: illness).
    • May not rely on personal email account (non-imail) for communications with hospital and system leaders.
• Leadership training : such as Continuous Improvement, leadership courses, quality improvement (e.g., ATP), etc. is strongly encouraged.
• Mentoring :
  • If opportunity for improvement is identified by ED/Trauma operations leadership, shadowing another high functioning ED medical director will be strongly encouraged.
  • Will consider shadowing opportunities for other ED medical directors as identified by system ED/Trauma operations

Performance & Metrics

• Physician & APP staffing : At a minimum, annually reviews physician and APP staffing model with hospital and system leadership, along with the associated metrics that reflect patient and caregiver experience with the staffing plan.
• Left Without Being Seen or Left Without Treatment rates: a re regularly evaluated and discussed with local/hospital and with ED/Trauma leadership.
• Workflow : ED medical director engages with nursing and hospital leadership, as well as Continuous Improvement (CI) representative (if available locally) to optimize patient throughput and wait times
• Returns to ED :
  • Reviews the 3, 7, and 30-day reports and works with system and local resources to address ED frequent utilizers.
  • May delegate to another ED physician, who reports back to ED medical director and who work to address opportunities for improvement.
• Patient Experience :
  • Collaborates with system ED/Trauma leadership to create an annual goal to improve patient experience, or a key driver thereof, as determined by the patient experience survey utilized by Intermountain systemwide. Components to this includes the following:
  • Physician at the bedside within 10 minutes (30 minutes maximum), unless time-sensitive cases arise (ex/ stroke, trauma).
  • Utilizes system tools or resources designed to optimize patient experience (e.g., AIDET, communication boards, etc.)

Physical Requirements:

Location:

Orem Community Hospital

Work City:

Orem

Work State:

Utah

Scheduled Weekly Hours:

2

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$7.25 - $999.99

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package and our commitment to diversity, equity, and inclusion .