General Manager Medicine and Health of Older People.

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Date: November 2009 Job Title : General Manager Medicine and Health of Older People Department : Medicine and Health of Older People Location : Waitemata District Health Board Sites Reporting To : Chief Executive Officer Direct Reports : Operations Managers - Emergency Medicine - Acute/General Medicine - Cardiology Medicine Subspecialties - Diabetes, Endocrinology, Palliative Care - Gastroenterology, Respiratory, Neurology - Renal, Haematology, Rheumatology, Dermatology and Oncology. - Older Adults & Home Health (Inpatient and Community) Head of Division Nursing Head of Division Allied Health Head of Division Medical Personal Assistant Functional Relationships with The position interacts with managers at all levels throughout Waitemata DHB and maintains a network of external industry contacts. : Internal CEO, CMO, DON, DAH GM HR, CFO, Quality Manager Provider Group Management Team External healthalliance Chief Operating Officer MOH External Suppliers Other DHB s and employers Contract Service Providers Professional Services Organisations Regional Planning and Committee Groups Purpose : Accountable for the efficient and effective running of the Medical and Health of Older People Services. This involves developing sustainable services and delivering on budget, revenue and activity targets. This role is responsible for partnering the Medical, Nursing and Allied Health HOD s on the delivery of contemporary, multidisciplinary models of care. Authority levels : As per Waitemata DHB Delegated Authority policy including authority for: Human Resources Suppliers services, Equipment and Assets Finance Overview : General Management of the Medical & Health of Older People Services involves over 1600 employees and an expenditure budget of $130million covering Waitakere Hospital and North Shore Hospital Waitemata District Health Board -JOB DESCRIPTION - Page 1 of 6

Key Tasks Manage the service delivery of the following areas: Emergency Medicine Assessment & Diagnostic Unit General Medicine Cardiology Medicine Subspecialties AT&R Older Adult Community Health NASC District Nursing Short Stay Ward Health Targets Effective Production Planning Service planning Expected Outcomes Work in partnership to ensure delivery of agrees business goals, accountabilities, KPI s and MOH priorities. Monitor and measure key performance indicators to identify variances put in place mitigations and report to the CEO. Work in partnership to ensure legal and contractual compliance within the portfolio by leading and developing support structures to identify risks. Work in partnership to monitor contracts/volumes/case mix to ensure optimum delivery and compliance. All government health targets are achieved each and every quarter, including ESPI compliance, smoking & ED health targets Ensure all patients are seen within required waiting times Service capacity is regularly reviewed to ensure demand meets supply Health service and facility plans are regularly updated and meet the needs for future service development Strive to ensure the highest possible clinical care is delivered to each and every patient Medical Services Strategic and Annual Plan including Inpatient Capacity Development Renal Services Ophthalmology Services Financial Ensure current and future resource needs are identified, prioritized and planned for by developing and regularly monitoring Medical Services Divisions strategic and business plan, which supports and enhances the overall mission and is aligned with the strategic plan of the organisation. Contribute to the development and delivery of the strategic plans of internal customers within Waitemata DHB. Manage physical and financial resources within budgeted limits and in accordance with policies and procedures. Ensures achievement of objectives by regularly monitoring progress and taking corrective action where necessary. Ensure the yearly annual budget is achieved with no deficits. Human Resources Provide leadership to a team of motivated and well trained staff by agreeing accountabilities and standards of performance, providing coaching, development opportunities, ensuring appropriate recognition, reward and taking corrective action where necessary. Develop and implement succession plans. Relationship Management Build and develop positive relationships with Waitemata District Health Board -JOB DESCRIPTION - Page 2 of 6

Key Tasks Expected Outcomes key stakeholders, peers and fellow members of the Provider Group Senior Management Team. Contributes to the effectiveness of Waitemata DHB senior management team by providing relevant timely management information, actively contributes to management meetings in a constructive manner and fosters cooperation across the organisation. Establish and develop collaborative clinical partnerships Ensure all KPI s are met by the service Be visible and engaged with the clinical workforce Work in partnership with the clinical HODs to ensure excellence in clinical service delivery Quality Champion quality; promote its use, secure the resources and development to deliver the performance as well as negotiate with the line organisation for the support you need to succeed. Track and explain the quality of your area s performance to the whole organisation. Act as the Voice of Quality in any discussion of strategy, resource allocation and staff development. Ensure complaints are dealt with in a timely way, that learnings are obtained and that quality improvement initiatives are put in place to ensure non-recurrence. Ensure the division fully participates and is aligned to all regional and national health quality initiatives related to the division. Ensures a culture of continuous quality improvement is embedded across all the services working closely with the quality team. Ensures the needs of patients/clients and their families are core to health service delivery Statutory and Treaty obligations Ensures the Waitemata DHB meets all statutory regulatory and contractual obligations, including financial reporting and compliance with occupational health and safety and employment legislation. Operates in ways that reflect the intent of the Treaty of Waitangi and achieves related To recognise Individual Responsibility for Workplace Health and Safety under the Health and Safety in Employment Act 1992 objectives determined by the WDHB. That you have read and understood the WDHB H&S policies & relevant procedures and apply these to work activities. Identify, report and self manage hazards where appropriate. Identify Health & Safety reps in your work area. Waitemata District Health Board -JOB DESCRIPTION - Page 3 of 6

VERIFICATION: Employee: Department Head: Date: Waitemata District Health Board -JOB DESCRIPTION - Page 4 of 6

PERSON SPECIFICATION POSITION TITLE: General Manager Medical Services Minimum Preferred Education Qualification Experience Attributes Tertiary qualification or Professional Qualification. Post Graduate Qualification in Health. Relevant business / clinical qualification Management of a large health division Experience in dealing with the complexities of a large diverse organization. Project and change Management. In depth financial management experience. Leadership and coaching skills with both the Clinical and Non clinical staff. Highly developed interpersonal skills. Highly developed conceptual skills with a strategic focus. Excellent negotiation and facilitation skills. Ability to promote and generate a positive and open organisational culture, Senior Leadership role within the Health Sector Waitemata District Health Board -JOB DESCRIPTION - Page 5 of 6

Behavioural Competencies Adheres to Waitemata District Health Boards 5 organisational values of: Respect Integrity Compassion Openness Customer Focus Behavioural Competencies Communicates and Works Co-Operatively Vision and Strategic Capability Management Is transparent Teamwork Behaviour Demonstrated Actively looks for ways to collaborate with and assists other to improve the experience of the healthcare workforce, patients and their families and the community and Iwi. Is confident in dealings with others. Is articulate and able to influence and persuade. Able to articulate the aspirations for the direction and the future of Waitemata DHB. Able to challenge the status quo. Understands trends in health, relevant policy and operational areas and the external environment. Makes sound decisions based on robust analysis and evidence. Takes ownership of the budget and optimises the use of resources by continually reviewing the effectiveness of current resource deployment. Communicates openly and engages widely across the organisation. Enacts agreed decisions with integrity. Manages the internal negotiation process regarding the allocation of resources. Create a productive team environment by setting goals giving and receiving constructive feedback. Waitemata District Health Board -JOB DESCRIPTION - Page 6 of 6