The Chief Nurse Executive (CNE) provides direction, leadership, planning, organization and general management for all aspects of patient care within the medical center. The CNE ensures integration of services and compliance with long-range objectives and strategies, including the provision of excellent quality services and responsible fiscal management. This role provides strategic leadership as the patient care executive responsible for the professional practice of nursing and other designated patient care services. The Chief Nurse Executive has oversight for the professional practice of nursing and the provision of nursing care in all licensed and surveyable areas of the medical center. Oversight is defined as having responsibility for regulatory, quality, service, resources, nursing staff competency and evaluation of the overall delivery of patient care. This role represents the professional practice of nursing and clinical provision of care as a member of the medical center executive leadership team, the medical executive committee and other medical staff committees. The Chief Nurse Executive will role model and embed into practice the following:

• The Kaiser Permanente Mission and Vision


• The Kaiser Permanente Nursing Professional Practice Model


• The Kaiser Permanente Nursing Vision


• The Kaiser Permanente Cross Regional Nursing Strategic and Operational Plan


• American Organization of Nurse Executives Nurse Executive Competencies


• American Nurses Association’s Nursing Administration Scope and Standards of Practice


• American Nurses Association’s Code of Ethics for Nurses


• ANCC Magnet ® Framework: Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovations and Improvements; and Empirical Outcomes

Communication and Relationship Management

• Develops effective working relationships with key stakeholders and operational leaders


• Manages organizational relationships in a way that builds and maintains a climate of trust and inspires commitment from others to achieve organization goals


• Partners to provide for the seamless transition of patients across the continuum of care


• Produces and presents executive-level oral and written materials to address nursing, healthcare and organizational issues appropriate to the audience, effectively communicating with:


• All internal constituents, including staff, colleagues, and physicians


• All external constituents, including serving as the medical center’s advocate to members of the community, continually seeking ways to improve and promote the public relations’ objectives of the medical center and marketing services


• Creates an environment that recognizes and values diversity and designs strategies that address the unique needs of a diverse workforce, patient population, and community


• Assesses the current environment and establishes indicators of progress toward cultural competency


• Addresses and manages conflict in a constructive and productive manner


• Provides an environment that engages staff and others in decision making


• Participates in the academic community through advisory and collaborative efforts


• Provides a supportive and stimulating learning environment for nursing students


• Demonstrates high emotional intelligence in all communications and relationships Business Skills and Principles


• Applies financial knowledge by:


• Forecasting, developing, and analyzing operating and capital budgets


• Assuring short and long-range financial goals are met


• Collaborating with facility management and medical staff to develop the overall financial plan for the medical center


• Monitoring departmental expenses, reviewing variance reports, and adjusting as needed to meet optimal productivity standards


• Educating team members on the financial implications of patient care decisions


• Translates data from KP HealthConnect (KPs Epic electronic medical record system) and quality reports into clinical operations designed to improve patient outcomes


• Monitors quality, appropriateness, and accuracy of KP HealthConnect documentation


• Accepts accountability for the delivery of efficient, cost effective and high quality patient care services by:


• In conjunction with medical facility leadership groups, determining, developing, and implementing the most cost-effective and efficient levels of patient care and medical center programs


• Developing, and updating policies and procedures that address nursing care, and patient treatment and service needs


• Ensuring optimal utilization and management of clinical practice


• Coordinating activities between departments to reduce duplication, increase efficiency and achieve higher levels of service


• Developing and implementing quality and utilization standards to ensure coordinated plans of treatment


• Using focused customer service strategies


• Optimizes nursing resource management systems including patient acuity and staffing applications


• Applies competency in technology applications related to business and clinical functions


• Monitors and assesses trends, external environment and internal practices


• Ensures compliance with legal and ethical issues related to client data, information, and confidentiality Leadership


• Demonstrates executive-level leadership, analytical and problem-solving skills


• Provides direction to all patient care services within the hospital license to integrate services and provide uniform standards of care


• Participates in medical center strategic planning


• Partners to develop and implement recruitment and retention strategies to ensure a sufficient and stable workforce of qualified staff members are available to meet current and future patient needs


• Develops a succession plan for nursing leadership


• Forecasts trends in utilization of nursing services


• Recognizes the need for change. Adapts to, and motivates others to adapt strategies, goals and plans in response to changing business and market conditions


• Assures that the patient centered clinical perspective is included in organizational decisions


• Implements the organizations performance and quality improvement programs, including innovating, planning, setting priorities, conducting systematic assessments, implementing improvements, and maintaining achieved improvements


• Generates and encourages innovation and creative solutions to issues or problems


• Is able and willing to solve problems from various points of view and make difficult decisions


• Achieves and sustains quality outcomes by utilizing problem identification, process improvement, root cause analysis, and variation reduction


• Provides for employee professional development and educational programs that:


• Meet the needs of clinical patient care staff and management


• Ensure a learning environment that fosters growth and development of self and others


• Ensure talent development and through coaching and mentoring aspiring clinical leaders


• Develops a strong management team by adhering to and role-modeling standards of professionalism


• May serve as Administrator-On-Call on an occasional or regular rotating basis


• Supports the development and implementation of patient and workplace safety programs, including:


• Supporting a just culture environment and a system for reporting unsafe practices


• Identifying, mitigating and acting to correct areas of risk and liability in patient care


• Ensuring a safe work environment that is based on a zero tolerance for sexual harassment, work place violence, and verbal and physical abuse


• Serves as change agent when patient care work/workflow is redesigned


• Encourages staff participation in clinical and systems-based research studies Knowledge of Health Care Environment


• Understands, articulates, and ensures compliance with patient care standards reflected in federal and local state laws and regulation, The Joint Commission, local state nurse practice act, and organizational policies and procedures


• Demonstrates clear understanding of accreditation and regulatory requirements applicable to patient care and department functions


• Understands the impact of legislation at the state and federal level on nursing and the organization


• Maintains knowledge of current nursing practice, roles and functions within nursing and other healthcare disciplines


• Ensures that nursing practice, leadership practice, and clinical policies and procedures are reviewed, updated, evidence-based, and consistent with current standards and research


• Ensures that the care delivery model, clinical environment of care and related technology are appropriate to the needs of caregivers and patients Professionalism


• Advocates for Kaiser Permanente nursing professional practice model in regional, state, and national nursing and healthcare arenas


• Serves as spokesperson for Kaiser Permanente nursing professional practice in media relations


• Recognizes and resolves issues related to patient rights, HIPPA violations, ethical dilemmas, privacy, security and confidentiality


• Integrates professional practice standards into systems of staff accountability


• Participates in the design, development, implementation and evaluation of programs that enhance knowledge and skill development of professional practice and professionalism


• Creates a healthy work environment that promotes employee satisfaction


• Builds trust with the nursing team through visibility.