Career Center

DHCH Medical Director clinical care oversight: In partnership with Duke HomeCare & Hospice (DHCH) Executive Director and Direct of Patient Services and the Chief of Duke Palliative Care, will be responsible for hospice medical care quality, both inpatient and outpatient.

1. 1. Investigates and leads designs for hospice processes and procedures to help ensure consistent quality patient care.
   2. Participates in the electronic health record development and implementation. Reviews and maintains policies and procedures for hospice clinical and operational issues of DHCH. 
   3. Communicates DHCH clinical operational information to Duke Palliative Care physicians regularly and effectively about goals, strategies, and policies/procedures.
   4. Works to create and maintain an effective physician and Advanced Practice Provider (APP) staffing model for the hospice program.
   5. Partners with DHCH leadership and Duke Palliative Care leadership to ensure optimal billing practices are established and maintained to promote growth of the hospice census and to help develop and supervise community palliative care programs.
   6. Ensures clinical documentation of Hospice physician staff is adequate to support Medicare physician billings.

Clinical Performance Management:

1. 1. Leads in researching and developing strategies to meet clinical productivity and quality, and patient satisfaction standards for DHCH.
   2. Identifies opportunities for improvement in quality measures. Partners with DHCH leadership and CPDC to actively work to address these areas and improve group performance.

Growth of DHCH program:

1. 1. Helps in promoting the utilization and awareness of the need for all DHCH services (Hospice, Home Health, and Infusion) throughout DUHS and the surrounding areas.
   2. Seeks new opportunities for greater DHCH market penetration.
   3. Communicates regularly with Duke clinical departments, divisions, and individual providers to promote all DHCH programs.

Management of the APPs and fellows:

1. 1. Works closely with the Chief of Duke Palliative Care for optimal utilization and placement of APPs.
   2. Helps provide direction and feedback to these staff providing hospice services.
   3. Create and maintain effective relationships with nursing leadership to promote process and quality improvement, staff education, and improved work culture.
   4. Works closely with other disciplines to create positive & effective relationships within DHCH.

Finance:

Advise PC administrators and assist in evaluating any significant supply or equipment needs, maintenance or operational problems within the facilities that hospice services are provided. Assist in the identification, review, evaluation and implementation of new technology. Partner with DHCH leadership, Chief, Duke Palliative Care and Administrative Director during the fiscal year budgetary planning process as it relates to identifying personnel needs and/or operational needs. 

 Orientation of New Providers:

Designs and implements the DHCH provider orientation component for these newly hired provider staff to improve their efficiency and on boarding.

Clinical Work:

Clinical work is at DHCH to direct the clinical hospice. Leads by example in areas concerning quality, patient satisfaction, and patient safety issues.

 Required meetings and location visits:

1. 1. DUHS Palliative Care Monthly Meetings
   2. DHCH Executive Leadership Meetings.
   3. Electronic health record developmental meetings.
   4. All additional relevant and appropriate meetings for effective operational management.
   5. Alongside other DHCH leadership, represent DHCH in Health System initiatives around post-acute care and continuum of care.
   6. DHCH Professional Advisory Board