CONFIDENTIAL Leadership Profile Chief Executive Officer Arkansas Children’s Hospital Little Rock, Arkansas Prepared by Andrew P. Chastain S. David Conner This Position Specification is intended to provide information about Arkansas Children’s Hospital and the position of Chief Executive Officer. It is designed to assist qualified individuals in assessing their interest. The Opportunity Arkansas Children’s Hospital (ACH) seeks to hire a new Chief Executive Officer (CEO) to lead the organization in achieving the next level of success. ACH is recognized nationally for excellence in clinical care, research and teaching activities and plays a critical role in the health and wellness of the children of Arkansas. ACH is widely supported by the community and citizens of the state as a trusted provider and caring organization. With this significance, the CEO of ACH is a very visible position in the state and region, with a platform to influence policy and effectiveness of the pediatric care in the region. While ACH has achieved much success under the leadership of a long tenured and successful CEO, the new leader will have the opportunity to significantly impact the organization and the care for children in Arkansas through the development of a strategic plan that outlines ACH’s role in the future. The CEO of Arkansas Children’s Hospital is a capstone position that will allow the new executive to influence all aspects of the organization, including strategy, operations, marketing, fund development, financial management and policy. Arkansas Children’s Hospital Overview Arkansas Children’s Hospital , a private, non-profit institution, is the only pediatric medical center in the state and is one of largest in the nation. ACH is a tertiary care, regional referral center treating children who come from every county in Arkansas and many nearby states. The campus spans 31 city blocks and houses 370 beds (280 licensed beds). ACH is a full-service, state-of-the-art medical facility offering a complete array of clinical services ranging from wellbaby care to the medical management of critically ill children requiring such sophisticated procedures as heart or kidney transplantation and extra corporeal membrane oxygenation. ACH is the comprehensive clinical, research & teaching affiliate of the University of Arkansas for Medical Sciences (UAMS), the only medical school in Arkansas. ACH is dedicated to offering medical services to all children regardless of their race, religion, or ability to pay, research, medical and community education, and prevention. Arkansas Children’s Hospital has a staff of approximately 500 physicians, 170 residents and fellows in pediatrics and pediatric specialties and more than 4,400 employees. The hospital boasts an internationally renowned reputation for medical breakthroughs, and intensive treatments, unique surgical procedures and forward-thinking medical research all dedicated to fulfilling the mission to improve children’s health. 1 ACH physicians are often recognized for their outstanding performance and achievement in taking care of young patients. Many are consistently listed on Best Doctors and Top Doctor lists locally and nationally. In fact, 139 ACH staff physicians were recognized as 2011-2012 Best Doctors in America. ACH serves as the pediatric teaching affiliate of the University of Arkansas for Medical Sciences (UAMS) and is home to the Department of Pediatrics. ACH is the classroom where medical students study the pediatric component of all disciplines. In turn, UAMS shares its current medical breakthroughs and technological advancements. UAMS faculty on the ACH campus serves as practicing physicians as well as teachers to UAMS students in medicine, nursing, pharmacy and allied health. Mission To Improve Children’s Health by providing Integrated PREP: Patient Care Research Education Prevention Vision Families and physicians from across the nation will turn to Arkansas Children’s Hospital for demonstrating excellence in leadership in children’s health. Leading the creation of a family-centered, seamless system of health that will be a national model of excellence Instilling trust in our team and enabling them to provide the best possible care Strengthening the bond between ACH and our university partner, increasing our impact on children’s health Beliefs Arkansas Children’s Hospital believes in “Crossing the Creek” to create a better future for children, where they are unburdened by illness and injury. 2 We Believe: PATIENT SAFETY comes first Every child has UNIQUE HEALTHCARE NEEDS In COLLABORATING WITH OTHERS to fulfill those needs In SERVING EVERY ARKANSAS CHILD who needs us In PATIENT AND FAMILY CENTERED CARE PREVENTION is the best prescription RESEARCH is where the miracles begin Tomorrow starts with the EDUCATION of today The EXCELLENCE of our people creates the excellence at ACH In using our ASSET$ wisely Our care EQUALS or EXCEEDS national standards of excellence Values You create excellence by being: Passionate Accountable Team Oriented Innovative Excellent in all you do No harm focused Trustworthy Skeptical Alert Forthcoming Expecting Talking You! For more information on Arkansas Children’s Hospital, please visit: www.archildrens.org Research Research is a major component of the missions of both Arkansas Children's Hospital and the University of Arkansas for Medical Sciences. The Arkansas Children’s Hospital Research Institute (ACHRI) was created to provide a research environment for UAMS faculty working on the ACH campus. The ACH Board of Trustees (now Board of Directors) established ACHRI in 1989. The mission of ACHRI is to improve children's health, development, and well-being through high quality research. Its vision is to be a leader in cutting-edge research that improves the health and well-being of children and their families. ACHRI supports an interdisciplinary team of researchers with expertise and experience that span the breadth of medical disciplines. “ACHRI embraces various forms of research from healthcare policy to molecular biology and from translational research to network collaborations,” says ACHRI President Dr. Richard F. Jacobs. The 3 strength of the diversity of these research interests is a reflection of ACHRI’s strong affiliation with UAMS. ACHRI’s association with UAMS gives the institute a unique advantage over other research organizations of the same size. Essentially all ACHRI researchers are UAMS faculty. ACHRI's total research grant base in 1997 was $7.5 million. Today, its researchers bring in over $27 million yearly in grants and contracts from federal and private agencies, industry, philanthropic donations and professional organizations. ACHRI has obtained a majority of its research funding from federal sources including the National Institutes of Health, the Centers for Disease Control and Prevention, and the US Department of Agriculture. Currently, ACHRI has over 196,000 square feet of research space. The four-story Research Institute Building is the central location of ACHRI administrative offices and houses research offices and laboratories, conference space, and a 38,000 square foot, state-of-the-art research animal facility. The two-story Arkansas Children’s Nutrition Center (ACNC) adjoins to the south of the Research Institute Building. Opened in 1997, the ACNC houses a USDA National Human Nutrition Center. Remaining ACHRI research space includes the Pediatric Clinical Research Unit located in the main ACH hospital building. ACHRI’s infrastructure to support research includes administrative staff providing a centralized hub of information and assistance for investigators conducting basic or clinical research. A research compliance specialist assists with issues of compliance to federal regulations. Science writers/editors assist with manuscript and grant proposal preparation. A grant post-award systems administrator maintains online systems for accounting, grant tracking, and electronic ordering. In addition, ACHRI provides unique services such as electronic proposal routing, electronic purchasing and real-time accounting, design and maintenance of institute websites, and assistance with the location of funding opportunities and policy information. For additional information, visit: www.achri.archildrens.org UAMS Affiliation Since 1969, ACH has been formally affiliated with UAMS and serves as the primary site for medical and surgical disciplines for children encompassing clinical care, teaching and research. Virtually all disciplines at UAMS are represented on the ACH campus, including the Colleges of Medicine, Nursing and Pharmacy among others. The medical staff is composed almost entirely of full-time faculty of UAMS as well as over 170 residents and fellows. Most of the UAMS staff involved in the care of children are housed on the ACH campus, including the Chairman of Pediatrics. The Chancellor of UAMS sits on the ACH Board of Directors and the Dean, College of Medicine, serves on the board of the ACHRI. 4 The Position, Goals and Objectives The President and Chief Executive Officer of Arkansas Children’s Hospital is responsible for the overall operations of ACH and all subsidiary organizations and operating divisions. The CEO ensures organizational integrity, the provision of high quality care, efficient operations, financial strength, and the development and implementation of a strategic plan that accomplishes the mission and vision of ACH. It is expected that all duties and responsibilities of this position will be performed in a manner that reflects the values of Arkansas Children’s Hospital. Duties and Responsibilities Reporting to the Board of Directors, the CEO works collaboratively with the Board and hospital leadership offering direction to: Ensure ACH’s mission and vision are directly reflected in a meaningful and practical strategic plan that contains measurable goals, operational objectives and actionable plans. Ensure long-term financial and operational stability for ACH by developing and achieving budgetary, financial and operational goals consistent with ACH’s mission, vision, values and strategic goals and objectives. Continue to position ACH as a regional and national leader in pediatric healthcare service delivery. Identify innovative ways to collaborate with physicians for clinical, financial, operational and patient satisfaction excellence. Ensure an environment of accountability and continuous quality improvement including the identification of concrete performance measures across ACH’s clinical, financial, operational, patient and family experience, employee and physician satisfaction and community service functions. The CEO will use metrics to monitor and report regularly to the Board progress in achieving goals and objectives that fulfill the mission and vision of ACH. Cultivate relationships with internal and external constituents including, but not limited to, the physicians, UAMS, employees, community leaders, public officials and other healthcare and business leaders that foster the collaborative partnerships needed to address pediatric health issues within Arkansas, support the ACH Board of Directors and its governance role to achieve goals and objectives that fulfill ACH’s mission and vision. 5 Ensure the strength of the management team, develop future leaders and emphasize teamwork, collaboration, and open, honest, and direct communication. Recognize the importance of the employee community and provide overall leadership and inspiration in fostering a collaborative and rewarding work environment. Engage in and model appropriate, ethical, professional and personal values and behavior, serving as an exemplary role model for the organization, and mirror the ACH mission, vision and values. Ensure effective, collaborative decision-making processes with clearly understood lines of responsibility, authority, and accountability. Goals and Objectives The Chief Executive Officer is expected to accomplish several key objectives within the first 12 to 18 months. The following goals represent some of these challenges (not listed in order of priority): Develop personal and professional credibility, gain respect and build trust internally and externally. ACH’s culture mirrors that of the community it serves where relationships are very important. It is essential for the new CEO to embrace the culture’s value on building strong trusting relationships and credibility. This will require the new CEO to be visible and engaging with physicians, ACH staff, the Board, academic affiliates, community leaders and public officials. As leader of one of most notable employers in Arkansas, the CEO will be a key leader in the community and must be comfortable with the visibility requirements as such. This will require a keen sense of community focus and visibility. Internally, the CEO will reach out to employees in a meaningful way to create connectivity. Specifically, the CEO will work with UAMS to ensure the relationship creates the most effective delivery of care for children in the future. Additionally, the CEO must develop strong relations with public officials. The majority of ACH’s patient volume is covered by Medicaid. Strong relations with the state, legislators and other public officials are critical to the long-term success of ACH. Validate ACH’s strategic direction and provide focus to the achievement of strategic goals. Over the past year, ACH identified 6 strategic imperatives (outlined in Appendix A). The new CEO must validate the current strategy and further develop a strategic plan with actionable items that defines how to achieve the imperatives. As the CEO integrates 6 into the organization, he/she will study the current activities in place to support the vision and strategy, gaining an appreciation for ACH’s history, culture and current operating modalities. Validate ACH’s strategic direction and provide focus to the achievement of strategic goals. Over the past year, ACH identified 6 strategic imperatives (outlined in Appendix A). The new CEO must validate the current strategy and further develop a strategic plan with actionable items that defines how to achieve the imperatives. As the CEO integrates into the organization, he/she will study the current activities in place to support the vision and strategy, gaining an appreciation for ACH’s history, culture and current operating modalities. However, the Board expects the CEO to lead the organization to success by reaching its vision of demonstrating excellence in leadership in children’s health. As the CEO gains a thorough understanding of ACH, he/she (with hospital leadership) should develop hospital strategies to be endorsed by the Board. Ensure appropriate infrastructure exists to execute ACH’s strategies, mission and vision. The CEO must ensure ACH has the proper infrastructure including clinical technology, information systems, facilities, leadership, staff and processes. Additionally, the CEO will ensure ACH has the appropriate access points to deliver care in the most effective and efficient manner across the service area. After integrating into ACH and assessing its capabilities, the CEO will make sure a plan exists to close any infrastructure gaps. Further foster an environment of patient care quality and safety. ACH does not just view quality and safety as a differentiator; they also consider it a basic building block. The CEO must further develop an environment that supports the highest levels of patient care quality and safety through measurement of comparative metrics, use of best practices and a culture of transparency. The Board expects to review specific, comparative quality and safety metrics on a consistent basis. To be most effective, quality must be a priority of the CEO. Lead ACH’s preparation for the future of healthcare. The CEO will work closely with the Board, leadership team and faculty physicians to further plan and develop strategies to thrive in the future. In uncertain times for many healthcare institutions, ACH is confident it has unique opportunities for success, including: a high quality medical staff; a stable team; an engaged and informed Board; modern facilities; market dominance; and diversity of medical services, among others. The current operations have provided ACH a great deal of success during its history; however, healthcare is undergoing significant redesign. The CEO will ensure the organization effectively prepares for anticipated changes in payment systems. This executive will also build relationships with faculty and community physicians that will afford the most effective and efficient infrastructures for providing the highest levels of quality care in a fiscally responsible manner as changes rapidly occur in the healthcare industry. The CEO will ensure ACH has specific plans to deal with changes brought about by healthcare reform that provide for continued success in an evolving industry. 7 Actively participate in fundraising activities and ensure ACH reaches its fund development goals. ACH has a successful track record of fundraising. On its 100th birthday in March 2012, ACH launched the most ambitious fundraising campaign in its history. The “Century of Possibility” Centennial Campaign will raise $160 million to fund four priority areas essential to creating a healthier and more promising future for children: pediatric care, research, education and prevention. With financial pressures in the future, fund development will take a greater role in funding strategic efforts and capital. Fundraising efforts will only succeed if the CEO is engaged with the activities. The CEO will ensure the ACH reaches its fund development goals. Continue the organizational commitment to fiscal success. ACH’s growth and investment strategies are contingent on continued financial success. The CEO will ensure the organization’s continued financial performance, anticipating changes in revenue and expense structures, as well as building contingency plans as needed. The CEO will analyze all aspects of financial performance (revenue, staffing, supply spend, contracting, etc.) to ensure the system is operating most efficiently and effectively, meeting its financial goals set by leadership and the Board. Assimilate into and further develop the leadership team. The new CEO will replace a long tenured and successful executive. This change will be significant for the organization and the leadership team. The new CEO will respectfully evaluate structures, staff and performance to ensure success. Learn and respect the history and tradition of ACH, its communities, employees, medical staff and academic affiliates to build upon the organization’s strengths and further develop a culture of success. ACH is appropriately proud of its accomplishments and a new CEO must identify with the organization, its community and culture. The CEO will identify the obstacles and future challenges to success, inspire continued confidence and lead the organization to reach its potential. At the same time, the CEO will improve visibility and engage in communication internally and externally, ensuring effective two-way communication. 8 Candidate Qualifications The Arkansas Children’s Hospital CEO Search Committee has developed the following as qualities, attributes, skills and education of the ideal candidate. Experience Candidates will have significant senior leadership experience in a high performing healthcare organization, preferably focused on serving the health needs of children. Candidates should have demonstrated leadership accomplishments in the overall improvement of strategic, financial, quality and operational performance of a healthcare organization. Candidates should possess: A high level of personal integrity, character and courage, with a clear focus on what is best for the organization, patients and communities served by ACH. Values and philosophies consistent with those of ACH outlined on page 3. Candidates must be able to demonstrate the ability to balance quality, service, strategic leadership, fiscal performance and mission. A strong sense of humility. While ACH has much success to acknowledge, its leadership has a strong sense of modesty which further galvanizes respect in the Arkansas community. Candidates should possess a sense of personal humility garnering respect “internally” as well as within the community. Exceptional relationship skills and an open and proactive communication style that is clear, direct and inspirational. The culture of ACH is very genuine. The successful candidate must build relationships based on practicality, trust and openness. The ability to lead and inspire ACH to actualize its mission. The staff and physicians expect a visible leader who is capable of connecting personally, while inspiring confidence. A reputation as a visionary and thought leader in the healthcare industry. Candidates must demonstrate a thorough understanding of health reform initiatives and the potential long-term implications on ACH. Commitment to enhancing quality outcomes and patient safety. As the CEO of the tertiary referral center for the children of Arkansas, the new executive will have a genuine interest in improving the health status of the children across the state. This executive will be a proven champion of quality and patient safety initiatives. Candidates should have led organizations that have demonstrable improvements in organizational quality measures. 9 Strong fiscal acumen. While not ACH’s financial officer, the CEO must have the financial skills to provide direction to the organization. To deliver on ACH’s commitments to the community, it must perform well financially. A track record of developing positive relationships and partnerships with physicians and academic affiliates that have resulted in strategic alignment and a cooperative physician/hospital culture. A track record of developing strong management teams at all levels and a demonstrated ability to attract, recruit and retain talent. Experience building a culture of succession and talent management is expected. An appreciation for role of IT in healthcare delivery, including its role in advancing the quality and safety of an organization and the importance of IT integration across numerous entities. ACH is currently in the process of implementing CPOE, using the MEDITECH platform. Excellent communication abilities to articulate the operational vision and translate complex issues into comprehensible and executable ideas and expectations. The CEO will continually represent the organization with key constituent groups and must be comfortable and effective at communicating with all audiences. Proven ability to foster a culture of customer service in all its dimensions – patient, family, employee and physician. Strategic creativity and the ability to facilitate innovative ideas to enhance service, improve operations and grow market share and in an increasingly competitive pediatric healthcare market. Experience with fund development and a track record of partnering to cultivate positive relationships with existing and potential donors. Commitment to and experience with engaging community, business and political leaders and serving as an active and credible community leader. Given the prominence of this role in the Little Rock community, Arkansas and the region, candidates should be innately comfortable and effectively engaging in the community and maintaining a highly visible presence. Being an effective civic leader and spokesperson and “ambassador” for ACH and children’s health issues is essential. Education Candidates shall have an advanced degree in business, healthcare administration, medicine, nursing, public health or other related fields. 10 The Community Little Rock is the capital and the largest city of the state of Arkansas. The city has a population of 193,524 people, while the Metropolitan Statistical Area (MSA) had a population of 709,901 people in the 2011 census, making it the 72nd largest MSA in the country. The MSA includes Little Rock, North Little Rock and Pine Bluff, Arkansas. Little Rock is the county seat of Pulaski County. Located near the geographic center of Arkansas, Little Rock derives its name from a small rock formation on the south bank of the Arkansas River called la Petite Roche (French: "the little rock"). The "little rock" was used by early river traffic as a landmark and became a well-known river crossing. The "little rock" is across the river from "big rock", a large bluff at the edge of the river, which was once used as a rock quarry. Little Rock is within easy driving distance of major markets in contiguous states, including: Memphis – 139 miles; Jackson – 261 miles; Tulsa – 275 miles; Dallas – 317 miles; Oklahoma City – 340 miles, Nashville – 350 miles; St. Louis – 357 miles; Kansas City – 383 miles; New Orleans – 427 miles; and Houston – 434 miles. Little Rock’s is the only downtown home to both a state capitol and a Presidential library, and is linked on both sides of the Arkansas River by 24 miles of one of the best trail systems of parks and pedestrian bridges in the country. Here are just a few of the attributes which make the Little Rock region unique: The University Of Arkansas Clinton School Of Public Service offers the world's only Master’s Degree in Public Service and one of the finest speakers’ series in the world. The Little Rock Air Force Base is the world’s premier C-130 Hercules training facility, training all Department of Defense and 38 allied nations’ aircrews and maintainers. The Arkansas Arts Center continues to grow one of the most unique collections of works on paper in the world, featuring original sheets by Cézanne, van Gogh, Pollock, O’Keeffe, Saar, Rembrandt, Rubens, 11 Signac and Dove. The Big Dam Bridge, traversing the Arkansas River, is the longest constructed pedestrian and bicycle bridge in the world. Little Rock Central High National Historic Site and Museum Visitors Center is not only a national park, but an active public high school. At 1,700 acres, Burns Park is one of the largest municipal parks in the nation, more than doubling Manhattan’s Central Park. The six regions of Arkansas offer something for everyone. In addition to the recreational opportunities Arkansas annually attracts visitors from across the nation and abroad. Many are drawn to its abundant opportunities for outdoor adventures and to its natural beauty, as seen in the state's waterfalls, tour caverns and wild caving experiences, forested mountain trails and scenic drives. The Ouachita Region is perhaps the most famous of all the 6 regions of Arkansas. These attractions are among the many reasons vacationers return to the Hot Springs area Ouachita (Washitaw) Mountain region year after year. Visitors come to hike the nature trails of Hot Springs National Park and enjoy the vistas from the mountaintops in the rugged backcountry of the Ouachita National Forest. They also come for the excellent golf and spa vacations-to be pampered at the luxury hotels and famous thermal baths of the resort city of Hot Springs, Arkansas. For more information regarding Arkansas Children’s Hospital, Arkansas and the city of Little Rock, please visit: www.LittleRock.com www.arkansas.com www.ArkansasStateParks.com www.ARDestinations.com www.ArkArts.com www.museumofdiscovery.org www.HistoricArkansas.org www.RiverTrail.org www.LittleRockZoo.com www.BigDamBridge.com www.clintonpresidentialcenter.org www.northlittlerock.org www.cityofconway.org www.littlerockchamber.com www.NPS.gov/CHSC 12 Appendix A 13 14 Procedure for Candidacy Interview Process Please direct all nominations and resumes to Andrew Chastain preferably via e-mail to Andrew Chastain or Dave Conner Witt/Kieffer 3414 Peachtree Road Suite 352 Atlanta, Georgia 30326 Phone: (404) 233-1370 Fax: (404) 261-1371 [email protected] [email protected] Arkansas Children’s Hospital is an equal opportunity employer. Discover Thought Leadership at www.wittkieffer.com The material presented in this position specification should be relied on for informational purposes only. This material has been copied, compiled, or quoted in part from Arkansas Children’s Hospital documents and personal interviews and is believed to be reliable. While every effort has been made to ensure the accuracy of this information, the original source documents and factual situations govern. 15
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