Reporting directly to the President and CEO, the Senior Vice President Clinical Operations/Chief Nursing Executive (SVP Clinical Operations/CNE) is a system-wide leadership role having key organizational relationships across Intermountain Healthcare and within the community. The SVP Clinical Operations/CNE will work in a triad leadership role with the Chief Operating Officer and Chief Physician Executive for the leading, developing, planning, organizing, implementing, and managing the fundamentals through the Intermountain Operating Model. This position sets the vision and strategy for nursing and advanced practice professional services in all settings across Intermountain Healthcare. S/he will be responsible for the overall delivery and management of clinical operations/nursing, to ensure the highest possible standards of clinical effectiveness, patient and staff satisfaction, and cost effectiveness.
The SVP Clinical Operations/CNE is responsible for the advancement of patient care services and clinical technology innovation across the continuum of care with a focus on both strategy and operations. S/he will have staff accountability for enhancing a clinical practice environment across both inpatient and ambulatory settings that centers on the patient, provides unsurpassed clinical quality and patient safety, focuses on providing significant contributions to education and research, and ensures practice at the highest scope of licensure. S/he will establish strategic design, execution and support of the system’s strategic priorities through the nursing and support care team. The SVP Clinical Operations/CNE will champion initiatives to advance care and quality outcomes across the system in an integrated and cost-effective manner and will partner effectively with other Executive Leadership Team (ELT) and Senior Leadership Team members.
The SVP Clinical Operations/CNE will be responsible for the following:
Participate in the health system’s long-range strategic planning activities as a senior member of the Executive Leadership Team promoting excellence in collaborative practice, developing integrated clinical care systems across hospital and ambulatory environments, and ensuring the continuation of high quality clinical care.
Lead the operations of Nursing, Care Management, and Advanced Practice Clinicians through setting vision and strategy, developing and supporting the implementation of shared goals, and monitoring and evaluating outcomes.
Develop systems which articulate evidence-based standards of patient care and evaluate performance against these standards.
Ensure standardization of quality, accreditation, regulatory, compliance, and patient safety efforts through consistent system-wide implementation and monitoring.
Work in partnership with the Chief Physician Executive to provide clinical executive leadership for Intermountain Clinical Programs and Clinical Services including alignment of goals, implementing improvements, and measuring outcomes.
Serve as the functional leader and content expert for current trends in clinical care, patient safety, and quality to assure Intermountain stays proactive and innovative in clinical care services.
Work to address the professional practice needs of nurses throughout the full continuum of care; develop and promote effective care coordination models to partner with community resources and ensure optimal health for patients outside of the hospital setting.
Co-chair, with the Chief Physician Executive, the Clinical Leadership Council that is responsible for supporting system-wide clinical integration with a focus on patient safety.
Collaborate with HR to plan for and ensure competent and stable clinical care workforce for Intermountain and a succession plan for clinical leadership.
Work with the Chief Physician Executive to foster and enhance the Nursing and Clinical Services' relationships with physicians.
Represent and promote Intermountain clinical care locally, regionally, and nationally through health care, professional organizations, and the media.
Staff the Clinical Excellence Committee of the Intermountain Board, ensuring excellent communications regarding Intermountain quality initiatives and outcomes.
Collaborate with system and local facility leaders to proactively identify strategies that will improve the patient care experience and enhance the value proposition of delivered services.
Lead Enterprise Care Management and continuum of care programs to include transitions of care, risk stratification and utilization management.
Partner with the Chief Physician Executive and to lead Patient Experience efforts for Intermountain to ensure patient experience goals are met system-wide.
In partnership with HR, lead clinical education efforts including standardization of clinical orientation, nurse residency, and simulation initiatives.
Intermountain Healthcare is an internationally-recognized, integrated not-for-profit system based in Salt Lake City, Utah. The largest health care provider in the Intermountain West, the system is comprised of 23 hospitals; an integrated medical group with approximately 1,400 primary care and secondary care physicians and advanced practice clinicians at more than 185 clinics; a not-for-profit health insurance company, SelectHealth; a broad range of clinics and services, and a homecare division.
Intermountain also contracts with a variety of other commercial and government insurers. In addition, approximately 3,800 independent physicians practice in Intermountain hospitals and are paneled to provide care for SelectHealth members. Currently, the organization provides a mix of approximately 60 percent fee-for-service and 40 percent risk-based payment arrangements and anticipates a continual evolution to risk arrangements over the next few years. Intermountain believes that a high degree of consistency within the organization, and strong coordination between the various components of the system, are important now and will be even more critical in the future.
Intermountain was founded in 1975 when The Church of Jesus Christ of Latter Day Saints donated its 15 hospitals to the communities they served, and organized an independent, non-denominational, volunteer board to oversee their future. The Church made only one request of the Board: strive to be a national model of what a not-for-profit health care system should be. This charge continues to be a driving force for the governance of Intermountain.
Mission, Vision, and Values
Intermountain Healthcare's mission statement reflects the organization’s expanding role, as they focus even more strongly on prevention and wellness, and strive to improve the health of those who live in the community.
Mission: Helping people live the healthiest lives possible.
Vision: Be a model health system by providing extraordinary care and superior service at an affordable cost.
Fundamentals of Extraordinary Care:
Safety: Patients and caregivers experience Zero Harm.
Quality: Always deliver evidence-based care that meets each individual’s healthcare goals and leads to performance nationally.
Patient Experience: Patients and customers have an Intermountain experience that leads to lasting loyalty.
Access: All customers receive the care and information where, when, and how they want it, with seamless coordination across the system.
Stewardship: Be an indispensable community partner, achieving the healthiest communities with the lowest cost per person in the nation. Be recognized globally as a financially sound, forever organization.
Engaged Caregivers: Caregivers have an unparalleled experience that supports them in delivering the fundamentals of extraordinary care.
Integrity: We are principled, honest, and ethical, and we do the right thing for those we serve.
Trust: We count on and support one another individually and as team members.
Excellence: We perform at the highest level, always learning and looking for ways to improve.
Accountability: We accept responsibility for our actions, attitudes, and health.
Mutual Respect: We embrace diversity and treat one another with dignity and empathy.
Facts, Figures and Community Care
Volunteer, governing trustees – 470
Charity care – $420 million
Hospitals – 23
Emergency Room visits – 513,545
Acute patient admissions – 139,024
Inpatient surgeries – 41,484
Ambulatory surgeries – 116,847
Births – 30,885
Clinics – 180
Clinics owned or supported for uninsured and low-income patients – 48
Patient visits to low-income clinics (owned or supported) – 456,860
Employees – 37,000
SelectHealth members – 870,000
Intermountain’s hospitals include:
Alta View Hospital
American Fork Hospital
Bear River Valley Hospital
Cassia Regional Hospital
Delta Community Hospital
Dixie Regional Medical Center
Fillmore Community Hospital
Garfield Memorial Hospital (contract management)
Heber Valley Hospital
Intermountain Medical Center
Logan Regional Hospital
Orem Community Hospital
Park City Hospital
Primary Children’s Hospital (Salt Lake City)
Sanpete Valley Hospital
Sevier Valley Hospital
TOSH - The Orthopedic Specialty Hospital
Utah Valley Hospital
Intermountain supports medical education programs throughout Utah and operates five teaching hospitals: Intermountain Medical Center, LDS Hospital, Primary Children’s Hospital, McKay-Dee Hospital, and Utah Valley Hospital. These programs train several hundred physicians each year, as well as more than 1,000 non-physician clinical students.
Intermountain Healthcare is dedicated to providing access to healthcare services, regardless of an individual’s ability to pay. It operates a variety of community and school-based clinics to improve health in underserved communities. Community clinics provide convenient access to basic medical care, disease prevention, management resources, and other health services to improve community health. The Intermountain Healthcare Foundation funds school-based clinics where students, families, and everyone in the surrounding area can receive convenient healthcare.
Intermountain conducted a Community Health Needs Assessment during 2016 to identify the greatest health challenges facing communities served by each of its 23 hospitals. This was done in collaboration with the Utah Department of Health, Idaho Department of Health and Welfare, and local health departments in each community.
As a result of the assessment, Intermountain identified four health priority needs: prevention of prediabetes, high blood pressure, depression, and prescription opioid misuse. Intermountain is now addressing these needs (especially for low-income and underserved people) through screening, education, and treatment.
In 2017, Intermountain Healthcare’s Community Health efforts included:
Clinic Visits – Intermountain owns four community and school clinics and provides financial and in-kind support to 49 independently owned clinics. These clinics cared for patients in 475,149 total visits in 2017.
Financial Assistance – Intermountain provided more than $225.3 million (adjusted) in 236,446 cases. This does not include $276.9 million in bad debts (care provided to people unwilling to pay).
Diagnostic Vouchers – Intermountain gave 10,616 vouchers valued at $8.6 million to 49 community and safety net clinics, reducing barriers to accessing diagnostic services.
Education – Intermountain provided education for medical residents and college-level clinic training valued at $34.3 million.
Research – Medical research. Intermountain provided more than $7.7 million in support of medical research.
Grants – Intermountain Community Care Foundation provided $4.3 million in grants to improve access to healthcare services for low-income, uninsured, or medically underserved people.
Community Clinic Volumes (2017)
Intermountain Owned and Operated Community Clinics (Total – 10,925)
Intermountain Dixon Middle School Clinic (Provo) – 1,454
Intermountain North Temple Clinic (Salt Lake City) – 6,524
Intermountain Pamela Atkinson Lincoln Elementary Clinic (Salt Lake City) – 2,178
Intermountain Rose Park Elementary Clinic (Salt Lake City) – 769
Independent Community Clinics Supported by Intermountain (Total – 464,224)
Bear Lake Community Health Centers (four sites in Garden City, Hyrum, Logan) – 24,543
Community Health Centers (nine sites in Brigham City, Salt Lake City, Tremonton) – 139,693
Doctors’ Volunteer Clinic (St. George) – 12,604
Family Health Services Clinic (three sites in Idaho: Burley, Kimberly, Rupert) – 32,267
Family Healthcare Clinic (five sites in Cedar City, Hurricane, St. George) – 38,985
Fourth Street Clinic (Salt Lake City) – 24,385
Hope Clinic (Salt Lake City) – 11,789
Maliheh Clinic (Salt Lake City) – 15,294
Midtown Community Health Center (eight sites in Logan, Ogden, Salt Lake City) – 69,908
Mountainlands Family Health Center (five sites in Payson, Provo, Vernal) – 47,236
Odyssey House Martindale Clinic (Salt Lake City) – 2,268
Paiute Indian Tribe Clinics (four sites in Cedar City, Ivins, Kanosh, Richfield) – 7,203
People’s Health Clinic (Park City) – 8,208
Utah Partners for Health (two sites in Salt Lake City) – 14,605
Volunteer Care Clinic (Provo) – 2,932
Wayne County Community Health Center (two sites in Bicknell, Escalante) – 12,304
Intermountain’s 10 Clinical Programs bring together its experts in medical science, operations, data analysis, and care delivery to advance clinical care. Each clinical program is led by a physician, nurse, and administrative leader in a triad relationship. Clinical Programs reach patients in their communities, in their primary care settings, in hospital care, and in post hospital care. They act as the professional “home” for the medical and surgical specialists in our organization, whether a provider is employed with us or affiliated. Clinical Programs provide opportunities for collaboration, best care practices development and adoption, evaluation and implementation of new care models, and work closely with partners in Specialty-Based Care and Community-Based Care to reduce the cost of care and utilization of care. Clinical Programs have operational accountabilities including Cath Labs, Cardiac Rehab, EKG and Echo, vascular labs, inpatient behavioral health units, behavioral health access centers, crisis intervention, and managing specialty care coordinators such as bariatrics, stroke, and total joint replacement. In partnership with the Intermountain Medical Group, they also have a leadership role in neurosciences and orthopedics. Clinical Programs share budget accountability with our Specialty-Based Care and Community-Based Care partners and make collaborative decisions on recruitment and strategy. These programs help Intermountain optimize quality, and they are key to its ability to offer affordable care.
Clinical Services and Systems
Clinical Systems is responsible for delivering enterprise clinical services in a highly consistent and cost-effective manner across the fundamentals of extraordinary care to serve the needs of customers, caregivers, and providers. The clinical services that are operated in a shared services model include: Dialysis, Environment of Care (Clinical Engineering, Facilities Management, Safety and Security Management, and Sustainability), Food and Nutrition, Imaging, Laboratory, Pain Management, Pharmacy, Rehabilitation, Respiratory Care and Sleep, and Wound, Skin, and Hyperbaric Medicine. The Clinical Systems’ portfolio also includes the Biorepository and Precision Genomics.
Intermountain Healthcare is widely recognized as an innovative national leader in transforming the delivery of care through a focus on heath, clinical and service excellence, and affordability.
100 Top Hospitals – In its annual top hospitals study, IBM Watson Health (formerly Truven Health Analytics) honored two Intermountain hospitals in 2018 — Cedar City Hospital and Logan Regional Hospital — as being among the nation’s 100 best hospitals. Over the last few years, seven Intermountain Hospitals have received this designation. In a related 2017 study of the nation’s top health systems, IBM Watson Health ranked Intermountain in the top quintile of all systems. In addition, Becker’s Hospital Review has named Intermountain Medical Center as one of its 100 Great Hospitals in America for 2016, 2017 and 2018. And an organization called iVantage Health Analytics included three Intermountain hospitals —Cedar City, Garfield Memorial and Sevier Valley — among the country’s Top 100 Rural and Community Hospitals for 2017.
Supply Chain Excellence – Intermountain Healthcare was ranked as the No. 1 overall healthcare supply chain organization in the nation in 2016 and 2017 by Gartner. The ranking recognizes companies across the healthcare value chain that demonstrate leadership in improving patient care and lowering costs. Intermountain has ranked among the top companies on the Gartner Healthcare Supply Chain Top 25 for several years.
National Spotlight for Transforming Healthcare – Several high-profile news articles and reports have focused on Intermountain’s success in bending the healthcare cost curve while also achieving high quality. A New York Times feature article entitled, “A Novel Plan for Health Care: Cutting Costs, Not Raising Them,” highlighted Intermountain’s efforts around population health and the introduction of the SelectHealth Share population health product for large employers.
Health Innovation – Intermountain received a Microsoft Health Innovation Award, has been named seven times to the InformationWeek Elite 100 list of business technology innovators, and was identified among the nation’s top five innovative health systems according to healthcare influencers in a national study conducted by Reaction Data.
S. News Best Hospitals – Primary Children’s Hospital again ranked among the nation’s best children’s hospitals, according to U.S. News & World Report, currently ranking among the best nationally in nine out of the 10 pediatric specialties that are researched and ranked by U.S. News.
Certifications and Designations – Intermountain facilities have achieved important certifications and designations. Intermountain Medical Center earned designation as the only hospital in Utah to be named an Advanced Comprehensive Stroke Center by The Joint Commission. The Emergency Department at Dixie Regional Hospital was verified as a Level II Trauma Center by the Utah Department of Health in 2017.
Hearst Health Prize – Intermountain was awarded the 2017 Hearst Health Prize for its Mental Health Integration program, which embeds mental health screening and treatment within primary care and select specialty practices. Hearst Health, a division of Hearst, and the Jefferson College of Population Health of Thomas Jefferson University recognized Intermountain for making mental health evaluation and service part of the routine care for all patients seeking care at Intermountain, with an emphasis on primary care.
Community Value – Six Intermountain hospitals were designated as 2017 Community Value Five-Star Hospitals for being financially sound, reinvesting in the facility, maintaining a low-cost structure, charging reasonable rates, and providing high-quality care.
Employer of Choice – Intermountain and SelectHealth have received work environment and employment-related honors in recent years, including: Great Places to Work in Healthcare 2018 (Becker’s Hospital Review), America’s Best Large Employers 2016 (Forbes), Great Workplace Award 2016 (Gallup), 100 Best Places to Work in IT 2016 (Computerworld), and Fit-Friendly Worksite 2015 (American Heart Association).
Consumer Choice – For several consecutive years, National Research Corporation (NRC) has presented the Consumer Choice Award to three Intermountain hospitals—McKay-Dee, Intermountain Medical Center, and Utah Valley—for being the top-rated hospitals in their respective markets—Ogden, Salt Lake City, and Provo/Orem. In addition, three hospitals—Dixie Regional, LDS, and Logan Regional—were honored by NRC with 2016 Dimension Awards for excellence in specific dimensions of the patient experience.
Leadership Recognition – Intermountain leaders continued to be recognized among the best in the healthcare industry. Intermountain executives are included on national lists of the top health IT leaders, top financial and operations executives, most influential physician executives, most influential people in healthcare, leaders in patient safety, top rural hospital leaders, and various other individual honors.
Hospital Quality Awards – In 2018, 8 Intermountain hospitals received the HealthInsight Hospital Quality Award for strong performance on a range of inpatient and outpatient process-of-care measures, patient satisfaction scores, and readmission rates.
Most Wired – For the 19th time in the past 20 years, Intermountain Healthcare was included among Health Care’s Most Wired as designated by CHIME (College of Healthcare Information Management Executives).
Successful candidates for the SVP Clinical Operations/CNE role will possess the following:
At least 10 years of successful progressive experience in a health care system or hospital of at least 300 beds. Experience in a CNO position in a multi-hospital, complex environment is preferred.
Experience as a nurse leader in quality, patient safety, and care management.
Strong operational and financial acumen with the ability to lead and partner around a vision for superior patient-centered care that includes continuous improvements in care coordination, quality, safety, and cost-of-care reductions.
Experience in directing other clinical areas, working closely with physicians, and developing clinical strategies, implementing operational efforts, and measuring outcomes.
Proven ability to build internal and external relationships, with a demonstrated track record of working successfully with physicians and physician leaders, diverse management teams, community, and system leaders.
Experience working in a highly matrixed environment, demonstrating successful partnership with system and entity senior leadership team(s), clinical leaders, and other key stakeholders to advance organizational objectives.
A “systems thinker” who demonstrates innovation and an understanding and appreciation for the nursing practice across the full continuum of care.
Advanced communication and interpersonal skills with the ability to convey complex information in a confident, clear, concise, and compelling way.
An individual who is known to be a highly effective leader; one who can sit at the executive table to both relate and engage with interdisciplinary teams of clinicians, specifically bedside caregivers.
Strong executive presence and political savvy, including communication skills that enables appreciation for other’s perspectives and offers compelling insights and recommendations.
Demonstrate and share the values of Intermountain Healthcare leadership teams.
A Master’s degree in nursing obtained through an accredited institution is required. A Doctorate of Nursing Practice degree is preferred. Education will be verified. An active RN License in the State of Utah is also required.
About Intermountain Healthcare
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