Denver Health is seeking a clinically skilled and experienced leader, educator, manager, and communicator for the position Midwife Supervisor of Allied Health at Denver Health. The Midwife Supervisor will have oversight of all care delivered by the Certified Nurse Midwives (CNM) and designated Advanced Practice Providers (APP) in the department of Obstetrics & Gynecology at Denver Health. The Supervisor will provide overall leadership with the Director of Service of Obstetrics and Gynecology in an integrated practice environment. The Midwife Supervisor will be responsible for strategic planning, clinical services, professional performance, business performance, and CNM and APP education for the department.
Denver Health is uniquely positioned as an integrated healthcare system, nationally recognized for its passion and commitment in providing exceptional care to the communities it serves. Denver Health is considered a national model of an integrated urban safety net health care system that includes a 525 bed acute care hospital, with new adult and pediatric emergency departments, the 911 paramedic system, nine community health centers, 17 school-based clinics, the public health department, the Rocky Mountain Poison and Drug Center, a 100 bed non-medical detoxification center, a dedicated psychiatric emergency service, correctional care facilities, the Rocky Mountain Center for the Medical response to Terrorism, Mass Casualties and Epidemics, and an HMO. The Denver Health Rocky Mountain Regional Trauma Center has been recognized as a preeminent Level I Trauma Center, with one of the best trauma survival rates in the country.
Denver Health has an integrated practice model for Obstetrics and Gynecology and Women’s Health. In this model, OB/GYN physicians, CNM, APP and Family Medicine physicians practice in an integrated group practice. Patients are seen at one of 10 Federally Qualified Health Centers sites. Three of these are primarily Women’s Health and staffed by OB/GYN Physicians and CNMs.
The Midwifery Service
Established in 2005, the service has grown from 2 CNMs to 35 CNMs and 3 NP/PAs.
The Midwives attend approximately 40% of the births at Denver Health.
Representation at serveral primary Community Health Centers working with Family Medicine.
The CNMs and APPs provide obstetric and gynecologic care in the clinics at Denver Health.
A strong mission to deliver non-interventive care and to support the choice for natural childbirth.
Support of and adherence to evidence based care.
Highly collaborative practice.
Adherence to the Hallmarks of Midwifery.
Innovative midwifery care in a hospital setting including intermittent auscultation, out of bed birth, hydrotherapy, continuous labor support.
Thriving volunteer Doula Program.
Belief in patient autonomy and shared decision making.
Denver Health (http://www.denverhealth.org/) is nationally recognized for its mission and the delivery of a broad spectrum of services for the screening, diagnosis of acute/chronic diseases as well as emergent/trauma injuries. Founded on the banks of Cherry Creek, Denver Health was established in 1860 and reflects the historical mission of our nation’s public safety net hospitals to serve the community irrespective of their ability to pay for services. This healthcare system has been caring for the people of Denver and the Rocky Mountain Region ever since. As Colorado’s primary safety net institution, Denver Health has provided billions of dollars in uncompensated care. Nationally, Denver Health is held up as a model for other safety net institutions as an integrated, efficient, high-quality healthcare system.
Denver Health is formally part of the Denver Health and Hospital Authority (DHHA), created by the Colorado General Assembly in 1994; in 1997, Denver Health transitioned from being a city agency to an independent authority. The DHHA is governed by an eleven-member Board of Directors appointed by the Mayor of Denver and confirmed by the Denver City Council.
Denver Health’s Mission is to:
Provide access to the highest quality healthcare, whether for prevention, or acute and chronic diseases, regardless of ability to pay;
Provide life-saving emergency medicine and trauma services to Denver and the Rocky Mountain region;
Fulfill public health functions as dictated by the Denver Charter and the needs of the citizens of Denver;
Provide health education for patients;
Participate in the education of the next generation of healthcare professionals; and
Engage in research, which enhances our ability to meet the healthcare needs of Denver Health system patients
To achieve its mission Denver Health integrates acute care with public and community health to deliver preventive, primary and acute care services. This integration promotes continuity of high quality care for each patient. Integration also ensures that healthcare is delivered in the most efficient, cost-effective setting.
The full continuum of the Denver Health enterprise cares for:
The special health needs of the entire population with services ranging from trauma care to the Rocky Mountain Poison and Drug Center.
The needs of vulnerable populations such as the poor, uninsured, mentally ill, pregnant teens, persons addicted to alcohol and other substances, victims of violence, the homeless and those with AIDS.
Today Denver Health has a comprehensive and diverse array of integrated inpatient, outpatient, community, academic and public health services, allowing the health system to currently serve 25 percent of all Denver residents, including 37 percent of children in its market service area. With approximately 7,000 employees, Denver Health is the fourth largest employer in Denver.
Denver Health’s remarkable achievements in patient care quality, despite the vulnerable status of many of its patients, have become widely known nationally and internationally. All members of the team are committed to ensuring that each patient is treated as a unique individual with state-of-the-art medical care and deeply committed to making patient safety a top priority. Denver Health strives to eliminate patient harm using technology, redesigning care, reporting concerns and analyzing information to prevent medical errors. The strong culture of patient safety, patient-centered care and high quality at Denver Health is the result of the commitment and focus of the entire team.
Much of Denver Health’s revenue comes from full-risk capitation contracts. This source of revenue has created a mandate to manage its population of patients in a cost-effective manner and created opportunities to provide a variety of non-traditional services between visit interventions to improve outcomes and reduce costs. Primary care transformation has been facilitated by a $19.8 million grant from the CMS innovation center.
In an era of financial duress in the healthcare industry, Denver Health remains fiscally sound. Over the last decade, Denver Health has delivered $1.4 billion of uncompensated care. Denver Health has gone to the private bond market three times in the last five years with $142 million in investment grade bonds. These dollars have created new infrastructure for the system, including more than a $100 million investment in information technology.
Denver Health serves residents from every county within Colorado, but with a focus on Denver County. Twenty-five percent of Denver residents (approximately 150,000 individuals) receive care at Denver Health, 56% of whom are members of ethnic minorities. In addition, 36% of Denver’s babies are born at Denver Health’s 555 licensed bed facility, and 37% of Denver’s children receive care at Denver Health.
With its Academic Level I Adult and Pediatric Level II Trauma Center designations by the American College of Surgeons (ACS), Denver Health is regarded as one of the best centers in the nation. To complement its adult and pediatric trauma centers, Denver Health has the following services:
Denver Health Nurse Line: Staffed by Registered Nurses 24 hours a day, the Denver Health NurseLine provides health advice and recommendations for care, enabling more than 91,000 patients annually to get free and confidential answers to health-related questions, reducing costly emergency room visits.
Obstetrics & Gynecology Emergency Services: Denver Health has a range of Obstetrics & Gynecology, including an obstetric emergency department, acute detoxification services, inpatient adult and adolescent psychiatric services, and a secure Psychiatric emergency Services (PES).
Mobile Crisis Services: Mobile Crisis Services (MCS) is a 24/7 service that provides mental health support to residents of the City and County of Denver and to the Mental Health Center of Denver consumers during and after a crisis.
Denver Paramedics: The Denver Health Paramedic Division is the sole provider of emergency medical services for the City and County of Denver. The Division also provides service to the cities of Sheridan, Glendale, Englewood as well as the Skyline Fire Protection District. The Division responds to more than 113,000 calls each year.
Denver Paramedic and Emergency Medical Technician Training Programs: Through the Rita Bass Trauma and EMS Education Institute, Denver Health Paramedics provide training for emergency medical technicians and paramedics, as all well as continuing education and community training. Denver Health emergency medicine providers act as course directors and instructors.
Rocky Mountain Poison and Drug Center: The RMPDC provides poison and drug information services to medical professionals and the public and is the certified regional poison center for Colorado, Nevada, Montana, Hawaii and Wyoming. The RMPDC operates a medical toxicology fellowship program and has robust research capabilities, with a staff of approximately 60 research professionals.
Denver Health Medical Plan Inc.: Manages over 90,000 covered lives in its commercial, Medicaid, CHP+ and Medicare lines of business.
Rocky Mountain Center for Medical Response to Terrorism, Mass Casualties and Epidemics (RMCMR): Following the terrorist attacks of September 11, 2001, Denver Health established the RMCMR to establish more effective medical response to all disasters.
Community Health Centers: There are 10 federally qualified health centers located[KC1] throughout the Denver Metro area, where families need them the most. In 2017, 164,868 patients were seen within Denver Health’s community and school-based health centers for a total of 566,327 encounters. Denver Health’s community health centers provide care to the medically underserved; 81% of those patients served at these health centers are below the federal poverty limit, and 15% are uninsured.
School Based Health Centers: These centers provide primary care, mental health, reproductive health education and insurance enrollment assistance services to Denver Public School students. In partnership with a school nurse, Denver Health’s medical professionals treat major health conditions that affect school-aged children during the school year.
In addition to the services listed above, Denver Health is scheduled to open a Comprehensive Outpatient Medical Center in 2020. This state-of-the-art patient-centered medical complex will be a significant expansion on Denver Health’s main campus. The Center will also provide an expansion of outpatient Obstetrics & Gynecology services, including –PET-CT, CT, two new MRI units (one 3T), ultrasound, radiography, fluoroscopy, bone densitometry, and a new breast imaging center located adjacent to the breast surgery clinic.
Among leading academic hospitals in the country, Denver Health has ranked (by Vizient) in the top five percent for inpatient survival for three consecutive years and is the only safety net hospital in the United States to be ranked in the top 10 in overall quality. Additionally, for the last seven years Denver Health has been the recipient of Vizient’s Supply Chain Performance Excellence Award. DHMC offers much more than just trauma and emergency services for adults and children on the main campus, including: primary care, specialty care, behavioral health, pharmacy services, the Kids Care Clinic, Level One Physicians Clinic and the Webb Center for Primary Care. Denver Health delivers more than 3,000 babies every year, which accounts for about one third of all Denver babies
The Midwife Supervisor at Denver Health will be a master’s prepared advanced practice nurse from an accredited school of nursing with completion of an accredited Nurse Midwifery Program. The Supervisor will have a demonstrated reputation of excellence in clinical care, teaching, mentoring, and leadership. The SAPPMS will have the responsibility for strategic planning, clinical services, professional performance, business performance, regulatory compliance, ‘quality of care metircs, provider education and service culture.’
The Midwife Supervisor will have oversight of all care delivered by CNMs and APPS in the Department of Obstetrics & Gynecology at Denver Health. The Supervisor will provide overall strategic guidance of the midwifery team and will work closely with physician and nursing leadership. The Supervisor will have responsibility for strategic planning, clinical services, professional performance, business performance, regulatory compliance, education, and departmental culture. The Supervisor will be responsible for advancing a culture of excellence in a collaborative midwifery service, to include various disciplines such as Family Medicine. The Supervisor will be dedicated to performance expectations, which provide for the highest quality patient care and consistency in clinical care standards, driven by patient safety requirements and clinical outcomes monitoring.
The Midwife Supervisor will report to the Director of Service (DOS) of Obstetrics and Gynecology.
CULTURE OF RELATIONSHIP WITH DOS
Midwife Supervisor Direct Reports:
Lead and participate in clinical quality initiatives focused on improving the patient experience, patient safety clinical outcomes, enhancing systems to assure timeliness and efficiency and assuring quality while maintaining fiscal responsibility. Areas of responsibility include Labor and Delivery, Postpartum, Obstetric Triage, and outpatient clinical sites.
Promote and oversee development of critical pathways, protocols and practice guidelines that promote quality, cost-effective care for the patient population.
Ensure the application of best practices, incorporating regulatory requirements at the local, state, and national level; utilize benchmarking and data analysis from applicable sources.
Oversite and promotion of internal data collection and research.
Drive innovation in care management and establish efficient operational infrastructure in partnership with the DOS of Obstetrics and Gynecology to optimize resource allocation and timeliness.
Oversee the administrative, professional, clinical, financial and educational activities of the Midwifery Service.
Ensure a culture of open dialogue and feedback with all staff, promote healthy team norms, and develop pathways to support staff and promote wellness.
Ensure a culture of diversity and inclusion within the Midwifery Service. Responsible for identifying and addressing areas of inequity in diversity and inclusion by promoting activities that build awareness and acceptance of all individuals.
Provide leadership for the development of standards and policies related to the Department.
Supervise all providers in clinical and assigned administrative duties.
Support and maintain provider development, recruitment, and succession plans.
Encourage participation in research and conference attendance to enhance the reputation of the department.
Promote implementation and enforcement of process standardization initiatives.
Ensure that providers meet performance expectations and customer service standards.
Assume joint responsibility with Denver Health Administration for compliance with requirements and standards of regulatory agencies and accreditation organizations, including preparation for and participation in relevant surveys.
Ensure that Departmental quality and performance improvement activities are working well, and dealt with in the context of Departmental meetings.
Establish and maintain high standards of professional practice. Oversee and drive a superior patient safety and peer review program.
Ensure the department’s compliance with the Medical Staff Bylaws and hospital policies.
Provide leadership while building a cooperative, collaborative and cohesive department.
Provide collaboration with key external institutional entities and strong advocacy for the midwife service with all institutional stakeholders.
Supervise all “reporting” providers in clinical and assigned administrative duties.
Communication/Change Management Expectations
Establish appropriate communication channels with providers, nurses, and administration that result in trust, alignment and collaborative working relationships, making patient access to resources a high priority.
Lead by example: establish open non-judgmental dialogue, expect a culture of diversity and inclusiveness, welcome constructive criticism from direct reports, admit errors openly, avoid a punitive response to honest mistakes, demonstrate timely responsiveness, and hold others accountable.
Coach, mentor, and develop others to build internal strengths and the talent that enhance individual engagement joy in the workplace and outside of work.
Foster open communication, teamwork. Effectively manage conflicts and look for opportunities for common ground solutions.
Communicate effectively and regularly to providers regarding the overall health and performance of the Department.
Ensure that information relevant to patient care and treatment options are communicated to patients, families and providers.
Expectations for Leadership
Establish oneself as a credible, trusted and highly collaborative clinical leader among the medical staff, administrative leaders at Denver Health, our Community through performance as a professional leader. Cultivate critical relationships inside and outside Denver Health in order to enhance clinical quality, education, leadership and recruitment. It is essential that the Supervisor be visible and quickly gain credibility.
Evaluate current clinical operations and make enhancements with department members and administration that result in improved performance, service excellence, patient experience and more efficient ways to meet patient needs.
Continue to enhance the collaborative culture that strengthens the partnership of all providers in delivering outstanding patient care.
Enhance quality parameters, metrics established and outcomes which will be regularly reviewed and monitored, with systems of accountability in place, and reporting methods in use.
Lead the performance improvement activities within the Department, ensuring high performance in service excellence and outstanding outcomes. Consistent performance measure quality, patient experience and throughput will be achieved.
Master’s degree from an accredited school of nursing.
Completion of an accredited Nurse Midwifery program.
Certification by the American Midwifery Certification Board and the Colorado Board of Nursing.
Preferred five years as a full-scope midwife. This should include some experience with high-risk obstetric patients and triage.
Preferred previous work in an Ob/Gyn teaching environment with residents and medical students.
Preferred ambulatory women’s care experience in an FQHC environment
Administrative leadership of large teams
Preferred out-of-hospital birth experience
Past practice and familiarity with all facets of well well-women care and birth, including inpatient, outpatient, routine gynecology, obstetrical triage, labor/delivery and postpartum.
Preferred two years of leadership experience.
Demonstrated leadership achievement in a high-performing midwifery service.
A strong understanding of the realities of healthcare delivery within academic, teaching and/or safety net hospital environments.
A systems thinker with the proven ability to navigate and execute in a large, complex healthcare organization.
A reputation for building clinical excellence and leadership experience directing high quality clinical activities.
Strategic problem-solver who can create effective solutions for change.
An ability to inspire and align providers, both those within Obstetrics & Gynecology and those with whom the department interacts
A strong communicator and diplomat who is able to inspire and effectively communicate with wide and diverse audiences at all levels of the organization and externally.
Analytical and data driven; ability to use metrics to support key decisions. Strong fiscal acumen with experience managing a budget.
A management style that seeks to share information and welcomes input into the decision-making process.
A collaborative approach and demonstrated ability to take an institutional view.
Demonstrated political acumen and the necessary skills to orchestrate optimize and constructively balance the interests of diverse stakeholders.
A mentor and developer of people who motivates others to be team players. The Supervisor will ensure accountability, as well as being supportive and open to providers.
A role model of personal and professional integrity.
The City and County of Denver is the largest city and the capital of Colorado. Metro Denver has a population of 2.8 million people, with a growth rate that has consistently outpaced the national rate every decade since the 1930s. By 2030, Metro Denver’s population is anticipated to increase by nearly 50 percent to almost 3.9 million, with 800,000 new jobs being created. Denver has one of the nation’s strongest metropolitan economies and has the greatest percentage of college graduates of any major metropolitan area in the United States.
Scratch the veneer of the new-West look of urban Denver and you’ll get a glimpse of the Old West, too. Sitting at 5,280 feet above sea level and framed by the Rocky Mountains, the Mile High City is a study in contrasts. Cowboy-hat-wearing ambassadors greet travelers at the city’s state-of-the-art airport. The golden dome of the state capitol overlooks downtown, where renovated historic buildings and architecturally striking modern structures stand side by side. Classic steak houses sit comfortably next to innovative eateries, with bold, young chefs creating culinary masterpieces. Denver is one of only two cities in America with eight professional sports teams. Upscale hotels, a booming arts and culture roster, family attractions, professional sports, the region's premier shopping areas, 850 miles of paved off-road biking trails and quick access to some of Colorado's major ski resorts and national parks keep visitors coming back again and again.
Interested candidates should apply online or submit their curriculum vitae to:
Aaron Ortiz, Manager, Provider Recruitment
Denver Health & Hospital Authority
Denver Health values diversity and is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by law.
All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has
Education 1. Master’s degree from an accredited school of nursing. 2. Completion of an accredited Nurse Midwifery program. 3. Certification by the American Midwifery Certification Board and the Colorado Board of Nursing 4. Prescriptive Authority. Experience 1. Preferred five years as a full-scope midwife. This should include some experience with high-risk obstetric patients and triage. 2. Preferred two years of leadership experience. 3. Demonstrated leadership achievement in a high-performing midwifery service. Knowledge, Skills and Abilities 1. A demonstrated reputation of excellence in clinical care, teaching, mentoring, and leadership. 2. A strong understanding of the realities of healthcare delivery within academic, teaching and/or safety net hospital environments. 3. A systems thinker with the proven ability to navigate and execute in a large, complex healthcare organization. 4. A reputation for building clinical excellence and leadership experience directing high quality clinical activities. 5. Strategic problem-solver who can create effective solutions for change. 6. An ability to inspire and align providers, both those within Obstetrics & Gynecology and those with whom the department interacts 7. A strong communicator and diplomat who is able to inspire and effectively communicate with wide and diverse audiences at all levels of the organization and externally. 8. Analytical and data driven; ability to use metrics to support key decisions. Strong fiscal acumen with experience managing a budget. 9. A management style that seeks to share information and welcomes input into the decision-making process. 10. A collaborative approach and demonstrated ability to take an institutional view. 11. Demonstrated political acumen and the necessary skills to orchestrate optimize and constructively balance the interests of diverse stakeholders. 12. A mentor and developer of people who motivates others to be team players. The Midwife Supervisor will ensure accountability, as well as being supportive and open to providers. 13. A role model of personal and professional integrity. Certificates, Licenses and Registration ● Master’s degree from an accredited school of nursing. ● Completion of an accredited Nurse Midwifery program. ● Certification by the American Midwifery Certification Board and the Colorado Board of Nursing. ● Prescriptive Authority.
Denver Health is an integrated, efficient, high-quality academic health care system that is considered a model for the nation. The Denver Health system includes the Rocky Mountain Regional Level I Trauma Center, a 525-bed acute care medical center, Denver’s 911 emergency medical response system, 8 family health centers, 15 school-based health centers, the Rocky Mountain Poison and Drug Center, the Denver Public Health Department, an HMO, and The Denver Health Foundation.
As Colorado’s primary safety net institution, Denver Health is a mission-driven organization that has provided more than $3.3 billion in care for the uninsured in the last ten years. Denver Health is a leader in performance and quality improvements and remains financially secure, in part, due to its nationally recognized implementation of lean principles in healthcare. Denver Health is a major resource to the community, serving approximately 185,000 individuals and 67,000 children a year.
Located just south of downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
We strongly support diversity in the workforce and Denver Health is an equal opportunity employer (EOE).
“Denver Health is committed to provide equal treatment and equal employment opportunities to all applicants and employees. Denver Health is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.”