Sparrow Health System

Key Responsibilities

• • Communicate the stroke program service goals and objectives to physician partners in support of program goals.
• • Work collaboratively with Stroke Program Administrator and Manager, Medical Director of the Stroke Program -Surgical, Nursing, Quality and Medical Staff to develop, review and approve policies and procedures that apply specifically to stroke patients.
• • Reviews and recommends the acquisition of new replacement equipment and technology.
• • Chairs all meetings that pertain to the stroke patient.
• • Assumes responsibility for continuous quality and performance improvement and develops indicators to measure quality, appropriateness and the cost effectiveness of care and compares results to national benchmarks.
• • Assumes responsibility to resolve issues and problems related to clinical practices.
• • Work collaboratively with Nursing, Quality and Medical Staff to develop multi-disciplinary evidence-based quality patient care.
• • Works with Leadership and Hospital CMO in establishing ways to measure, communicate and improve patient satisfaction.
• • Responsible for the oversight and education of the trainees (Fellows, residents, medical students) rotating on stroke services.
• • Assures that risk management and safety of patient care services are monitored and evaluated on a regular basis and appropriate actions are taken based on the findings.
• • Belonging & Inclusion: One community event for Stroke Education involving APPs and Physicians and one educational session at each of the community hospitals by the completion of the current fiscal year, 70% team member participation in engagement survey in 2027, achieve UMHSL targets in engagement survey with >.03 improvement in domains of psychological safety in 2027; collaborate with the medical director of the surgical stroke program
• • Access: post-discharged patients are seen within 4 weeks; create telestroke program for Community Hospitals during the upcoming fiscal year starting on July 2026; stroke call covered by an attending with a possible trainee, response time for phone calls in concordance UMHSL by-laws, attending chart documentation within 6 hours of TNK administration including documentation of personal review of imaging
• • Works collaboratively with Stroke Program Administrator and Program Manager to ensure that the stroke program is compliant with TJC stroke certification.
• • BASE + Growth/Finance/Integration/Innovation goals
• • S: reduce mortality for Stroke patients to top quartile performance in Vizient through collaboration with quality and patient safety teams in 3 years; work to create protocol for extended time window treatment patients with implementation the first quarter of the upcoming fiscal year starting on July 2026, maintain CSC certification, achieve AHA get-with-the-guidelines targets; achieve door-to-needle target <=60 minutes 85% of eligible patients, door-to-device direct patients <=90 minutes, transfer patients <=60 minutes in 50% of eligible patients. Significant reduction in ineligibility related to unknown diagnosis.
• • E: achieve UMHSL Press-Gainey targets for each team member (Physicians and APPs)
• • Growth: create of telestroke program for CH’s and expansion to extended time window treatment on the time-frame noted above
• • Finance: collaborate with revenue cycle and CDI team to align on UMHSL targets; achieve top quartile in Vizient for LOS
• • Integration: collaborate with UMH-AMC and UMH-West to have aligned protocols and work with One Epic team for full alignment of order sets, clinical care paths and documentation for taget of 4.1.28
• • Innovation: creation of telestroke program for UMHSL to serve off-hours and weekends for UMHSL in alignment with UMH-AMC program which will include telephonic communication, video assessment of potentially eligible patients, chart documentation and imaging review.