- Project management:  - manage expectations, timelines, and deliverables through facilitation and coordination of steps; - track and report milestones; - participate in budgeting and cost tracking; - prepare team meeting agendas and minutes; - conduct training for new team members - Reporting:  - present project status reports to Center leadership; - assist with grant applications and donor reports; - assist with producing program retreats wherein ongoing research is presented to the OHSU community; - provide recommendations and process/tools development to support objectives - Outreach:  - assist with producing program retreats wherein ongoing research is presented to the OHSU community; - participate in professional conferences and community events; - in collaboration with the COE team, evaluate, monitor and improve recruitment plans; actively engage with patient advocates; - assist with development and dissemination of outreach materials and media

All private care activities shall be conducted through the institute faculty private practice plan. This position requires undivided effort at the specific FTE. The general pattern of working hours will be set by the Director of the Dotter Institute, but deviations from general patterns may be necessary to meet position responsibilities. On average there will be 3 procedural days, 1 outpatient clinic day, and 1 academic day. Duration of this appointment and indicated salary may be changed or eliminate if a gift, grant, or contract fund supporting this position becomes unavailable. This is a fulltime appointment at 1.0 FTE. The faculty member will join and remain a member of the departmental practice plan and the faculty practice corporation for the duration of the faculty member’ OHSU appointment so long as the plan and the corporation are so approved and designated by the president. The faculty member will provide and utilize all patient care services at the University Hospital and clinics and Doernbecher Children’s Hospital unless specifically authorized otherwise in writing by the president or the president’s designee. As part of the university mission of education and training of health care professionals, peer review activities for health care providers in Oregon is approved where the dean, unity director or their designee has authorized the peer review in advance.

Up to $10,000 Hiring Bonus. Must start by July 1, 2024 to qualify. $49.16-$78.18 per hour, based on RN Degree and level of experience     OHSU cares for acutely and critically ill patients in our Operating Room. We provide the latest evidence-based care and have a reputation for effective teamwork. Operating Room nurses understand the importance of their independent scope of practice and engage in dependent scope of practice decision making with the team. Operating Room nurses also provide patient and family-centered care for the full spectrum of illnesses.   The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.   This position is exempt from on-call requirement.   This position also comes with great benefits! Some highlights include:  - Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents.  - $25K of term life insurance provided at no cost to the employee  - Two separate above market pension plans to choose from  - Vacation-192 to 288 hoursper year depending on length of service, prorated for part-time  - Sick Leave- 96 hours per year, prorated for part-time  - Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid)  - Substantial public transportation discounts (Tri-met and C-Tran)  - Tuition Reimbursement  - Innovative Employee Assistance Program (EAP) including extensive wellness resources 

Hiring Bonus up to $12,000 DOE and Relocation Package Available. Must begin work by July 1, 2024 to qualify.     $49.16-$78.18 per hour, based on education and experience   Full-time   You will bring your nursing skills and expertise to our team of specialists working together to provide the best possible care. You will enjoy unmatched opportunities to learn and be inspired at Oregon’s only public academic health center.   You will be part of our professional culture of safety, collaborative decision-making, innovation, life-long learning and teamwork. As an OHSU RN, your care delivery will be consistent with: - The Oregon Nurse Practice Act - The ANA Scope and Standards of Practice - The ANA Code of Ethics - The Onsomble Model of the Professional Role™   OHSU cares for acutely ill patients in our Medical, Surgical, and Cardiovascular Intermediate Care Units.  We provide the latest evidence-based treatment and have a reputation for effective teamwork.  Acute care nurses understand the importance of their independent scope of practice and engage in dependent scope of practice decision making. Acute care nurses also provide patient and family-centered care for the full spectrum of illnesses.     Benefits   OHSU offers competitive, affordable benefits that include health care, income protection and more. See highlights below or learn more about OHSU benefits.     - Medical, dental and vision coverage at low or no cost to employees - Access to retirement plans - Up to 200 hours (equal to 25 full days) a year of paid time off - 96 hours of sick leave a year (prorated for part-time employees) - Eight paid holidays a year - Commuter subsidies - Tuition reimbursement - Access to group life insurance, disability insurance and other supplemental benefits - Discounts just for OHSU members  

- With the ECO, serve as a point of contact for researchers, staff, and internal and external stakeholders to perform independent, accurate and timely management of submissions/transactions/inquiries. Provide subject matter expertise on existing and potential export control and compliance issues. - Assist in reviewing activities as needed and providing related determinations. This includes export control screening and evaluating applicability of US export control regulations to underlying activities and items. - Conduct formal risk assessment activities and provide input on corrective actions, with support from the ECO. - Conduct campus outreach and training to all levels of management and staff related to export and import control. Work with the ECO to identify, develop and implement policies, procedures, and guidance. - Maintain documentation to ensure accurate and updated information and compliance with record keeping requirements. - Stay current relative to federal rule changes that impact the ITAR, EAR, and OFAC regulations. Maintain knowledge of U.S. regulatory requirements as applicable to University activities. - Assist in reviewing contract terms and provide guidance to faculty and other researchers, grant and contract officers, technology transfer officers, purchasing representatives, business service center staff, Environmental Health and Safety Officials, and others as necessary to ensure export and import control compliance. - Serve as primary back-up to ECO on all export and import control activities.

The purpose of this role is to: - Provide clinical management of patients in Hematology & Medical Oncology; - Assure a coordinated, effective, high quality, and efficient care process; - Use an interdisciplinary team approach to the care of patients; - Work collaboratively with clinic management on process improvement projects; - Provide education to colleagues, staff and students, as needed.   The BMT APP independently performs procedures, such as: - Bone marrow biopsy and aspirations, skin biopsies, lumbar punctures, ommaya taps and administration of intrathecal chemotherapy. - Provides direct care of patients prior to and after hematopoietic cell transplants and cellular therapy procedures. - Manages infectious, hematopoietic, renal and dermatologic complications of treatment and disease with a multidisciplinary team. - Participates in enrolling and managing patients on clinical trials.

- Function as a member of the surgical team, while under the direct supervision and direction of the registered perioperative nurse. - The PPA will provide assistance with cleaning and preparing operating rooms, retrieving and cleaning equipment, retreiving and stocking supplies and related items; supports the environment of the unit or service; supports patient care through assistance with prepping and opening supplies before surgery. - At OHSU, the PPA promotes a culture where we imagine, inspire, engage and excel to ensure we meet every patient's needs.

Staff Engagement: Assists in establishing and maintaining an employment environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff. - Oversees a staff of approximately 125 employees. Manages and supports supervisors with functional area responsibilities. - Assists in evaluating and revising job classes and position descriptions to establish role expectations that align with industry standards and meet the needs of the department. - Manages recruitment and hiring processes to ensure optimum fit between employee and employee’s job.  - Ensures orientation and onboarding processes provide a solid foundation upon which employees will develop and succeed.  - Assists in developing a comprehensive employee training program that increases capabilities, quality, service, and productivity; ensures a comprehensive leadership development program maximizes the critical thinking, quality, service, and professionalism of direct reports; develops and implements a performance assessment and evaluation programs that build on the strengths of the employee and identifies those areas which the employee needs improvement to be more effective. - Fosters a safety first work environment for EVS employees - Ensures staff have the equipment and supplies to do their job - Recognizes staff for their inherent value and motivate staff to achieve their best work. Safety, Quality, and Performance Improvement: Ensures the safety of our patients and visitors through high reliability of processes. - Fosters a culture of continuous process improvement; embodies OHSU Performance Excellence. - Assists in developing and implementing leader standard work - Assists in aligning EVS policies, processes, and procedures to industry best practices for healthcare environmental cleaning. - Ensures monitoring and reporting processes document continuous compliance to standard work  - Partners with Infection Prevention and Control to audit and report on EVS cleaning effectiveness. - Maintains continuous readiness for hospital accreditation. Leadership: Implements department strategy and culture to achieve organizational and departmental goals. - Assists in developing, assessing, revising the departmental strategic plan annually. - Serves as a subject matter expert providing knowledge and expertise with regard to EVS policies and procedures and infection control practices to reduce healthcare associated infections. - Collaborates with Healthcare leadership and peers in all matters related to EVS operations in order to establish and maintain solid and mutually beneficial relationships. Supports and enforces department policies and procedures.  - Reviews and evaluates existing programs, services, policies and procedures. Recommends and implements new and or modified programs, services, policies, and procedures. - Fosters a mutually respectful and productive relationship with union leadership; effectively manages staff is accordance with OHSU policies and the terms of the collective bargaining agreement; serve on the EVS Labor Management Committee to leverage the collaboration among EVS staff and management to drive improvements in the quality of the employment environment. Patient Experience and Customer Service: Manages a comprehensive patient- centered service program that ensures exceptional patient experience. - Maintains service standards to provide excellent customer service that enhances the rapport with patients through responsiveness to needs and requests. - Implements a patient rounding program engages EVS employees at all levels in patient and facilities rounding. - Manages the patient experience program to address areas of greatest opportunity and to recognize pockets of excellence. - Utilize visual management tools to make scores, targets, and trends visible and interpretable to all staff. - Meets or exceeds established targets for patient experience scores.

HR Business Strategy: Provide early and consistent input into large scale HR and/or organizational initiatives, identifying issues before they impact the organization and advising on appropriate course of action.  With strong understanding of organizational contexts, work with key stake holders to offer innovative and integrated HR solutions to processes that translate strategy into tactics.  - Partner with senior leaders to define and design strategic initiatives. - Align HR strategies and practices with organizational strategies. - Lead organizational redesign process in partnership with Organizational Development/Effectiveness team. - Champion the organizational culture of DEIB (Diversity, Equity, Inclusion and Belonging), and promotes our vision to achieve a people-first culture. - Communicate policies and procedures to employees. - Anticipate and prevent future problems, taking initiative within role. - Anticipate leadership gaps and build action plans to address. - Understand business level metrics, use data to forecast current and future needs. - Work with leaders to translate early-stage concepts into actionable plans. Talent Development:Collaborate with the Learning & Talent/Organizational Development team to curate resources and opportunities that develop common competencies and skills. Lead talent review process in customer areas, support development and succession planning. - Onboard leaders, including running New Leader Accelerations with teams. - Help leaders understand and action plan around Employee Engagement Survey. - Be well versed in survey-related data points, and provide coaching to leadership. - Understand and practice change management skills. Assist leaders by acting as coach and leading teams through change. Other Key Partnerships/Processes: - Lead and support client areas to achieve key Diversity & Inclusion metrics. Including involvement and coaching of local diversity councils and initiatives. - Review HR-related policies, provide input in creation and policy updates. Act as a resource for managers and employees regarding policy interpretation. - Partner with Talent Acquisition (TA) on department Workforce Planning. Participate in recruitment planning and process for roles at the Management level and above.  - Drive engagement initiatives and understand benefit and wellness plans. - Lead compensation change initiatives with customers. Partner with Compensation team to resolve concerns brought forward by the organization. Lead work around reorganizations, reclassifications, job description reviews, resolves issues, and communicate changes to leaders. - Employee Relations: Partner with Advice and Counsel Center (ACC) on performance and departure issues, especially at higher levels in the organization, and in areas with high level of turnover.  Partner with ACC members with high-risk cases.  Review issues and metrics and advice as to trends and needed remedies.

Enrollment Process - Utilize Health Information Systems to analyze and investigate practitioner information, and distribute provider credentialing and enrollment packets in coordination with OHSU Medical Affairs Program, meeting established policies and procedures. Prepare and distribute practitioner and facility data, complying with the requirements outlined by state government, federal government, and commercial carriers. Perform data entry of sensitive provider information in federal and state provider enrollment systems. This process requires knowledge of legal, federal, state, and OHSU requirements; the National Plan and Provider Enumeration System (NPPES); the Medicaid Management Information System (MMIS); licensing boards; MSOW; the Oregon Practitioner Credentialing Application (OPCA); the Provider Enrollment Chain and Ownership System (PECOS); the CMS Identity and Access Management System; and, Washington’s ProviderOne. Collaborate with OHSU Medical Affairs Program, OHSU departments and OHSU Partners to achieve accurate credentialing, timely enrollment, and compliant billing status. Troubleshoot problem claims in EPIC work queues. Maintain positive relations with insurance carriers to assist with timely reimbursement, problem solving, and plan participation. Perform timely annual enrollment and termination of residents and fellows. File Maintenance - Collect and maintain appropriate provider documentation and licensure, perform manual enrollment processes, and facilitate practitioner payer re-credentialing and revalidations. Update and maintain practitioner and facility database as a central resource for OHSU, OHSU Health Plan and OHSU partners, including department and billing personnel. Document, maintain and understand regulatory requirements for governmental and commercial payers. Audits and Special Projects - Develop and update necessary workflows and documentation relevant to provider enrollment to improve effectiveness of department operations. Provide ad hoc reporting based on need or request. Participate in special claims correction projects related to enrollment. Promote and implement LEAN processes. Perform other duties as assigned.

- Verifies insurance eligibility and obtains benefits, referrals/prior authorizations and documents in patient’s file. Updates insurance information on patient’s accounts when applicable. - Maintains off-site log or assists peers with maintenance by obtaining authorizations for ancillary service referrals and documentation of such. - Reviews orders and documents treatment approvals and locations in patient’s record (EMR). Monitors all treatment regimens for insurance coverage and appropriateness of indication and forwards to Manager/Formulary Committee for approval as needed. - Functions as a “point of inquiry” and resource for all work unit staff with questions regarding insurance coverage and where scans and treatments may be done. - Applies problem solving and negotiating skills in working with insurance companies and referring providers to obtain a successful outcome. - Performs financial counseling with patients prior to treatment and calculates co-insurance amounts as requested or obtains costs of treatment for ABN preparation. - Reviews additions to the schedule of same day and next day appointments from outside OHSU providers for insurance and authorizations of medications to infuse in the day treatment clinic. - Performs research and processes paperwork for financial assistance foundations to help patients pay for specialty drugs.

The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities, and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture. 

Patient Preparation. - The IONM Technologist documents a comprehensive patient history including neurological symptoms and medications. Procedures. - The IONM Technologist performs procedures appropriate to their competence, according to the policy and procedures, including test setup, electrode application, maintaining patient safety and other related duties. Strong, well developed communication skills are essential for this position. Equipment Maintenance. - Maintains clean testing equipment, maintains proper sanitization of supplies and surrounding area, and reports equipment malfunctions in writing to our engineer. Miscellaneous. - Performs advanced test; prepares reports of recordings for interpretation by physician; edits, types, archives and stores files in accordance to lab policy. The IONM technologist communicates appropriately and effectively with the patient to convey the purpose of the test, and answer questions surrounding the test as well as with higher level personnel. Understands why and how to troubleshoot common artifacts and protocols with a conscious effort to maintain safety standards. Customer Satisfaction. - Follows AIDET customer service philosophy. Understands AIDET and how to correct the most common customer service complaints. Follows Press Ganey scores and helps the department to achieve the highest-level scores possible by working to become a leader in customer service.

- Respond to reported concerns, support the investigation process, provide consultation, facilitation, and guidance on a variety of employment and labor relation matters. Maintain appropriate confidentiality. - Resolve complex or sensitive employee and labor relations issues, including those relating to conflicts, attendance, code of conduct issues, and performance concerns, as assigned . Partner with other experts in HR, Legal, OCIC, Integrity and Public Safety to ensure a holistic understanding and approach to the situation. - Manage and maintain cases and documentation in the employee relations system. - Operate as the team lead for ACC Partners/Coordinator by monitoring department case load, identifying education needs for the team, Human Resources, and the organization, developing, managing, educating, and modifying assigned processes/procedures, assess cases, serve as a resource for the team, and provide feedback on team performance. - Conduct Investigations for higher levels of leadership within all areas of the organization. - Next point of contact for customers when there is a concern regarding the management of their case. - Responsible for completing department projects related to organizational initiatives. - Attend grievance meetings, provide guidance and recommendations for grievance responses. - Consult with Labor Relations on complex grievances and difficult cases. - Support the organization by providing equitable, timely, and consistent interpretation and guidance on HR policies and procedures, employee and labor relations matters, performance management conversations and documentation, conflict resolution, discipline, grievances, arbitrations, and other employee relations services. - Build a collaborative relationship with the organization by providing exceptional service to each mission. - Apply a diversity, equity, and inclusion lens to identify themes and trends, design and deliver interventions, and drive continuous improvement in organizational strategies and effectiveness of Employee Relations. - Coordinate with OCIC (Office of Civil Rights Investigations and Compliance) and Occupational Health to provide the needed support for reasonable accommodations and ensure associated situations are identified prior to making employment decisions on items related to accommodation requests. - Recommend and draft new and updated policies, procedures, and bargaining concepts; - Participate in collective bargaining at the direction of the labor relations team.

The Knight Cardiovascular Institute Clinical Senior Research Assistant (Research Coordinator) is responsible for various duties related to clinical trials. The research coordinator will Identify potential subjects through chart review, discussion with investigator or other mechanisms; assists PI in the identification and eligibility of new protocol subjects; schedules, orders, communicates assessments and appointments.  They are responsible for trial implementation for all trials that fall under their specific discipline.  The Research Coordinator is also the primary liaison for patients receiving experimental research procedures on a clinical trial and is responsible for the triage of patient needs and identification, reporting of, and follow-up of adverse events.  They have a strong understanding of the connection and differences between clinical care and protocol visits conducted for research subjects.    The research coordinator will have a very strong understanding of research regulations, reporting timelines, and quality data abstraction for research purposes.  This position will primarily support our Hypertrophic Cardiomyopathy research team within the division of Cardiology, they may be reassigned secondary duties to support other sections within the Cardiovascular Medicine Clinical Trials Unit and Knight Cardiovascular Institute. This is an onsite role with limited hybrid opportunities.

The Knight Cardiovascular Institute Clinical Senior Research Assistant (Research Coordinator) is responsible for various duties related to clinical trials. The research coordinator will Identify potential subjects through chart review, discussion with investigator or other mechanisms; assists PI in the identification and eligibility of new protocol subjects; schedules, orders, communicates assessments and appointments.  They are responsible for trial implementation for all trials that fall under their specific discipline.  The Research Coordinator is also the primary liaison for patients receiving experimental research procedures on a clinical trial and is responsible for the triage of patient needs and identification, reporting of, and follow-up of adverse events.  They have a strong understanding of the connection and differences between clinical care and protocol visits conducted for research subjects.    The research coordinator will have a very strong understanding of research regulations, reporting timelines, and quality data abstraction for research purposes.  This position will primarily support our Hypertrophic Cardiomyopathy research team within the division of Cardiology, they may be reassigned secondary duties to support other sections within the Cardiovascular Medicine Clinical Trials Unit and Knight Cardiovascular Institute. This is an onsite role with limited hybrid opportunities.

The appointee shall provide services as assigned by the supervisor in furtherance of the university’s missions and goals of teaching, research, patient care, outreach and public service.   This position reports to (supervisor): Craig McDougall, MD, Primary Care Section Head                                                      Katie Bensching, MD, Division Chief   The duties of this position include:   - Serve as a Primary care clinician in the Faculty Practice  (to include continuity care, as well as interim or same day care)  - Opportunities to care for inpatient general Medicine patients - Participate in clinical based teaching of OHSU students and internal medicine residents, such as resident continuity clinic precepting.     The Division of General Internal Medicine & Geriatrics is actively building an integrated team practice model for delivering high quality medical care and service to the patients we serve, including transitional care of hospitalized patients. The successful candidate must have demonstrated ability to work with a team of health care providers and collaborate to achieve clinical care goals.  Our practice also includes innovative models for delivering structured care to populations of patients with chronic conditions. Candidates with an interest in and experience with chronic care models of health care, coordination of care of complex patients in various settings, and continuous practice improvement will receive priority consideration. Our practice is recognized by the State of Oregon as a Tier 4 Patient Centered Primary Care Home and a Comprehensive Primary Care Plus clinic site.    This position will include continuity ambulatory practice and potentially interim care for the practice. Clinical care duties will be the equivalent of 7 half days per week.  Evening clinic hours will be expected at a 1-2 days a week.  Communication skills and the ability to collaborate with other clinicians in our practice is essential. Inpatient work will be assigned as available at OHSU or its partner institutions.   Faculty in the Division of General Internal Medicine & Geriatrics participate actively in teaching medical students, residents, fellows, and each other. Opportunities for teaching abound and participation is encouraged and valued. The faculty member will be expected to participate in continuing education, professional and faculty development and scholarship, as directed by his or her department. Compensation for this position will include a base academic salary, paid through the academic department, plus a clinical salary from an incentive system based on the success and productivity for their clinical work at OHSU campus, as well as personal initiative.

- With supervision, primarily provides academic support to other students through tutoring in one-to-one or small group settings. - Maintains records related to tutoring accurately and with confidentiality. - Communicates effectively with faculty in the Academic Success Center to support the academic success of student clients.

- Rounds regularly, 3 times per 8 hour shift, to inpatient ICU floors. Collaborates with clinical staff to assess patient needs before each task (lift or reposition), including type of lift to be performed, condition of patient, and state of patient’s physical disability. Performs patient transfers or repositioning using the appropriate lifting and transfer equipment. Identifies availability of necessary equipment and supplies for use in transfer or reposition. - Responds to patient falls and urgent situations in an expedited manner (in less than 10 minutes). Collaborates with clinical staff to assess patient needs before lift or transfer. Identifies availability of necessary equipment and supplies for use in lift or transfer, using patient retrieval systems, such as HoverMatt or HoverJack, when necessary. - Responds to requests for patient lifts or transfer from on-site and off-site (CHH and Dental School only) clinics (in less than 20 minutes). Collaborates, if possible, with clinical staff on scheduling prior to patient appointment. Responds to requests via Vocera, pagers or through the Transportation Dispatch. - Participates in MTP’s on the highest priority basis. Responds promptly to the Transportation Dispatchers directives. Maintains continual communication with dispatcher using Vocera and face-to-face communication with MTP clinical personnel. To ensure timeliness of this service, the following must be observed: use of elevators is not permissible and the first response must occur within 30 seconds of pager notification. - Transports patients using wheelchair, stretcher, hospital bed, and morgue cart to and from various locations include, but not limited to: nursing units, diagnostics, pre-op, life flight pad and morgue. Transfer patients to and from stretcher, hospital bed, exam table and wheelchair using transportation-assist devices such as Hovermatts, Slipps, slider boards and backboards. - Transports medical equipment, mail, labs, blood products and supplies to and from various locations within the OHSU environment. These locations are, but not limited to: nursing units, diagnostic areas, clinics, exam rooms, operating rooms, laboratories, morgue or offices. - Operates elevators for patient and equipment movement. Relieves elevator attendants for breaks. - Cleans and disinfects transportation medical equipment: stretchers, wheelchairs, morgue carts, HoverMatts, pillows and utility transport carts. - Other duties as assigned.

Hiring Bonus $10,000 and Relocation Package Available. Must start by July 1, 2024 to qualify.   $49.16-$78.18 per hour, based on RN Degree and level of experience   Scientist - Evaluates knowledge of self and others: - Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals. - Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships - Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery. - Evaluates patient outcomes against quality goals or benchmarks. Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.  Leader - Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to: - Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion) - The interdisciplinary plan of care - Documenting decision making in the patient’s plan of care and hand-off communication - Protects and advocates for patient safety, health and wellbeing: - Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command). - Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice. - Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care: - Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to. - Allocates resources based on identified patient and family needs - Speaks up immediately about concerns regarding assigned responsibilities Practitioner - Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care. Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate. - Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork. - Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights. - Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice. Knowledge Transfer - Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care. Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home. - Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record. - Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs). Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.