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So you want to be an ED director?

the many roles and accountabilities of an ED director

  • an ED Director requires many skills and attributes in addition to being a respected EP clinician
  • an ability to be a dynamic respected leader is critical
  • there is a duality of simultaneously advocating and representing the hospital and the executive team as well as doing so for ED staff and patients
  • the ED Director should have a firm understanding of the ED IT patient management system and the underlying data so they can be efficient with targeted and appropriate data extraction
  • an excellent foundation in MS Excel is required to ensure the data can be analysed and presented in an effective manner
  • excellent people skills are required to ensure the many people conflicts can be addressed and preferably, prevented
  • knowing what is appropriate to be delegated is important - those areas where the ED Director will be held particularly accountable for perhaps should not be delegated unless there is great confidence to do otherwise

the ED director is THE main ED liaison with nearly everyone

  • ED administrative assistant
  • ED medical team
  • ED nursing team
  • ED clerical team
  • ED allied team
  • hospital executive, in particular, your line managers
  • hospital legal team
  • radiology dept
  • pathology dept
  • pharmacy
  • infection control
  • critical care services
  • finance department
  • payroll office
  • information technology
  • inpatient unit teams
  • research department
  • mental health service
  • ambulance service
  • police
  • local hospitals
  • local general practitioners
  • department of health
  • coroner's office
  • ACEM
  • state ED Directors' group
  • state auditor general office


  • ED medical staff management including:
    • budget and EFT
    • recruiting
    • credentialing and contract management
    • rosters
    • time sheets
    • leave management including conference leave to ensure excess conference leave is not taken and the ED will not be left with inadequate staffing
    • sick leave management and replacement
    • detailed understanding of staff awards and EBAs
    • performance appraisals including ensuring mandatory competencies and excess leave are maintained
    • conflict resolution
    • staff roles
    • occupational safety
    • general liaison and communication to disseminate information to staff
    • workforce planning
  • ED systems optimisation including patient flow, safety and quality of care
    • review of models of care
    • future state planning
    • align rosters with patient demand
    • review and optimisation of KPI performance
    • monitor and address adverse events (Riskman notifications, M&M meeting outcomes, quality committees, etc)
    • develop business cases for patient care improvements including significant new equipment or models of care
    • medicolegal case oversight
    • critical incident management
    • data audits
    • extract and analyse data to create charts and reports and inform advice on models of care optimisation
  • represent ED on hospital and government committees or workshops
    • health service workshops
    • patient flow committee
    • quality committee
    • Heads Of Unit meetings
    • IT systems user groups
    • occupational violence committee
    • mental health, ambulance, police liaison committees
    • data audit committees
  • sign off on documents
    • time sheets
    • staff contract requisition forms
    • staff leave forms and conference requests
    • new or updated hospital policies and procedures
    • research requests which involve the ED
    • business cases
    • ED patient post-discharge data corrections
edadmin/eddir.txt · Last modified: 2017/03/05 08:51 by

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