Chief Quality Medical Officer-Texas Health Forney

Texas Health Resources•Forney, TX

About The Position

The Chief Quality Medical Officer (CQMO) is a member of the executive leadership team and provides clinical perspective, expertise, and leadership to align the hospital, health system, and Medical Staff. The CQMO oversees the entity’s quality program and quality of care, including patient experience and appropriate clinical utilization. The role promotes Medical Staff participation in quality initiatives, clinical resource utilization, physician performance monitoring, clinical information technology, medical education, and clinical outcomes. The CQMO also supports physician recruitment and retention, credentialing and privileging, physician engagement and integration, and oversight of clinical operations. The CQMO is accountable for compliance with applicable clinical policies, directives, regulations, hospital bylaws, and accrediting-body standards. The position also provides clinical leadership and quality oversight to Texas Health Specialty Hospital to promote collaboration, continuity of care, and alignment between entities. The CQMO leads quality and safety improvement; supports performance plans, harm reduction, infection prevention, utilization management, care management, physician performance measurement, quality and risk management, and regulatory compliance. The role partners with executive and Medical Staff leaders on physician recruitment and development, strategic planning, medical affairs, credentialing, peer review, and clinical initiatives. It also works closely with nursing leadership and multidisciplinary teams to improve patient care and clinical outcomes. Texas Health Forney is a planned full-service acute care hospital along Highway 80 in Forney. At opening, it is planned to include 64 patient beds, an emergency department, operating suites, labor and delivery, imaging, and other services. The facility is slated to open in Fall 2027.

Requirements

M.D. or D.O.
Board certification in a medical or surgical specialty recognized by the American Board of Medical Specialties or American Osteopathic Association, required upon hire.
At least 5 years of medical management experience as a CMO, CQO, VP of Medical Affairs, or equivalent, with progressively greater responsibility and significant clinical performance-improvement and patient-safety accountability.
Demonstrable, credible clinical practice experience sufficient to relate credibly to a diverse, highly trained Medical Staff.
Progressive leadership in healthcare and Medical Staff activities, with clear achievements.
Experience and achievements with accountability for hospital Quality, Patient Safety, and Performance Improvement programs.
Experience with clinical informatics and/or an electronic health record.
Experience executing quality, patient-safety, and performance-improvement programs by building consensus across complex organizational constituencies or stakeholders.
Ability to lead through influence as well as authority.
Ability to serve effectively on an executive team and build formal and informal relationships to achieve goals.
Ability to manage change and tolerate ambiguity in a complex, fast-moving organization.
Strong interest in data and analysis, and willingness to establish and meet or exceed objective performance parameters.
Effective oral and written communication with diverse constituencies and stakeholders; ability to demonstrate integrity and inspire confidence.
Ability to lead by example and motivate others to improve care safely and compassionately.
Ability to adapt leadership skills across different environments and cultures.
Ability to solve problems, think creatively, and be resourceful; be results-oriented, a quick learner, and a self-starter.

Nice To Haves

Master’s degree in business administration, public or healthcare management, or another advanced management degree is highly desirable and preferred.
Experience in a complex, multi-hospital system of at least five to seven hospitals and a diverse Medical Staff community.

Responsibilities

Provide clinical leadership and facilitate alignment among the entity, health system, and Medical Staff.
Oversee the entity’s quality program and quality of care, including patient experience and appropriate clinical utilization.
Lead and sponsor continuous quality and safety performance improvement and sustain reduction in patient harm.
Deploy and sustain hospital quality performance-improvement plans in collaboration with system and hospital executive leadership.
Contribute to hospital channel quality, safety, harm-reduction, and operating-margin performance measures, including cost management related to avoidable harm and value-based purchasing.
Oversee Infection Prevention, including emerging disease threats, multidrug-resistant organisms, and Joint Commission standards.
Assist the hospital President with recruitment of medical staff based on quality and safety.
Participate in decisions about new technology based on clinical need, evidence-based practice, and expected quality, safety, and patient-experience outcomes.
Provide executive oversight of care management, including length of stay, patient flow, timely discharge, readmissions, post-discharge emergency visits, and clinical outcomes.
Oversee physician advisors working with case management and support development and adoption of standardized order sets, protocols, and clinical pathways.
Oversee development and communication of physician performance measures and help Medical Staff leaders interpret and act on performance data.
Educate physicians and other care providers, and develop and monitor physician practice patterns.
Provide executive oversight of Quality and Risk Management, including sentinel events and regulatory compliance.
Keep the Medical Staff informed about CMS developments, value-based medicine, public quality reporting, national trends, and local initiatives.
Oversee physician recruitment, orientation, retention, and efficient Medical Staff application processes; support credentialing, privileging, and reapplication activities.
Partner with the President on physician contracting and engage, mentor, and support physician leaders and other physicians accountable for executing plans.
Set collaborative expectations with physician leaders, the Medical Executive Committee, and department leads, and promote accountability for shared goals.
Communicate management decisions and their rationale and impact to the Medical Staff, and convey Medical Staff concerns to management.
Promote communication and cooperation among Medical Staff, administrative leaders, community leaders, and nursing leadership.
Participate in organizational strategic planning, budgeting, medical affairs planning, and planning for clinical initiatives, equipment, technology, and construction.
Align Medical Staff goals with facility goals, facilitate Medical Staff steering committees, and oversee systematic ideation and review of clinical proposals and funding recommendations.
Oversee the Medical Staff office and medical affairs functions; serve on the Medical Executive Committee or Medical Board.
Coordinate with the Reliable Health CMO and credentialing committee to develop credentialing and privileging criteria.
Ensure effective systems for Medical Staff administration, committee support, policies, bylaws, and procedures; advise Medical Staff officers and leaders.
Facilitate the peer-review process and serve as executive champion for adjudicating serious safety events.
Provide clinical leadership and expertise to Texas Health Specialty Hospital to support collaboration, continuity of care, quality oversight, and alignment.