Chief Quality Medical Officer-Texas Health Forney

Texas Health•Forney, TX

About The Position

The Chief Quality Medical Officer (CQMO) is a senior physician executive and member of the executive leadership team at Texas Health Forney. The CQMO provides clinical perspective, expertise, and leadership to align the hospital, health system, and medical staff. The role oversees the entity’s quality program and quality of care, including patient experience and appropriate clinical utilization, and supports 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 and medical staff credentialing, privileging, and reapplication activities. The role provides leadership for physician engagement and integration and oversight of clinical aspects of hospital operations. It works with executive, physician, nursing, clinical, operational, corporate, and system stakeholders, and supports collaboration and continuity of care with Texas Health Specialty Hospital. The CQMO is responsible for compliance with applicable clinical policies, directives, regulations, hospital bylaws, and accrediting-body standards. The CQMO leads quality and safety strategy and improvement, including performance plans, harm reduction, infection prevention, patient flow, care management, clinical outcomes, utilization, risk management, and regulatory compliance. The position oversees physician performance measures and supports medical staff members in understanding and acting on data. It contributes to hospital performance indicators and measures, operating margin, and value-based purchasing through improvements in quality, safety, utilization, and avoidable-harm costs. The CQMO also supports decisions about clinical technology and develops or promotes standardized order sets, protocols, and care pathways. The position oversees physician recruitment, orientation, retention, medical staff development, medical affairs, and the Medical Staff office. It partners with the hospital President on physician contracting, supports physician leaders through mentoring and collaboration, and promotes accountability and communication among physicians, medical staff leaders, nursing leadership, administrators, and community leaders. The CQMO participates in organizational and medical affairs strategic planning, budgeting, clinical initiative planning, and medical staff committees. It supports credentialing and privileging criteria, medical staff committee operations, peer review, and adjudication of serious safety events, and keeps medical staff informed about relevant national trends, local initiatives, and state and federal healthcare developments.

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.
Five years of experience in medical management as a CMO, CQO, VP Medical Affairs, or equivalent, with progressively greater responsibility and significant clinical performance improvement and patient safety accountability.
Credible clinical practice experience sufficient to relate to a diverse and highly trained medical staff.
Progressive healthcare and medical staff leadership experience with demonstrated achievements.
Experience and achievements with accountability for quality, patient safety, and performance improvement programs in a hospital setting.
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 be an effective executive team member and build formal and informal relationships to achieve goals.
Ability to manage change and work effectively amid ambiguity in a complex, fast-moving organization.
Passion for data and data analysis, and willingness to establish and meet or exceed objective performance parameters.
Ability to communicate effectively orally and in writing with diverse constituencies and stakeholders, demonstrate integrity, and inspire confidence.
Ability to lead by example and motivate others to improve care safely, compassionately, and using contemporary practices.
Ability to adapt leadership skills to different environments and cultures.
Ability to solve problems, think creatively, be resourceful, and be results-oriented, quick-learning, and self-starting.
Ability to perform the essential duties satisfactorily; reasonable accommodations may be made for individuals with disabilities.

Nice To Haves

MBA, MPG, 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

Collaborate with executive and Medical Staff leadership to develop and sustain strategies for improving quality of care, patient experience, and safety and reducing harm.
Lead deployment, execution, and sustainability of hospital quality performance improvement plans aligned with system and hospital leadership.
Identify opportunities to improve reliable quality and safety outcomes and work with multidisciplinary teams using collaborative approaches.
Contribute to hospital channel key performance indicators and measures for clinical quality, harm reduction, operating margin, utilization, and value-based purchasing.
Oversee entity Infection Prevention, including emerging disease and multidrug-resistant organism risks and applicable Joint Commission standards.
Assist the hospital President with recruiting medical staff and assessing new technology based on clinical need, evidence, and expected quality, safety, and patient-experience outcomes.
Oversee care management related to length of stay, patient flow, timely discharge, avoidable readmissions, post-discharge emergency visits, and clinical outcomes; oversee physician advisors working with case management.
Support development of standardized order sets, protocols, and clinical pathways, and monitor and facilitate medical staff adoption of approved pathways.
Oversee physician performance measures and ensure medical staff leaders have accurate data and support interpreting and acting on it.
Educate physicians and other care providers and help develop and monitor physician practice patterns.
Oversee Quality and Risk Management, including sentinel events and compliance with regulatory requirements; serve as a source of information on CMS, value-based medicine, and quality reporting.
Design and oversee physician recruitment, orientation, and retention activities and support medical staff credentialing, privileging, and reapplication processes.
Partner with the President on entity physician contracting and engage, mentor, and support physicians and physician leaders in executing plans and achieving collective goals.
Set collaborative expectations and accountability with physician leaders, the medical executive committee, and department leads; communicate management decisions and medical staff concerns among stakeholders.
Support nursing leadership excellence and collaborate on nursing patient-care outcomes related to medical staff and service-line operations.
Participate in executive and medical affairs strategic planning, budgeting, annual planning, clinical initiatives, equipment and technology planning, and construction planning.
Align medical staff goals with facility goals, facilitate medical staff steering committees, and oversee systematic programs for soliciting clinical ideas and evaluating physician proposals and funding recommendations.
Oversee the Medical Staff office and medical affairs functions; serve on the Medical Executive Committee or Medical Board and coordinate credentialing and privileging criteria with system partners.
Provide administrative support and guidance to Medical Staff committees and officers, and ensure leaders have information and appropriate policies, bylaws, and procedures to make decisions.
Facilitate the peer review process with administrative and medical staff and serve as executive champion for adjudicating serious safety events.
Provide the Medical Staff with updates on national trends, local initiatives, and relevant state and federal healthcare developments.
Extend clinical leadership and quality oversight to Texas Health Specialty Hospital to support collaboration, continuity of care, and alignment.