Job Summary

The Chief Medical Officer is a key member of the Senior Executive team, engaged in defining the overall clinical strategy and direction of the organization. In addition, this position provides senior leadership and leads the overall clinical vision for the organization with responsibility for clinical care and outcomes, patient safety and physician satisfaction. The position provides medical oversight, expertise and decision-making to ensure the delivery of affordable quality healthcare services. Responsibilities also include the strategy, development and implementation of innovative clinical programs, oversees the implementation of quality improvement efforts to improve clinical performance and maintain compliance with Joint Commission and other accreditation standards. Works to ensure compliance with all quality, legal, regulatory and local requirements. Oversees growth and management of Graduate Medical Education. Acts as physician liaison between Medical Staff and Administration.

The role has direct facility-wide administrative oversight and responsibility for the following areas: Clinical Quality and Performance Improvement, Accreditation, Graduate Medical Education, Medical Staff Services, Emergency Department Call, and Hospital-Based Employed Physicians to include Vascular Surgery, Hyperbaric and Wound Care, Endocrinology), Hospitalist Program, Emergency Medicine and the Intensivist Program. The incumbent shall also work collaboratively with the Vice Presidents for the following areas: Nursing, Clinical support areas, Physician Recruitment, and Hamilton Physician Services, a multispecialty physician practice organization including primary care and multiple medical and surgical subspecialties.

The Vice President, Chief Medical Officer will provide collaborative senior leadership in the ongoing development, implementation and overall management of HMC’s strategic plan and be responsible for fulfilling the following duties:

• Oversees the strategic clinical direction for HMC by identifying opportunities for development and growth, including the areas of clinical performance improvement and physician engagement and alignment around cost and quality.
• Works with physicians and administration to identify key market drivers, develop plans, and strategies to address trends, as well as future business development efforts.
• Develops and implements physician communication strategies that inform and promote information exchange among physicians and management.
• Assists in updating the physician recruitment plan and assists with physician recruitment visits, as well as promoting programs that enhance physician satisfaction.
• Negotiates, implements and manages contracts related to physician matters or the provision of physician clinical services.
• Involvement in all initiatives and concerns involving patient safety, quality, infection control, risk management, compliance, and patient services, especially those related to physician issues.
• Responsible for assuring a robust peer review and credentialing process in conjunction with medical staff leadership and committees.
• Ensures quality, safety, service and behavioral issues related to the Medical Staff are addressed fairly, confidentially and in a timely fashion in accordance with the Medical Staff Bylaws. Works closely with Medical Staff leadership to develop and implement.
• Responsible for oversight and development of Graduate Medical Education and Medical School relationships.
• Active participation in the care coordination program, including the monitoring of the appropriateness of procedures, admissions and utilization of resources.
• Collaboration with the Corporate Compliance Officer regarding physician issues that involve regulatory compliance and participates on the Ethics Committee.
• Oversight of all hospital based employed physicians in areas of responsibility and evaluation of their job performance and compensation in accordance with regulatory requirements and Hamilton policy.
• Assures compliance with federal and state law, as well as accrediting and licensing agencies.
• Leads efforts that will establish the hospital as a top performer as defined by externally reported measures of performance. These may include CMS star ratings, Leapfrog metrics, value-based purchasing and other publicly reported data and quality outcomes.
• Supports the development and implementation of standards of equipment, supplies, procedures and technology utilization.
• Serves as the Medical Staff liaison for technology issues (i.e. implementation of new technology platforms)
• Resolve Clinical, Operational and Productivity related problems affecting the delivery of care and patient access. Personally responsible to perform peer to peer counseling as appropriate. Keep lines of communication open with physicians and staff to ensure high productivity.
• Assist with implementing, monitoring, auditing and enforcing compliance related policies and procedures for employed Physicians in collaboration with the Corporate Compliance Program.
• Foster collaboration between HPS Physicians and HMC Medical Staff to achieve an integrated approach to providing services to improve patient care.
• Work collaboratively with the Chief Nursing Officer and Chief Operating Officer regarding all clinical patient care initiatives as well as quality initiatives to improve Leapfrog scores.
• Participates in and works with Physician Health Services (PHS), local Independent Physician Association, for all community-based initiatives such as clinical integration, population health management, etc.
• Be accessible, visible and available to support operational team during all working hours.
• Perform other duties as may be delegated by or assigned by the HMC governing body or HMC President and CEO.