Website Beth Israel Lahey Health

The Chief Medical Officer (CMO), a member of the senior leadership team, is responsible for the development, implementation and monitoring of standards of clinical practice and for the overall integration, coordination and quality of clinical care provided by the medical staff. The CMO is responsible for the overall medical and administrative affairs related to health care delivery and medical staff management of patient care while providing a visible, institutional commitment to quality. The position fosters and maintains the partnership between the Hospital and its medical staff, aligning the quality processes and outcomes to elevate the level of quality and set the Hospital and its programs, services, physicians and clinical staff apart from those of its competitors. The position links the efforts of the hospital’s quality initiatives with those of the Beth Israel Lahey Health (BILH) system to establish a foundation that maximizes clinical quality integration.

Job Description:

Responsible for partnering and working closely with the Chief Quality Officer, Medical Staff, Surgical PA program, Hospital based physician services arrangements (Hospitalist, Case Management, Community Clinics, Comprehensive Pain Center, Wound and HBO Clinic) and oversee the selection and performance of department directors/managers for those areas.

Serves as a core senior leader to the daily operations of Anna Jaques Hospital as well as Seacoast Affiliated Group Practice.  In this capacity, the CMO coordinates and meets daily with the CNO, VP Quality and support services, Senior Director of Imaging and cardiology services, and SAGP leaders, to provide daily operational leadership of both the hospital and affiliated group practice.

Fosters and maintains an administrative partnership between the Hospital and its medical staff, aligning the quality processes and outcomes. Collaborates with the Chiefs of Service to assure congruence with the overall direction and standards of medical professional leadership within the organization.

Partners with the Chief Diversity, Equity & Inclusion Officer and others to drive Diversity Equity & Inclusion efforts within the medical staff and broadly amongst BILH Executive Leadership. Will ensure that BILH is addressing social determinants of health in all our work.

Develop and coordinate implementation of an annual performance improvement/patient care assessment plan and initiatives that respond to though not limited to: (a) standards of practice; (b) standards of care; (c) community health needs assessment; (d) external regulatory and reporting requirements; (e) demand for clinical services; and (f) approved strategic plan.

Responsible for the overall medical/administrative affairs related to health care delivery and medical staff management of patient care.

Devise and implement quality improvement plans through the existing organizational structure and ensure that the standards, processes and outcomes of these efforts are aligned with those of BILH in collaboration with the CQO.

In collaboration with the BILH system, establish quality processes and outcomes at the Hospital by developing and incorporating standards and programs in conjunction with the BILH system, so as to ensure that the standards of practice/clinical care are integrated/aligned and consistently met.

Provide oversight for the development and implementation of methods to measure and track quality metrics to compare results against internal and external norms, benchmarks, and standards of excellence. Establish monitoring, reporting and evaluation related to implementation of required quality metric performance improvement plans.

As allowed within the parameters of the Medical Staff By-Laws, establish qualifications for and monitor appointments/re-appointments of all clinical staff; establish and monitor standards and outcomes of clinical practice; participate in the search and make recommendations regarding appointments of Chiefs of Service.

Provide direct leadership of the Hospital’s quality and outcome improvement efforts.

Partners with medical staff leadership in the development, coordination, implementation, and evaluation of annual performance improvement plans and initiatives for the service departments that reflect:

Current evidence-based practices
Community health assessment and demand for clinical services
Regulatory and reporting requirements
Organizational strategic plan and patient care assessment plan and in the enforcement of Hospital and Medical Staff Bylaws, Rules, Regulations, Policies and Procedures.
Serves as the Hospital’s administrative representative, resource and a contributing member of the Medical Staff Quality Improvement Committee, Credentials Committee, Medical Executive Committee, PCAC, Clinical Oversight Committee, Pharmacy & Therapeutics Committee,
Patient Safety & Quality Committee. Serves on other Hospital and BILH system committees as requested by the President.

Consults with the Medical Staff Service Chiefs on the development and implementation of service programs that encompass:
Medical clinical care measures of performance in accordance with medical specialty organizations’ standards, internal and external benchmarks, and regulatory requirements/expectations
Interactive and active mechanisms to monitor measures of performance
Methods to determine effectiveness of measures and outcomes of care
Methods for revision and advancement of medical practices reflective of performance improvement initiatives
The development, implementation, and provision of guidance on medical policies and procedures.

Performs an active role in promoting physician involvement and integration in hospital wide and where appropriate, system wide programs, committees and new initiatives.
Develops and maintains collegial relationships between the Hospital, community based institutions, and plays an active role in promoting volume growth by leading ongoing efforts to develop efficient, patient centered, physician-friendly, medical programs and service lines.
Serves on committees, task forces or other groups, internal or external to the organization, as required from time to time and as designated by the President.
Maintain content awareness of regulations and standards affecting assigned areas of responsibility through ongoing professional development. Interprets new regulations and requirements and oversees their implementation.
Attends seminars, workshops, and maintains professional affiliations to keep abreast of latest trends in field of expertise especially related to health care quality, regulatory affairs, organizational behavior and leadership.
Performs all duties in accordance with safety and other laws, rules and regulations as set forth by appropriate regulatory and government agencies and in accordance with established department and hospital policies and procedures, and in accordance with the Hospital’s Code of Conduct and employee standards of performance.
Along with administrative staff, responsible for the daily clinical and business operations of SAGP.
Supports and leads AJH based efforts to support recruitment of physicians and providers for clinical roles within SAGP.
In collaboration with AJH VP of quality and BILH leaders in Quality and BILHPN, supports the efforts to achieve high performance in contractual quality metrics including management of total medical expense.
Responsible for the fiscal performance of SAGP including both expense management and work to manage successfully revenue cycle performance.
Acts as Liaison to the AJH senior management team for clinical and operational issues related to SAGP.
Leads collaborations with other BILH colleagues to seek alignment of group practice business and clinical operations when appropriate.
Participated in and supports the ONEBILH EPIC implementation and future local enhancement efforts.
May be required to perform similar or related duties as may be necessary on a temporary or an emergency basis.


Educational Requirements/Credentials:

Medical degree, board certified in an appropriate medical specialty.
Licensed to practice, in good standing (or eligible for license) in the state of Massachusetts.

Experience Requirements:

A minimum of 10 years of professional clinical practice.
Documented leadership in areas of health care quality, including involvement in successful TJC/CMS surveys, knowledge of external regulatory and reporting requirements and payor initiatives impacting on quality assessment programs.
Demonstrated experience in medical staff and administrative affairs as evidenced by serving on and preferably chairing an organization’s medical/executive committee or quality committee.
Credentialed (or eligible to be credentialed) by the Hospital and Beth Israel Deaconess Medical Center Medical Staff
Demonstrated commitment to high clinical standards and concern for patients both at the bedside and in the community.
Must possess a proven patient-centered approach to care with the desire to take that commitment from clinical practice to organizational leadership.
The above statements are intended to describe the general nature and level of work to be performed. They are not to be construed as an exhaustive list of all responsibilities and skills required of personnel so classified.

Tagged as: chief medical officer, leadership

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