Overview

 

The Executive Vice President (EVP), System-wide Chief Medical and Quality Officer (CMQO) serves as the organization's top senior physician executive leader responsible for ensuring enterprise-wide high quality and safety outcomes and continuous quality improvement, medical staff relations, accreditation and regulatory compliance, key physician operations and coverage, academic training, medical staff office/functions, and service line performance. The CMQO will partner and collaborate with key leaders across the system on physician engagement and alignment, physician contracting, compliance and risk, system-wide strategies and growth initiatives, operations, fiscal management, and development of an outstanding culture for physicians, advanced practice providers, and staff. 

 

The CMQO serves as the chief medical leader and key advocate for clinical excellence, patient safety, resource utilization, care coordination, length of stay, and clinical productivity. This key leadership position will drive continuous outcomes and safety improvement across the enterprise, oversee activities related to Performance Improvement, Infection Prevention, and Environment of Care Safety.  Working with their dyad partners, the CMQO will direct the hospital based CMOs to ensure alignment with system goals, quality and safety initiatives, and other system initiatives. The CMQO works with the Executive Director of the Medical Staff Office to oversee medical staff functions, credentialing, physician engagement and alignment, as well as appropriate integration of independent and employed medical staff with other clinical staff.  Additionally, this position will provide oversight of physician academic/GME programs.

 

This dual role as Chief Medical and Quality Officer requires an experienced physician leader who can assist in building trust and credibility with the entire medical staff, ensure the high quality/high reliability of patient outcomes, develop medical staff leaders, and oversee certain key physician clinical operations. 

 

Overall, the CMQO works collaboratively with all Cone Health divisions to enhance patient care, ensure progress towards value based care maturity, guide clinical policy and protocols, ensure fiscal management, ensure appropriate quality outcomes at appropriate benchmarked levels and accurate reporting.  This executive must be metric and outcome focused and promote evidence based practice.  This senior leadership role will be a key collaborator with physicians and other executive team members in growth strategies, market positioning, ensuring community needs are met in a fiscally responsible manner, and developing key community partnerships and relationships.

 

The position is also accountable for leadership of Physician and APP recruitment, the appropriateness of admission and discharging processes, adopting medical technologies, and improving physician documentation, including promoting interoperability and leveraging technology, data and analytics to improve clinical quality and patient care.  This position assists in leading Cone Health’s approach to innovation, health equity, value based care, and care transformation.  The CMQO will represent Cone Health as a national leader in quality and safety.

 

The CMQO reports directly to the Chief Executive Officer (CEO) and serves as the dyad partner to the EVP System Chief Operating Officer (COO).  A foundational function of this position is to serve as a close and trusted dyad partner with the COO.  In a dyad partnership, the CMQO and COO will serve as an example to the organization of a highly collaborative leadership model, shared accountability, and unified decision making.  This executive has regular and frequent contact with executive leadership, physician leadership, and Board of Trustee members and serves on the Executive Strategy Council.

 

Direct Reports to the CMO/CQO:

- SVP and CMO, Acute Services (Hospitalist, Critical Care, Emergency Medicine, and Palliative Care)

- SVP and CMO, President Cone Health Medical Group (CMO CHMG, Value Based Care Institute (VBCI), and Ambulatory

- System Chief Advanced Practice Providers (APP)

- Executive Director, Quality and Safety

- Chief Pharmacy Officer

- SVP, Chief Academic Officer

- Executive Director, Medical Staff Offices

- CDI and Physician Advisors

 

Matrixed Reports to the CMQO:

- Service Line Leaders (Dyad with COO)

- Chief of Staff (Dyad with COO)

 

Responsibilities

 

 

Establish a clear quality and safety improvement strategy for the system wide organization with priorities and goals based on national benchmark top decile performance.  Create and sustain a high reliability organizational culture for the system.

 

Provide leadership to the medical, clinical, and management staff in the areas of clinical quality outcomes management, system wide clinical integration, medical management, and system wide performance improvement in quality and safety.

 

Works closely with the Value Based Care division to ensure the system promotes, integrates and leads through a lens of value based models of care.

 

Work closely with the COO and the EVP, VBC to ensure value based care integration across the organization.

 

Work closely with the EVP, VBC to ensure promotion and integration of Triad Health Network and Risant value based platforms across the system.

 

Direct and lead collaborative relationships with Medical Executive Committees, division management teams, medical staff and other partners to ensure effective communications, clinical and operational effectiveness in order to assist the health system in addressing medical staff and quality care issues.

 

Advise Cone Health Medical Group, Ambulatory medical staff, and acute medical staff, and other entities on effective resource utilization, risk management, quality assurance and the utilization review process; ensure that administration, physicians, and governing bodies fully appreciate the implications of regulatory agencies, hospital practices and physician needs to maintain accreditation and regulatory compliance.

 

Serve as a leader to ensure competency of physicians, residents, and other clinical staff, medical management systems, and protocol/best practices development. Monitor and promote the efficient use of system resources to medical staff.

 

Leads and oversees the strategy, structure, and efficient systems central to physicians and APP recruitment, credentialing and privileging.  Promotes safe and efficient models of care.

 

Work in partnership with the CIO and CMIO to assure clinical oversite for medical informatics and AI technology.

 

Design and implement fair and accurate clinical outcome reports and statistical aids to continuously improve utilization and patient outcomes. Communicate results to appropriate members of the medical staff to ensure achievement inspired outcomes.

 

Assist leadership in addressing medical staff and quality care issues, coverage requirements, and physician contracts. Act as a system-wide resource to aid in reaching negotiated contract goals and expectations as they pertain to quality, medical staff coverage, community needs, compliance, and fiscal responsibility.

 

Serve as the champion for CQI activities for the physician population and the organization, including direct facilitating and teaching. Communicate and provide education to the Medical Staff on improving patterns of care and the use of improved documentation to facilitate accurate coding and improve DRG assignment and to ensure compliance with promoting Interoperability.

 

Provide oversight and leadership as Cone Health develops expertise in medical informatics and health care intelligence. Accountable for improved utilization of the electronic health record, clinical decision support and leveraging data to improve clinical quality and resource utilization.

 

Work in a dyad partnership with the system COO to lead the enterprise in strategy, operations, fiscal responsibility, quality, physician relations, community relations, employee relations, and culture development.

 

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Qualifications

 

EDUCATION:

Required – MD or DO degree

 

Preferred – Advanced degree in healthcare administration or business administration; formal training in physician leadership program, Chief Medical Officer training, or Chief Quality Officer training.

 

EXPERIENCE:

Required:

- Minimum of 10 years of clinical practice experience, an active medical license, and Board certification in a medical specialty. 

- Minimum of 7+ years demonstrated experience in Medical Staff Leadership roles, Quality Leadership roles, and progressive administrative experience in leading system-wide clinical quality, safety, and growth initiatives within a healthcare system.

- Demonstrated leadership of physicians, teams, a great communicator, strategic and systems thinker, strong business acumen, experienced negotiator, and a high degree of emotional intelligence.

 

Preferred:

-Experience in value based care and population health quality improvements/metrics/outcomes

-Multi hospital and ambulatory system experience

-Experience in complex pharmacy strategy and operations

-Experience in Graduate Medical Education

-National thought leader and speaker

-Experience with EPIC

-An ability to organize and present data in a concise manner often to physicians, professionals, and Board members.

-Experience in a dyad leadership model

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

Required:

-Licensed (or license eligible) to practice medicine in the state of North Carolina

-Valid drivers license