• IASIS Healthcare
  • $185,475.00 -185,475.00/year*
  • Newton Center , MA
  • Executive Management
  • Full-Time
  • 101 Olde Field Rd

CMO/Chief Medical Officer
Job Description
POSITION SUMMARY:
The Chief Medical Officer (CMO) reports directly to the President and CEO of the Hospital and the Chief Medical Officer of Steward Health Care System. Within established organizational and departmental policies and procedures, the CMO develops an effective medical staff to serve the needs of the community and monitors and improves the quality of care in the Hospital and the community. The CMO is a member of the executive team of the Hospital, who not only manages a portion of the organization, but also performs a key role in relating hospital functions, decisions, and policies to the medical staff, as well as relating medical staff opinions, attitudes, preferences, and needs to the Hospital leadership and governing body. The CMO serves as a resource to the medical staff, chiefs, and staff in credentialing, reappointment, peer review, and quality review.
The CMO is directly responsible for credentialing, medical education, quality assurance and improvement, and patient safety / risk management. He/she will work with the clinical chairs in the development of departmental vision, growth plan, and quality agenda. The CMO will coordinate and facilitate the development of cross-discipline programs and hospital-wide initiatives, as well as collaborate with the President and key senior team members on hospital/physician alignment, service line development and profitability, and new technology.
The CMO will serve as a liaison to the medical staff and hospital administration, and in collaboration with the larger team, creates a culture of respectful, mutual support, and extraordinary quality and service consistent with the Hospital's strategy and values.
KEY RESPONSIBILITIES:
Quality and Safety, and Patient Experience of Care:
+ Ensures implementation of Quality and Safety Plan and annual goals through interface with Medical Executive Committee, as well as other committees and workgroups.
+ Chairs Patient Safety Triage Team.
+ Chairs Quality and Safety Committee.
+ Ensures current processes are effective and addresses shortfalls through assessment, development and implementation of protocols and practices.
+ Is accountable for continuous performance improvement and achievements of goals on internal and external measures.
+ Reviews all events in the incident reporting system and participates in root cause analysis as needed, identifying and overseeing implementation of corrective actions.
+ Analyzes and acts on safety trends.
+ Oversees the supervision of the patient advocate, risk and regulatory managers, performance improvement specialists, and infection control staff.
+ Facilitates the involvement of medical staff members in the peer review process and works to improve the coordinated efforts of all medical staff departments to continually and systematically monitor and improve care.
+ Monitors quality and safety, patient satisfaction, risk management, and utilization review, and develops performance improvement plans.
+ Works with clinical documentation specialists, coders, and medical staff to ensure complete and accurate documentation.
+ Serves the Patient Care Assessment Coordinator, accountable for reporting to the Board of Registration in Medicine.
+ Develops agenda for Patient Care Assessment Committee of the Board.
Regulatory:
+ Ensures regulatory readiness, reviewing, and implementing policies for hospital and medical staff; has a leadership role in Policy Committee.
+ Takes an active role in regulatory readiness (e.g. Joint Commission, BORM, CMS, DPH, DMH, OSHA, FDA, Mass Health, etc.).
+ Is accountable for completeness of medical record documentation by medical staff.
+ Is accountable for timely adoption and education related to new policies and existing policies.
+ Submits timely SQR reports to BORM; assists in development of annual and semiannual reports to BORM.
+ Reviews any reports sent to DPH or DMH prior to submission.
Medical Staff Office:
+ Supervises and meets regularly with the Director, Medical Staff Office.
+ Serves as resource regarding credentialing or medical staff issues.
+ Ensures medical staff is fully credentialed.
+ Ensures Joint Commission readiness for medical staff issues, including focused and ongoing Professional Performance Evaluation compliance.
+ Ensures ongoing compliance with medical staff bylaws.
Medical Executive Committee and Peer Review:
+ Ensures adherence to timely and complete Morbidity and Mortality Rounds in all departments, reviews re


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* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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