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Chief Medical Officer

Providence Health & Services

This is a Contract position in Thurston County, WA posted January 29, 2021.

The Chief Medical Officer, Providence Medical Group Southwest Washington Service Area (PMG-CMO) provides overall physician leadership to PMG for Southwest Washington, including the activities of all medical directors and oversight of all PMG primary and specialty care clinics. The PMG-CMO is responsible for all clinical activities, ensuring the highest quality of medical care delivered by PMG practitioners and support staff, achieving cost effective utilization of services provided, and oversees provider practice issues. The PMG-CMO and Chief Operations Officer (COO) for PMG SW lead together in a dyad model and in collaboration with area leaders to enhance service throughout the entire continuum of care. The PMG-CMO and COO dyad provide oversight and guidance for the financial aspects of PMG, and the development and implementation of strategic initiatives consistent with the strategic initiatives of Providence. With dyad partner and regional leadership, PMG-CMO oversees development and implementation of strategic plans; assists with medical staff recruitment to achieve appropriate staffing levels; and ensures that clinic caregivers are well informed regarding PMG strategy, direction, current issues and management response to those issues. This oversight includes; joint accountability with dyad partner for attainment of financial performance targets and for compliance with accreditation standards, and organizational requirements, such as medical management strategies, disease management programs, and service improvement initiatives, including customer satisfaction, and complaint resolution. As health care evolves, Providence is responding with a vision and core strategy to transform and innovate at scale. Across five states, Providence and its affiliates continue to pioneer how care is delivered by sharing one strategic plan designed to improve the health of entire populations by supporting the well-being of each person the organization serves. The plan supports the vision, “Together, we answer the call of every person we serve: Know me, care for me, ease my way®”, which is Providences promise to patients, customers and communities. The core strategy of “Creating healthier communities, together” is supported by five specific areas of focus in the system strategic plan: Inspire: We must first inspire and develop our people. Know: To serve our communities effectively, we are building enduring relationships with consumers. Partner: Providing the best care requires new alignments with clinicians and care teams. Adapt: Well develop and thrive under new care delivery and economic models. Adopt: To serve more people we will grow by optimizing expert-to-expert capabilities. Through innovation, excellence, good stewardship and working together across Providence, we will continue to lead change to improve the health of our communities. GOALS & OBJECTIVES It is expected that the new PMG-CMO will make significant progress in the following measures of success within the first 18 months: Vision and Strategic Orientation: Articulate a vision and a plan to design primary and specialty care models that will position SW PMG for success in the new paradigm and competitive landscape. Envision and develop a reasonable, coherent strategy for continued growth and maturation of primary care services. Develop and articulate a physician alignment strategy to successfully engage medical staff and community physicians. Implement program and strategies aimed at improving the health in the community and underserved populations. In addition, support the ministrys commitment to becoming a high reliability organization by shaping a culture of reliability that will enable us to predictably achieve – every time, every place– safe, high quality outcomes, working towards zero harm. Support the ACGME Family Practice Residency, by serving on committees, reviewing program information forms, participating as needed in funding and position negotiations with affiliated healthcare facilities, establishing related policies, meeting with the Program Director, attending faculty meetings, and meeting with residents/fellows. Accountability and Execution/Results Driven: Achieve clinical outcome targets, advancing the high reliability and quality agenda of the health system and maintaining high-touch, cost-effective care delivery. Be results-focused; set clear goals, priorities and specific measurable targets centered on access, quality, patient experience, utilization management, and cost effectiveness; establish and implement peer review structure, make timely decisions while considering cross-functional implications and ensuring alignment with mission, values and strategy; know what and how to measure, and how to interpret and use results. Collaborate with senior leadership and key operations leaders to develop metrics and user-friendly dashboards to enhance accountability at the clinician and managerial level. Provide accountable leadership and oversight to clinicians and administrators in the development and implementation of operational excellence priorities that provide the region with a full range of quality continuum-of-care services. ESSENTIAL FUNCTIONS The Chief Medical Officer, Providence Medical Group Southwest Washington Service Area will: Position PMG as a service area leader for providing quality care through initiatives, education and strong quality metrics programs. Partner with COO on the education, development, and reporting of care processes and patient outcome measures. Ensure that PMG meets or exceeds quality standards, including patient experience standards. Oversee development of best practices for PMG that become standards for care. Participate in clinic, department, and program-specific and system-wide quality assurance and improvement programs through active involvement in identifying indicators, utilization of services, and appropriateness of treatment for clinical services. Direct the development and implementation of methods to monitor and analyze outcomes, track project development and performance improvement for the program. Manage clinical quality concerns. Promote best practices around staff engagement, patient experience, and value. Provide direction and support for utilization and quality management policies, criteria and protocols. Implements medical policy/procedure guidelines, including evaluation of new medical procedures. Participate in retrospective review of problem areas identified from summary data of paid claims, admissions, authorization logs, grievance process and other sources where policy, utilization or quality issues are involved. Recommend intervention strategies or programs to rectify identified problems. Maintain confidentiality of records, patient, employee or medical center information at all times. Ensure all information and conversations regarding patients are secured from general public access. Provide effective leadership, by motivating staff and providers to produce excellence in their work both individually and as a team. Create a positive work environment for all staff. Create timely and direct communication channels to deal with service, clinical or performance issues, ensuring prompt and appropriate resolution. Serve as a role model in setting standard of practice and performance. Promote and provide opportunities for both clinical and/or administrative staff professional development. Actively support and incorporate the Providence mission and core values into daily activities. Treat others with respect, demonstrate excellence, justice and compassion in daily work and relationships with others. Is a steward of fiscal and human resources. Assist practitioners in addressing physician and medical director behavior and impairment issues. Establish regular meetings with the administrative and provider staff to monitor and evaluate internal operations and progress towards meeting annual goals. Serve as the key communications link to staff physicians, other providers, and dyad partner by relaying all information garnered from meetings by tying PMG and Providence-wide efforts and initiatives to the clinic, program, and department level. Participate actively in meetings within SWSA and Providence, and act as a liaison for communication and problem-solving both internally and externally. Participate in all mandatory staff meetings and in services and training programs to ensure continued understanding of all departmental policies, procedures and performance improvement processes. Monitor clinical adherence to all applicable PMG policies and procedures, initiating prompt corrective action plans to address issues. Provide direct supervision to all direct reports, and assist in their ability, and all medical directors ability to provide supervision and guidance to clinical and administrative staff. Direct the development and utilization of tools and other resources to analyze provider productivity and lead effort to address issues in conjunction with dyad partner. Work with practitioners to analyze experience and practice patterns. Counsel and develop physicians who have quality shortfalls or questionable patterns of utilizing inpatient or ancillary services, referrals and/or other medical services. Ability to manage difficult peer situations arising from medical care review. Willingness to constructively confront providers about needed changes in practice patterns. Serve as a professional link between PMG medical staff, departments and Administration to resolve conflicts, facilitate communication, and engage in development of interdisciplinary treatment teams and approaches. As a member of the SW senior leadership team promote collaboration and cooperation with independent physicians and business partners. Work in collaboration with the Community Ministry Boards relative to PMG governance. As the Designated Institutional Official (DIO) for the St. Peter Family Practice Residency, has the authority and responsibility for all of the ACGME- accredited GME programs and related compliance requirements. Support of the residency program includes functioning as Chair of GMEC, review of ACGME Program Information Forms, participating in funding and position negotiations with affiliated hospitals, establishing related policies, meeting with the Program Director, attend faculty meetings and meeting with Residents/Fellows as needed. Participate in the PMG strategic planning processes, updating organizational design to maximize productivity and operational efficiency while improving quality and controlling costs. With dyad partner, participate actively in the budgeting process, setting reasonable financial goals and striving to maintain cost-effective practice guidelines while achieving the highest quality of care. Monitor and develop action plans to ensure PMG progress toward achievement of goals and objectives, especially as they relate to productivity, provider and caregiver engagement, finance and quality. Participate in strategic planning efforts and refinement of business plans as appropriate. Assist with the implementation of business plans to achieve organizational goals. Organize and lead multidisciplinary process to develop, maintain, and update clinical pathways, guidelines, and care plans related to specialty. Actively participate in the process of Care Transformation by developing and implementing PMG strategic initiatives in Care Transformation. Actively recruits practitioners to PMG to augment primary care and specialty clinic capacity. Support and participate in credentialing of providers as well as the contracting process Provide medical direction and oversight for the development, implementation and compliance with appropriate program policies, procedures, and standards of care. Consult and participate actively in all compliance efforts, including but not limited to, standards and recommendations of the Joint Commission, applicable standards of relevant professional societies, and all applicable local, state, and federal laws and regulations. Maintain licensure and board certification. Qualifications: QUALIFICATIONS: MD or DO License to practice medicine (MD) or osteopathic medicine (DO) in the State of Washington. Board certified in recognized medical specialty. A Masters Degree in Health Care Management, Business Administration, or related field is strongly preferred. Minimum of five years of medical practice experience in managed care, group practice environment, and physician or healthcare leadership role. Experience in Quality Management and Resource Management in healthcare organizations such as Medical Group and/or Health Plans preferred.

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