Chief Medical and Quality Officer - Thomas Jefferson University Hospitals - Philadelphia, PA

Jefferson Health -Thomas Jefferson University Hospitals is currently recruiting for the combined position of Chief Medical and Quality Officer (CMO/CQO) to serve as a key clinical leader across 3 hospitals (800+ beds) including a 632 beds academic medical center providing Level 1 trauma services, complex quaternary care and training programs for over 970 residents and fellows with over 600 employed and aligned physicians. Reporting to Jefferson's Central Region Chief Clinical Officer (CCO), the CMO/CQO is an integral member of the TJUH hospitals leadership team providing oversight and leadership on Medical Staff Activities & Affairs, Regulatory Affairs, Quality and Safety, and Clinical Development and Operations. The CMO/CQO works closely with the Chief Nursing Officer (CNO) and Chief Operating Officer (COO) and serves as a representative for the physicians and patients to external audiences within the medical and regulatory community.

Major Responsibilities:

• Engage and empower physicians, physician leaders and clinical stakeholders to drive improvements that align with Jefferson Health's mission, vision, values and organizational goals.
• Drive outcomes related to Clinical Documentation Improvement, Accreditation & Clinical Compliance, Patient to inform and monitor provider understanding of Safety & Risk Management, Quality Performance & Improvement, and Infection Prevention & Control , length of stay, operational throughput and service denials.
• Partner with TJUH hospitals operational leaders to remove barriers to execution, escalate key decisions as appropriate, and provides resources to enable service delivery.
• Lead the quality and safety team toward the goal of creating a high reliability organization with a focus on patient centered care and oversee quality programs and the development of systems to improve the integration of care across the clinical continuum, including processes that emphasize teamwork, measurement, and accountability.
• Develop healthcare quality and patient safety improvement strategies and initiatives and manage the performance of quality and safety standards/metrics at TJUH hospitals, ensuring consistency and continuity, assisting the organization to drive to zero variability.
• Participate in regular structured meetings with physicians, physician leadership and administrative leadership.
• Ensure successful outcomes on all government/outside/accreditation audits including the development, maintenance and communication of policies and procedures relevant to operations , quality and safety .
• Partner with the Jefferson Central Region CCO and broader Jefferson CMO community to address issues at a systems level and ensure alignment, reliability and best practices across all regions.
• Serve as a lead clinical resource and consultant for operational teams partnering with multidisciplinary teams including hospital leadership, medical directors, department leaders, case management and practice administrators, to support health system goals and achieve efficient clinical operations, consistent adherence to practice standards, superior clinical outcomes, and unparalleled patient experience.
• Champion and drive quality and safety by providing leadership and guidance in the development of data-driven and evidence-based accountability systems and scorecards; links individual, organizational, regional, and enterprise-wide goals and objectives related to quality, safety, and effective care management with outcomes to drive continuous improvement. This includes leading improvements in clinical outcomes, clinical process measures, clinical resource utilization, patient-centered care coordination, patient experience and overall value of care through the use of evidence-based guidelines, criteria and other clinical tools to reduce variation in clinical practice and to optimize clinical outcomes.
• Provide oversight and executive sponsorship of patient safety improvement plans and for proactive risk identification and risk reduction. Identify opportunities for improvement, prioritize by risk and impact, make recommendations to drive rapid improvement, and monitor services to ensure that safety/regulatory actions are implemented to obtain the desired results.
• Model interactions with colleagues, patients, visitors, and other staff in a manner consistent with the values of Jefferson and its Code of Conduct.

Qualifications

Key Qualifications & Experiences

• Doctor of Medicine of Doctor of Osteopathy degree from an accredited and approved school of medicine; Board-certified physician with current state license of unencumbered eligibility (not excluded by the OIG) for license issued by the Commonwealth of Pennsylvania
• Experience and/or training in healthcare administration; advanced degree/certification in business, medical management, or similar field (MBA, MMM, MHA, MHCM, etc.) is preferred; CPHQ also preferred.
• Strong analytical skills and experience in budgetary and operational management.
• Extensive clinical and management experience with at least seven (7) years in senior leadership roles and prior CMO and/or CQO experience.
• Financial acumen and extensive knowledge of hospital and clinical department operations, medical staff relations and regulatory requirements and reporting
• Demonstrated success advancing clinical, operational, quality and safety outcomes in a highly matrixed complex environment.
• Extensive knowledge of contemporary methods of clinical quality measurement and improvement, including previous experience in leveraging electronic medical record systems and contemporary methods of clinical quality measurement and improvement.
• Experience in conflict resolution, problem solving, negotiation, and team building including the ability to set and maintain high standards of performance, hold people accountable for achieving deliverable metrics, encourage team participation, and motivate others through a shared vision
• Eligible for rank of Professor of Associate Professor and academic appointment

Critical Competencies (ranked in order of relative importance for the position)

• Instills confidence and trust by demonstrating dependability and reliability.
• Proven track record of partnering with medical staff to achieve desired facility-specific and organizational outcome.
• Builds high performing teams by integrating a diversity of skills and personalities and creating a shared purpose.
• Drives success by initiating activity and seizing opportunities for new business; pursues goals with persistence and achieves outstanding results.
• Initiates, influences and drives organizational changes and business transformation.
• Demonstrates business acumen and the ability to evaluate, analyze and interpret information and data inputs objectively to identify appropriate data driven solutions.
• Demonstrates working knowledge of market, economic, legal and regulatory environments, and national trends in hospital technology, quality, and patient safety.
• Skilled in effectively handling multiple conflicting assignments, demands, and priorities.
• Skilled at building relationships, establishing rapport, influencing physician behaviors; and partnering with medical staff and administrative leaders within multiple clinical areas to solve business and clinical issues.
• Strong written and verbal communicator with the ability to clearly articulate a vision/perspective and successfully persuade and create consensus with stakeholders.
• Skilled in navigating a highly matrixed organizational structure with skill and efficiency; analyzing complex financial/statistical data; maintaining a high level of organization with strong attention to detail to respond quickly to varying situations.
• Proven experience implementing a continuous improvement culture.
• Demonstrates an understanding of the organization and its product/service offering and leverages organizational values in how work is accomplished.
• Generates well-formed ideas; understands how models, theories, research and new concepts relate to future objectives and develops effective new strategies.

Closing Statement

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top healthcare systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.