Position Summary:
The Chief Medical Officer (CMO) is the leader of the interdisciplinary health team of Triad Adult and Pediatric Medicine Inc. (TAPM) Under the administrative direction of the Chief Executive Officer (CEO), the Chief Medical Officer (CMO) is responsible for clinical compliance with all medical policies, staffing, directives, rules, regulations and clinical performance standards of the State, Federal Government, Local entities and health center bylaws and accrediting bodies.
The CMO serves as the organization’s point person on medical and clinical issues. The CMO provides professional medical services as appropriate, and other related work, as designated by the Chief Executive Officer including, but not limited to, essential job functions. Ensures all medical providers meet required maintenance of certification, trainings and that mid-level providers comply with the rules and regulations governing their practice standards.
Additionally, this position provides clinical direction to key departments as assigned including but not limited to Nursing, Integrated Behavioral Health, Psychiatry, Nutrition, etc. in conjunction with the Chief Executive Officer, Chief Operating Officer and/or designee.
The Chief Medical Offer provides primary care for clients two days per week and ensures that patients have access to inpatient, outpatient, and specialty care services in collaboration with other center providers and referral management team members.
Major job responsibilities (including but not limited to):
- Direct and oversee all daily aspects of the clinical and quality functions of the organization
- Establish, monitor, and improve the standards of care through performance benchmarks and goals
- Develops and recommends strategies to enhance clinical performance, effectiveness, efficiencies, productivity, and compliance of all clinical functions
- Manages a 25-member plus provider team including but not limited to: MD’s, DO’s, NP’s, PA’s, LCSW’s, RN’s etc.
- Oversees in conjunction with the CEO other departments that have direct linkage to clinical functions.
- Provides direct supervision for mid-level providers in conjunction with Lead providers.
- Oversight for the clinical quality team and works with the Chief Quality Officer and Quality Director to reach quality goals and increase performance measures and outcomes. May delegate this role to TAPM Chief Quality Officer or other TAPM Lead providers and QI/Risk Manager as deemed appropriate.
- Oversees peer-review program
- Oversees provider productivity and coding, providing direction and facilitates annual coding trainings
- Develops, manages, and implements clinical policies and protocols for appropriate patient care
- Conducts annual performance evaluations for providers
- Coordinates, evaluates, and oversees physician specialty clinics
- Facilitates provider meetings and/or trainings on a monthly basis
- Provides mentorship to new providers
- Provides direct patient care at least two full days per week with 3 days of administrative and supervision time.
- Provide medical perspective to TAPM planning by working with the management team in identifying health issues, trends, and gaps; and in setting goals and priorities for TAPM. Developing medical components of policies and procedures for TAPM, monitoring quantity and quality of health services. These tasks may also directly involve the expertise of the Lead Providers in measuring outcomes and developing best practice protocols. Assists in training staff to accomplish the goals of TAPM.
- Establish and promote linkages between TAPM and community Providers, Greensboro AHEC, community pediatricians, other health care providers, Public Health Department, the Area Program for Mental Health, Developmental Disabilities, and Substance Abuse, Department of Social Services, and other community agencies, in order to promote the goals of TAPM and community collaborations. Provides consultation to Guilford County Department of Public Health’s Child Health staff about medical facets of public health issues such as, school health, chronic illness, immunization, communicable disease, and pediatric screening.
- Works closely with the area hospitals and agencies to facilitate care coordination and linkage for continuum of care.
- Ensures clinical compliance with all local, state, and federal government requirements
Direct Medical Services:
Provide basic medical care to TAPM patients and perform functions necessary to the provision of this care, including record keeping, interdisciplinary and inter-agency communications, participation in care coordination efforts, and referral of patients needing sub-specialty and Provider care or services of other agencies or providers at least 2-days per week.
Clinical and administrative time:
The understanding that flexibility may be required if there are short-term (one or two week) situations demanding more time allocated to one or the other domain. This time allocation with be reviewed at the end of the first budget year and adjusted for the second budget year, and after, if administrative duties are further expanded, as agreed upon by the CMO and the CEO.
Accountabilities:
- The CMO will implement a standardized system to track and report on productivity toward maintaining the financial solvency of the organization, and if provider productivity is below agreed-upon goals develop, in conjunction with the CEO, a plan to redress shortfalls in a timely manner.
- The CMO will be responsible for initiating, evaluating, and reporting on the organization’s quality initiative program. At a minimum, the CMO will be required to submit a quarterly report to the board of directors outlining outcomes achieved to date. Data from both internal audits and from outside data registries will be used in reviewing quality outcomes. The CMO will be responsible for ensuring the agency’s quality program and outcomes are consistent with National Committee for Quality Assurance, the Community Care of North Carolina program, and other agencies as an effort to ensure TAPM’s programs and outcomes are consistent and meet goals and objectives.
- The CMO will be responsible for conducting face-to-face annual performance evaluations (at a minimum) on all TAPM providers, including specialists. This will include review of charts and other necessary data in order to thoroughly review a providers’ effectiveness at following TAPM standards. The CMO will implement corrective action on any provider who may fall below expectations.
- The CMO will provide a thorough orientation program for new providers to include, but not limited to a 90-day written review (minimum) and direct mentorship.
- The CMO is responsible for coordinating and working with appropriate administrative staff to monitor, evaluate and implement corrective action regarding provider coding efficiency to assure revenues are maximized to the fullest extent.
- The CMO is responsible for providing clear direction and vision to the Lead Providers meeting with them at least once per month.
- The CMO will participate in financial and budget planning for the organization. Monthly financial reports and other outcome metrics will be provided to the CMO by the CFO and other administrative support staff. The CMO will work with clinical support staff to develop summary metric outcome reports (“Score Cards”) for each service line provided by the agency.
Evaluation:
The physician assigned to the role of CMO for the practice will report directly to the Triad Adult and Pediatric Medicine, Inc. (TAPM) Chief Executive Officer (CEO). The CEO will provide an annual written report of the CMO’s performance to the full board. This report will include input received from multiple sources including but not limited to staff review and attainment of annual goals and objectives.
Accountability Matrix
- Clinical Outcomes
- Quality Outcomes
- Operational Outcomes
- Financial Outcomes
Indicator | Measurement(s) | Reporting Frequency |
Clinical Outcomes | - Clinical staffing Provide supervision to the physician and nurse practitioner, Physician Assistants, etc. Other clinical staff supervision is in conjunction with the CEO.
- Ensure providers follow the agreed upon clinical protocols setting goals to achieve targeted quality outcomes and reduce variability in reaching these goals across clinical sites. and uphold professional clinical standards across clinical sites.
- All providers will close out medical record notes, tasks, etc. in the electronic health record within 48 hours of the patient visit. Providers with encounters, notes, tasks incomplete for more than 72 hours will be counseled according to policy.
- Mychart patient responses should occur within 48 hours unless deemed urgent.
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Quality Outcomes | - A minimum of 2 annual chart audits will be conducted with the results being shared with the board of directors and executive staff of the organization. The results will be accompanied with a plan of action of any required corrective action.
- Peer reviews must be performed for pediatric and adult providers quarterly. This process should include other providers based on peer review policy.
- Mock Codes must occur twice per year with periodic mini reviews during provider, nursing, and staff meetings.
- Develop and maintain an aggressive quality improvement program with benchmarks and clear and concise objectives.
- Providers must demonstrate proficiency with the electronic health record.
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Operational Outcomes | - All provider staff will receive an annual written evaluation.
- Evidenced based protocols will be used to administer the care plan of the practice. Protocols should be developed and maintained based on the current standard of care as recommended by groups such as the American Academy of Pediatrics, US Preventive Services Task Force, and other accrediting programs/agencies as designed by clinical leadership.
- Provider satisfaction will be maintained at or above the 90%-tile and if not, activities aimed at achieving this must be implemented with support from clinical support and administration.
- Proactive with coverage for planned provider outages and/or Medical Leaves.
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Financial Outcomes |
- Provider FTE must be at or above budgeted levels.
- Visits per provider per day must average between 18 - 20 or greater per day (may be adjusted based on organization outcomes.
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Qualifications/Experience/Educational/Requirements/Core Competencies:
- Medical Doctor or Doctor of Osteopathy and board certification in chosen primary care specialty of Internal Medicine or Family Medicine licensed to practice in the State of North Carolina
- Graduate of formal accredited medical school and certified to practice by the North Carolina Board of Medical Examiners.
- Have and maintain an active “unrestricted” medical license in the State of North Carolina.
- A minimum of two – four years of leadership experience in an inpatient or outpatient setting is preferred; experience treating and managing care for a culturally diverse population is a plus.
- Demonstrate a broad knowledge and/or experience with the Federal regulations related to the operation of a Federally Qualified Health Center (FQHC).
Personal Attributes:
- High standards of personal integrity, ability to supervise and manage people, systems, possess with excellent communication skills and the ability to lead; previous experience in a Physician Executive/Leadership role is a plus.
- Demonstrated experience in utilization management, quality management and patient safety programs.
- Strong independent decision-making, negotiating and analytical skills; as well as personnel development, team building and mentoring skills
- Demonstrates a high level of integrity and dependability
- Works well in a team environment, supporting the organization strategic goals and operates effectively as part of the executive leadership team
- Promotes a safe work environment for patients and staff
- Excellent verbal and written communication skills and strong problem-solving skills
- High level of proficiency with using the electronic health record, general computer skills and Microsoft office
The safety of others depends entirely on the correct action of employees on job being rated. Errors, such as incorrectly administered medications, injections, and/or other treatments, should they occur, could result in serious or fatal repercussions for the patient.
- Confidential Information:
Works with some confidential data of major importance, such as patient medical records, insurance, and billing information, which if disclosed, may be detrimental to the company’s interests.
Working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Employees are frequently exposed to communicable diseases, biohazardous substances, medicinal preparations, and other conditions conducive to a clinical environment.
- Mental Attention or Visual Demand:
Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring constant alertness or activity. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is required in order to visualize computer screens, medical record forms, and equipment screens. Mental/visual attention, along with manual coordination is necessary for keyboard operations at least 50% of the time. Normal or corrected hearing is required for hearing blood pressures, monitor alarms, and building alarms, etc.
- Physical Demand for secondary responsibilities:
Position requires frequent standing/walking for extended periods of time. Also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds four or more times per hour, car seats, diaper bags, etc., and occasionally push/pull occupied wheelchairs, strollers, etc.
If precautionary measures are not adhered to, this position could come in direct contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc.
Quality Improvement
- Must understand and help enforce the meaning of quality improvement:” The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development.” (Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis.
- Patient Centered
- Comprehensive care
- Team-based
- Coordinated
- Accessible
- Focusing on Quality and Safety
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Loan Repayment Opportunities
As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines:
- Family Medicine Physician (MD or DO)
- Family Nurse Practitioner (FNP)
- Pediatric Nurse Practitioner (PNP)
- Physician Assistant (PA)
- Pediatrician (MD or DO)
- LCSWs
- Nurses
National Health Service Corp program. (Link available)