HCA, Hospital Corporation of America Associate Chief Medical Officer (ACMO) - Tampa, FL in Tampa, Florida

_Position Summary_

The Division ACMO (DACMO) will have both facility specific responsibilities, and function as assistant to the division CMO.

The facility specific responsibilities will include, all quality initiatives in the facility and proactively and collaboratively promoting high quality, cost effective medical care by leading interactions with hospital medical staff, hospital administrative leadership, and other facility, and division leadership and staff. In this role, the facility CEO will guide responsibilities, in collaboration with the Division CMO as well as the Division Quality VP on matters of quality, utilization, patient safety and clinical effectiveness. The DACMO works closely with the Facility CEO, Facility CNO and the facility staff and is a core member of the facility leadership team. At the facility, the DACMO has 3 primary areas of responsibility: 1) The DACMO isresponsible for driving performance on the clinical agenda in support of consistent clinical performance and practice standards within the facility. The DACMO reviews quality performance with the Facility CEO and the Division CMO, and identifies and facilitates quality performance and prioritization of improvement opportunities. This includes providing leadership and expertise for hospital quality and clinical effectiveness in the areas of infection control, risk management, patient safety, patient satisfaction, and medical staff credentialing functions to ensure the collaboration and coordination of all stakeholders in these processes, 2) The DACMO is responsible for leadership and oversight of the medical directors and other clinical leaders in the facility, ensuring they are focused on driving the clinical agenda, and developing a physician leadership network in order to move theclinical agenda forward, and 3) The DACMO works with Division CMO and the VP of Physician Services on business development activities in specific focused on service line and programmatic development. This will include ensuring patient safety and quality outcomes in developing and expanding service lines, as well as identifying and assisting with recruiting physician talent.. The FCMO also facilitates facility-wide medical staff integration and consults on an array of issues involving physicians.

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A As a member of the DCMO’s team, the DACMO will work with HCA Clinical Services Group on matters of quality, utilization, patient safety and clinical effectiveness. This position will support clinical and quality initiatives that support the provision of consistent clinical performance and practice standards across the division’s facilities, assist with review of facility quality performance with leadership and facilitates and identifies division quality performance and prioritization of improvement opportunities. Also provides support for hospital quality and clinical effectiveness in the areas of infection control, risk management, patient safety, patient satisfaction, and medical staff credentialing functions to ensure the collaboration and coordination of all stakeholders in these processes. Supports the DCMO in all clinical and quality initiatives in the division.

· This Division Assistant CMO role is designed to accelerate the professional growth of a physician new to executive leadership. As such, it is expected that by working with HCA’s Clinical Services Group, as well as the DCMO, the DACMO will quickly develop the necessary skills to take on an ever-widening array of clinical and operational initiatives.

· Anticipated split of time: 60% Facility / 40% DCMO support

Report to: Directly: Division CMO and Facility CEO

Supervises: Facility Quality/Risk Staff

Facility Medical Staff Office and other facility-based staff Physician Advisors

_Facility Specific Responsibilities___

Physician Alignment between HCA-Affiliated Physicians and HCA Hospital/Facility Leadership

  • Works with Hospital Medical Staff, Board of Directors, and Facility Leadership to improve the functionality and effectiveness of the hospital medical staff organization.
  • Partners and collaborates with medical staff and hospital/facility management teams, facilitating teamwork and shared goals. Represents medical staff viewpoints to management and relays management viewpoints to medical staff by establishing and maintaining mutually beneficial relationships between HCA leadership and community and/or employed physicians.**

· Provides clinical support and consultation regarding cost effective clinical resource management in the facility by sharing of reports and providing recommendations to reduce the variable cost per case while maintaining and enhancing clinical effectiveness.

· Responsible for an environment of quality and cost improvement that is data driven and develops systems to review utilization of resources and objectively measure outcomes of care in the inpatient and outpatient settings.

· Serves as a direct liaison between HCA affiliated physicians and facility.

· Works with the Division CMO in establishing and maintaining an ongoing program to orient and develop management expertise for the Chief of Staff, Medical Executive Committee and other medical staff leaders.

· Leads educational sessions and provides ongoing in-service to the facility medical staff regarding clinical resource management, appropriate documents standards, utilization and quality issues, and quality improvement activities in collaboration with the Facility Chief of Staff and other clinical leadership.

· Collaborates on a day-to-day basis with the Facility CEO.

· Has knowledge of all HCA clinical technologies and assists with the education of physicians on these systems.

· Collaborates with the Facility CEO and the Division CMO on formulary and supply opportunities.

· The FCMO functions as an administrative liaison with the medical staff as a member of the hospital leadership team and attends medical staff meetings as an ex-officio member (unless appointed as a regular member or requested by the Facility CEO or Chief of Staff). Priority will be given to Quality, Peer Review, Credentials, Infection Control, Pharmacy & Therapeutics, Departmental and Resource Management Committees as well as other committees of the medical staff. The FCMO will regularly attend and provide reports to MEC and Board of Trustees. If Graduate Medical Education exists at the facility, the FCMO will be expected to have a leadership role.

_Medical Staff Affairs_

· Develops, implements, and monitors disruptive physician and impaired physician policies, and participates in monitoring and intervention program.

· Provides recommendations in the development and/or revision of the hospital policies and procedures pertinent to the medical staff and medical staff affairs.

· Serves as a consultant to hospital Medical Staff Services regarding physician credentialing and utilization and quality profiling, including serving as a member of hospital’s peer review committees as requested.

_Business Development and Payer Relations_

Is responsible for:

· Evaluating clinical appropriateness of new medical technologies and programs, and makes recommendations concerning the relevance of such technologies and programs to HCA hospitals.

· Serving as a resource and consultant to the Facility CEO, Division CMO, VP of HCAPS and/or VP of Business Development in physician recruitment and clinical program development.

· Providing medical director services to facility-level physician credentialing, business development and provider relations in contracting issues.

· Provides leadership and medical consultation on managed care issues including providing clinical support for appeals and denials process, discharge planning, case management, and utilization review/management.

· Consulting with facility level staff, Division CMO, and Division Director of Case Management regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements associated with these functions.

· Serving as a clinical resource and consultant to the facility case managers and facility staff in the reduction of payer denials and in the denial and appeals process as requested by the Case Management Department and Patient Accounting Services.

· Attending corporate, group, division, and national meetings sponsored by HCA corporate to train and support quality improvement, risk management, patient safety, case managements, medical staff affairs, and physician relations activities.

_Commitment to Quality/Clinical Excellence/Patient Safety_


  • *Is responsible for:

· Providing clinical Support and guidance in the development and deployment of all clinical excellence and quality initiatives. These initiatives are designed to increase the practice of evidence based medicine within HCA facilities. The program uses outcomes management techniques to monitor and improve care, quality and safety. Commitment and dedication to communicating the importance and precepts of evidence based practice is critical.

· Serving as a spokesperson for evidence based clinical practice, patient safety, and clinical loss prevention to medical staff and other providers

· Meets with a drives accountability with medical directors (ER, Hospitalist, ICU, etc.) to clinical excellence and quality agenda.

· Serving as a spokesperson to facility medical staff and physicians to educate on the purpose of all quality initiatives.

· Overseeing and providing analysis to Facility CEO of performance of contracted medical directors.

· Providing assistance with compliance with licensing and regulatory agencies.

· Providing input into policies, plans and strategies regarding patient care programs and operations.

· Participating in community activities to promote and represent the hospital and HCA.

· Working with the administrative team to analyze and build strategies to improve medical staff satisfaction and engagement, patient satisfaction and employee satisfaction.

· Contracting with, overseeing and providing direction to the Physician Advisors, working with Case Management to achieve the Utilization goals of the facility.

_Qualifications_


  • Demonstrated ability to communicate effectively, both verbally and in writing; to organize and to plan, facilitate, and mediate with physicians as individuals or groups; and to anticipate problems and work effectively to resolve them.
  • Possesses and uses current knowledge of quality improvement and assurance, staff and meeting organization, and approaches to the delivery of medical care and strategies for examining and applying relevant concepts.
  • Has a demonstrated understanding of the social, political, and economic influences affecting health care program and services.
  • Ability to advise the leaders of the hospital, medical staff, and clinical staff in the facilities’ decision-making structures and processes.
  • Advises the medical staff, the nursing staff, and other clinical team members in developing hospital quality-assurance plans and implements ongoing programs to measure, assess, and improve the quality and outcomes of patient care.
  • Advises the facility medical staff and administration team, in compliance with and in preparation for reviews by the state, federal, JCAHO, and other regulatory agencies.

_Competencies_


· Communication and Relationship Management - The ability to communicate clearly and concisely with internal and external customers, establish and maintain relationships, and facilitate constructive interactions with individuals and groups.

· Leadership - The ability to inspire individual and organizational excellence, create a shared vision and successfully manage change to attain the facility’s strategic end and successful performance.

· Professionalism - The ability to align personal and organizational conduct with ethical and professional standards that include a responsibility to the patient and community, a service orientation, and a commitment to lifelong learning and improvement.

· Knowledge of the Health Care Environment - The understanding of the healthcare system and the environment in which healthcare managers and providers function.

· Business Knowledge and Skills - The ability to apply business principles, including systems thinking, to the healthcare environment.

· Familiar with evidence based practice and understanding of and ability to utilize performance data to drive behavior change.

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_Division Specific Responsibilities_

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  • Work with Division CMO to promote Clinical Excellence initiatives across the division, lead initiatives as assigned
  • Provides clinical support and guidance in the development and deployment of all quality initiatives. These initiatives are designed to increase the practice of evidence based medicine within HCA facilities. The program uses outcomes management techniques to monitor and improve care, quality and safety. Commitment and dedication to communicating the importance and precepts of evidence based practice is critical.
  • Serves as a spokesperson for evidence based clinical practice, patient safety, and clinical loss prevention to HCA division and facility based leadership and clinicians.
  • Serving as a spokesperson to HCA facility affiliated medical staffs and physicians to explain the purpose of all quality initiatives.
  • Collaborates with FCMOs in effort to standardize care across the division
  • Collaborates with contracted and hospital-based physicians to drive clinical improvement
  • Works with DCMO to develop specific skills to prepare for future responsibilities within the organization #LI-MD2 cmoleadership

_Education and Experience_


  • Licensed in Florida as an M.D. or D.O.
  • Possession of requisite credentials to obtain staff appointment at facility if requested
  • Board Certification in a clinical discipline required
  • Additional education and coursework in management and business
  • 10 years of clinical practice desired
  • Medical leadership experience such as medical director, Chief of Staff, or other equivalent senior physician leadership experience at the hospital or health system level. _Expectations_

  • Integration and teamwork between management and medical staff will be stronger and an environment of collaboration and partnership will be developed in the patient care enterprise.

  • Integration of the DACMO as a key leader of the facility management team.
  • Effective working relationship between DACMO and medical staff leaders.
  • Clinical excellence will be further recognized and affirmed through quantifiable metrics in performance.
  • A stronger sense of collaboration between facility leadership and the medical staff when setting direction and policy.
  • Measurable improvement in physician and patient satisfaction.

Job: *Executive

Title: Associate Chief Medical Officer (ACMO) - Tampa, FL

Location: Florida-Tampa-West Florida Division Office

Requisition ID: 10204-25964