Job description

Major Responsibilities:
Administrative
1)As the senior medical member of management, provides regular input into the strategic planning and resource allocation processes of the hospital and Advocate clinical integration division.
2)With the President and the President of Medical Staff investigates and studies new developments in medical practice techniques and initiates medical staff and administrative discussion of the implementation of new procedures, participates in the development and implementation of new patient care programs, and consideration of hospital/medical staff/Advocate ventures.
3)Participates in the annual operating and capital budget preparation and is responsible for the budgets of medical affairs, for integrating medical staff and clinical issues into the hospital's planning, budgeting, and marketing process.
4)Represents the hospital on assigned internal and external committees, task forces, commissions, agencies and by promotional or public relations efforts regarding medical/clinical affairs. Also, monitors and interprets legislative and administrative activities which may impact the medical staff and the organization
5)Represents the hospital and medical staff on committees and with strategic initiatives associated with Advocate clinical integration division.
6)Serves as an ex-officio member of all medical staff committees, serving to integrate the activities of the various committees with each other, and with the overall goals of the hospital and Advocate Health Care.
7)Performs other duties as required relative to medical affairs but always with full awareness of the complexity of the medical organization and the rights of others.
8)Participates as a member of the Advocate Medical Management Team.
Medical Staff
1)Establishes priorities and directs the staff and activities of the medical affairs department including providing services support for medical staff governance. This support will include involvement in and oversight responsibilities for physician services, credentialing, bylaws, orientation of new physicians, medical staff committees, and providing the medical staff chairmen with intervention assistance in medical staff counseling and discipline.
2)Advises all medical departments regarding appointment and the delineation of clinical privileges, peer review and other credentialing and quality of care concerns.
3)Assists with hospital efforts to identify and retain continuing sources of physician staff and other key employees. Also, assists in the recruitment and location of physicians and needed specialists for filling hospital staff needs.
4)Works with medical staff to assure compliance with medical staff bylaws, rules and regulations, policies and procedures
5)In concert with the President of Medical Staff, receives, investigates, and where possible, resolves conflicts referred by the medical staff, and reports complaints against members of the medical staff to the appropriate bodies.
6)Provides direction and leadership in dealing with specific physician-system integration issues including, but not limited to: Partnering with physicians Physician involvement in governance Physician management and leadership development "Intra" medical staff relations problems Physician business relationships with hospital/network Physician practice acquisition Development of cost effectiveness plans Development of continuous performance improvement plans Promotion of physician autonomy and economic security Contributing to the assurance of added clinical quality and economic value through successful integration
Regulatory Organizations
1)Assists the hospital and related affiliated operations in meeting Accrediting Organization guidelines, licensure requirements, and in achieving quality assurance objectives. Maintains an expert knowledge of Accrediting Organization standards and guidelines, as well as clinical standards for federal programs and state licensure requirements, including proposed changes.
Clinical
1)Reviews the delivery of services and care provided to patients for medical necessity, appropriateness, and conformance to professional standards as determined by the appropriate medical staff committees.
2)Pursues clinical activities to maintain professional identity and proficiency, as well as credibility with other physicians.
Quality Management
1)Provides leadership and oversight to department chairs and medical staff officers in matters related to medical staff quality assurance, risk management and utilization review activities, develops standards to improve quality outcomes, both clinically and administratively, to ensure the highest standards in the treatment and care of patients, and to ensure compliance with the hospital's goals and objectives and all relevant licensing and accrediting bodies.
2)Develops and implements strategies to control the risks of patient care, monitors the effectiveness of these actions, and ensures proper documentation.
3)Provides leadership and vision in the development of clinical guidelines and care pathways.
4)Sets the direction of the medical records department and ensures that such medical records, medical information, and charting systems are administered in an orderly and systematic manner and accurately reflect the data upon which treatment is based and the actual treatment provided.
5)Supports and provides leadership regarding all Advocate quality and care management initiatives
Education
1)Provides direction for continuing medical education programs for the medical staff, support staff, graduate and post-graduate medical education.
2)Provides administrative direction for graduate and post graduate medical education programs and acts as a liaison with the university in matters concerning residents, medical student rotations and fellowships. (where applicable).
3)Provides direction for physician management and leadership education; participates fully in educational programs.
Network Development
1)Advises the President of the hospital and Advocate clinical integration division in the development and implementation of joint ventures, physician practice acquisitions and merges.
2)Assists in evaluating the medical practice of all future acquisitions and recommends appropriate changes and enhancements to practice operations.
3)Assists in developing inter-hospital referral programs or relationships along strategic business lines.
Managed Care
1)Participates in development of managed care and physician services strategic plans supporting the business plan of the organization and develops annual work plans to implement strategies in conjunction with Advocate managed care programs.
2)Monitors risk contracts, assists physicians in understanding their performance and takes corrective action when necessary.
3)Fosters an environment conducive to a managed care philosophy with continuous review of resources utilization, education, and training opportunities that support managed care effectiveness.
4)Sponsors and facilitates PHO, Hospital and Medical Staff integration.
Information Systems
2)Develops and maintains a clinical data management system for the simultaneous review of the appropriateness, effectiveness and cost-efficiency of patient care.
3)Assures proper analysis of data occurs to identify patterns and trends, and reports the ongoing result of quality review to medical staff departments and individual members.
1)Participates in information systems development to allow feedback to physicians regarding practice patterns, performance and resource utilization, particularly in support of care management activities.
Care Management
1)Champions, sponsors, communicates and oversees the implementation of system-wide care management initiatives in conjunction with the site chief executive and head nurse.
2)Sponsors and facilitates all care management related activities and services.

Licensure:
Physician

Education/Experience Required:
Illinois License. Board Certification. Medical Staff Membership (Advocate). Minimum 5 years clinical experience. Minimum 3 years management experience. Preferred formal management education. Demonstrated continuous education in management and leadership development. Experience with financial and clinical risk management. Exceptional written and verbal communication and general interactive skills. Experience with and commitment to Accrediting Organization and NCQA performance improvement expectations for health care organizations; familiarity with HEDIS 3 indicators for quality. Total commitment to customer service; (identified customers are physician community, patient community, payers of health care services, Advocate associates.) Experience with physician education design and implementation. Experience with and commitment to continuous performance and quality improvement methodology. (Identify, collaborate, understand, improve, mentor, assess). Inherent identification with Advocate values.

Key words: CMO, Chief Medical Officer

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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