AHMC Healthcare Vice President, Medical Affairs & Quality in Daly City, California
Reporting to the CEO, the Vice President, Medical Affairs & Quality has responsibility for guiding the implementation of clinical excellence initiatives, including regulatory oversight, in partnership with administrative and clinical leadership at AHMC Seton Medical Center and AHMC Seton Coastside. This position will provide medical management oversight, coordination, and improvement in clinical care, quality and patient safety. The position requires strong interface with administration, organized medical staff, physicians, allied health and case management staff, as well as the ability to analyze, prioritize, implement, collaborate, and communicate with be key to the success of this important position. Leadership and oversight of clinical informatics implementation is also a primary responsibility.
Collaborates with other leaders to recommend changes in policy, facilities, equipment and programs in order to achieve established objectives. Assists in the planning and implementation of quality, safety and innovations initiatives at the facility level.
Promotes efficiency through sound and effective cost measures with a primary focus on providing quality health care.
AHMC Seton Medical Center and AHMC Seton Coastside are Medicare and Medi-Cal certified and accredited by the Joint Commission on Accreditation of Healthcare Organizations. The hospitals provide healthcare services reimbursed by Medicare, MediCal, traditional insurance plans, PPO, HMO and under capitated arrangements.
Nature and Scope (Essential Functions)
Provide operational and strategic leadership in helping to position AHMC Seton Medical Center and AHMC Seton Coastside as a clinical leader in the healthcare industry and within AHMC Healthcare, Inc.
Promote concepts and practices of Quality Improvement activities by linking improvement activities, education, and information to the medical staff and quality department staff;
Promote leadership in the implementation of clinical databases and EMR which will promote timely and accurate information for enhanced clinical decision making;
Provide leadership in operationalizing the activities associated with the clinical excellence task forces, including, but not limited to cardiovascular services, congestive heart failure, pneumonia, stroke, pain management and patient safety issues such as medication error reduction and patient identification;
Serve in advisory capacity to the Medical Staff and case management staff regarding Utilization Management;
Develop and maintain a working knowledge of criteria and coverage guidelines used in the Utilization Management process and assist in revising these items as needed;
Maintain knowledge of all applicable legal requirements and accreditation standards as those laws and standards relate to the medical aspects of Utilization Management;
On an on-going basis, review the medical records of those patients whose cases are referred by utilization review physicians to address over-utilization, under-utilization and ineffective scheduling of services in accordance with professional recognized standards of quality of care. The VP, Regulatory & Medical Affairs will then work with Medical Staff Committees to ensure action plans are developed and implemented to address such issues;
Review concurrent in-house cases on a daily basis to inform and advise regarding appropriate allocation of hospital resources within quality of care standards;
Identify patterns/aggregate findings of over-utilization, under-utilization or delay of services requiring further study, corrective action and follow-up,
Review Hospital’s management information system to focus on those diagnoses, problems, procedures, and/or practitioners with identified or suspected utilization-related problems;
Provide oversight and leadership in hospitals implementation of core clinical system including CPOE.
Serve in advisory capacity to the medical staff and administration on medical staff affairs.
M.D. /D.O. degree and relevant Board Certification is required.
10+ years minimum experience post residency/internship ideally both in clinical practice/direct patient care.
Recognized by other clinicians or medical community as a strategic thinker or thought leader.
Extensive experience in a community-based clinical practice setting followed by a career track of progressive, increasingly complex administrative roles in a mix of settings – hospital, healthcare system, and physician group practice, preferably within a for profit environment.
Demonstrated achievements in non-academic hospitals or similar organizations where there are community physicians on the voluntary medical staff.
A track record of senior administrative/operations experience in physician services/utilization management, clinical quality improvement, and medical staff development.
Proven skills at developing, nurturing and managing physician relations, and the ability to establish and expand professional alliances and close working relationships.
Computer competency with a working knowledge of current information technology used in patient care, finance and budget management.
Experience with hospital and health system-wide implementation of clinical information technologies including computerized physician order entry, electronic health records and community health information networks.
Excellent community skills, including public speaking and making professional presentations to small and large groups.
Committed to management career and demonstrate this by attendance at management and business education courses and seminars (and/or an advanced management degree) and membership in national professional medical management organizations.
Demonstrates the ability to communicate the hospital’s mission, vision and values, as well as departmental goals, to all staff.
Provides leadership and guidance to other leaders and staff in goal setting, problem solving, resource management, and outcome achievement.
Defines performance objectives and metrics for the departments reporting to the CMO and assesses the level of competence of staff in a timely manner.
Demonstrates a commitment to a healthy work environment by modeling the desired behaviors and encouraging those in others.
Demonstrates the ability to cope with and manage change, as well as help others do the same.
Collaborates with other departments to create systems and problem solve ongoing issues that impact departmental/organizational goals and/or patient care delivery.
Demonstrates fiscal accountability for department resources and the ability to achieve outcomes within allocated resources.
Incorporates quality improvement data and/or patient satisfaction data into departmental goals.
Demonstrates a clear understanding of regulations applicable to patient care and/or other department functions
Demonstrates the behaviors and actions that support AHMC Seton Medical Center:
· Commitment to Care
· Commitment to excellence
· Commitment to Quality
Seton Medical Center