Position Title: Associate Chief Medical Officer/ Associate Chief Quality Officer - Lower Manhattan (ACMO/ACQO)

Reports to: Lower Manhattan Senior Vice President Chief Operating Officer, with matrix reporting structure to Vice President, Quality & Patient Safety and Vice President, Weill Cornell CMO

Position Summary Overview:

The ACMO/ACQO is a physician leader that helps establish a results-oriented partnership with the local clinical community and other key stakeholders (CMO, CNO, COO, VP Operations, Clinical Chiefs). This role will be responsible for clinical and quality outcomes as well as growth and efficiency targets.

In the Associate Chief Quality Officer role, the candidate is responsible for all aspects of quality and patient safety for their assigned facility and will be the lead physician at their site. The ACQO will oversee the facility quality chairs and partner with them to develop, drive and sustain quality improvement efforts.

In the Associate Chief Medical Officer Role, the candidate will be responsible for local clinical programs, service lines, and medical affairs by supporting strategic goals of their assigned campus as set by the executive team (COO and CMO). They will oversee unit medical directors, and clinical care management/team model as well as developing and maintaining policies and standards of care for the site. This role will have direct oversight over the Physician Assistant Service Line where applicable.

Responsibilities:

The ideal candidate would possess excellent communication skills, the highest integrity and ethics, quantitative and analytic skills, deep understanding of systems and quality improvement methodologies (LEAN, 6 Sigma, Change Management, Human Factors, and Root Cause Analysis), and promote a culture of safety, continuous improvement, and innovation.

• Work collaboratively across the organization to oversee the review and response to patient safety events, mortalities, and other Keep Safe events.
• Serve as a primary resource during the patient safety debrief as well as lead the relevant Root Cause Analyses.
• Oversee campus wide quality initiatives, QPS goals and performance improvement projects.
• Lead PA teams and Medical Directors specifically with regards to driving efficiency, quality and safety outcomes. 
• Drive patient throughput in partnership with, CNO and Operational leaders.
• Lead Medical Director meetings to discuss progress on institutional targets (QPS, PX, OE).
• Ensures that professionalism, quality of care or respect issues that arise with the medical staff are appropriately managed and referred.
• Promotes compliance with regulations governing hospitals and the rules of accrediting bodies by monitoring operations and initiating changes where required; Partner with QPS on all site-based regulatory activities
• Partner with GME office and DIO to support trainee education and experience
• Provides regular project updates and reviews to senior leadership and colleagues
• Reviews and keeps up to date with literature and professional organization trends

Quality Responsibilities:

• Oversee all significant adverse event and mortality reviews in collaboration with the respective NYP QPS team and relevant QA Chairs.
  • Investigate all major adverse events
  • Primary participant in daily patient safety debrief
  • Apprise VP QPS of all major events
  • Oversee all other adverse patient events, including near-misses, deaths and complaints in a timely (per regulatory requirements) and thorough fashion. Sources may include: Keepsafes, Patient Services Administration, or QPS referral, among others.
  • Refer non-clinical events to Patient Services Administration or other relevant departments
• Root Cause Analysis
  • Lead RCA preparation with Quality Director
  • Lead the RCA meeting as well as pre/post meetings
  • Oversee plans of correction
• Metrics/Data
  • The ACQO shall be knowledgeable of their relevant campus metrics including but not limited to, QPS goals, drive/watch metrics, other relevant operational metrics that are utilized by relevant raters and rankers
    • Proactively reviews key metrics and identifies trends
    • Review them with hospital leaders
    • Identify opportunities for improvement
    • Represents their departments at report-outs with
      • Campus Leadership
      • QPS/SVP Leadership
      • Medical Board/BOT meetings
    • Oversees the NYP QPS team and QA chairs/departments with annual report and data needs
• Meetings
  • Collaborate with other ACQOs and service line ACQO Quality Chairs on other NYPH campuses as needed to foster high reliability and standardization.
  • Participate in strategic planning and operational meetings
  • Participate in Board of Trustee Quality Assessment and Performance Improvement Committee meetings
  • Medical Directors meeting
  • Attends and takes an active role in various quality meetings including by not limited to:
    • ELQ
    • QPS Executive
    • ACQO meeting
    • Local hospital huddles
    • Regular meetings with relevant CMOs and QA chair
    • Metrics/Data
• Quality Improvement
  • Lead and mentor quality improvement teams
  • Lead campus specific and organization-wide initiatives to improve quality and patient safety
  • Educate peers re:QA/QI methods and processes
  • Bi-directional communication of institutional/facility quality goals
  • Active leader of QPS goals
• Regulatory
  • Support compliance with external regulatory requirements as needed

Key Relationships:

• Serve as physician quality and patient safety leader for their respective campus under the direction of the VP, Quality and Patient Safety
• Serve as lead physician for medical affairs, campus programs (e.g. Spine at Allen) and local quality work under the auspices of the sphere CMO
• Partner with the Local and Service Line QPS teams
• Partner with the hospital, nursing and clinical leadership teams
• Partners with key provider networks to ensure communication and continuity between care settings (including voluntary (non-employed) providers where applicable)

Qualifications

Required (R), Preferred (P) 

Education 

• Bachelor's degree (R)
• MD, or other advanced clinical degree (R)

Work Experience

• At least 7 years of clinical as well as healthcare quality and administrative/operations experience (R)
• Experience working with improvement methodologies such as LEAN, six sigma and Model for Improvement or equivalent experience (R)
• Strong team building ability: effectively able to motivate, engage and encourage team participation (R)
• Experience in quality improvement environment (R)
• Knowledge of patient safety field and/or hospital flow and efficiency (R)
• Strong analytical/problem-solving, critical thinking, and idea-generating ability (R)
• Experience in working collaboratively with clinical leadership (R)
• Project management experience (R)
• Excellent communication and interpersonal skills (R)
• Self-directed and motivated (R)
• Comfort with public speaking and presentation to large groups (R)
• Familiarity with Hospital systems (Eagle, TSI, etc.) (P)
• Excel, PowerPoint, Access Database skills (R)
• Flexibility in project assignment and willingness to take on new or different projects as needed (R)

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
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NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

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