System Chief Medical Officer

Primary Responsibilities:

• Develop and implement the foundational strategy and change management that is necessary as the health system balances growth and sustainability with the highest level of clinical excellence, quality, safety and service, ultimately reducing variation in patient care. Direct and implement evidence-based programs, practices and activities that realize continuous improvements in clinical performance and outcomes.  
• Complete the ongoing integration of medical staff functions, bylaws and processes to drive efficiency, data integrity and operational discipline across the system.   
• Work collaboratively across the enterprise and externally to enhance our clinical operations and experience so BILH can deliver on its promise of caring for our patients, their loved ones, and each other.  
• Strengthen and reinforce a culture of clinical excellence and value across BILH.  
• Build and lead an integrated, multi-disciplinary clinical improvement organization that transcends existing units and reinforces a consistent approach to quality and safety.  
• Create an environment that fosters innovation and performance, supporting the implementation of programs that continuously advance clinical outcomes and patient experience. Actively implement innovative ideas to redefine, measure and improve care delivery effectiveness including potential partnerships with private industry.  
• Ensure that BILH rapidly advances as a leader in clinical excellence and patient experience among national academic health systems, community health systems and regional providers, as evidenced by exceptional patient outcomes and performance rankings in the top five to ten percent.   
• Establish clinical performance measurements for internal use and assure reporting of clinical and operational metrics to all required external entities, including federal, state, and private.   
• Lead in developing, directing and coordinating innovative, multidisciplinary clinical performance and outcomes management initiatives across BILH that incorporate national best practices, drive down variation, decrease costs and create efficiencies.   
• Oversee performance analytics, understand trends and direct the monitoring, reporting and active discussion of clinical outcomes among the areas where performance opportunities have been identified.   
• Ensure that BILH is a learning organization by incorporating new LEAN and existing Six Sigma methodologies to eliminate waste and empower decision-making at the front lines of the organization.   
• Abide by all Joint Commission requirements including, but not limited to: sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.   
• Lead various system-wide committees, councils, task forces, work groups and focus groups, representing the President/CEO on those committees and groups as appropriate.  
• Perform all duties inherent to a senior-level managerial role. Participate in hiring, training, evaluation and termination of assigned staff according to BILH policies and procedures.  
• Serve as a spokesperson for BILH related to clinical performance and medical staff issues with appropriate national organizations; effectively communicates with the public to improve clinical excellence.  
• Serve as a change agent to strengthen a culture of clinical excellence, performance, and value throughout the organization and build an effective organization for clinical operations that is multi-disciplinary and transcends existing units. Establish a 3–5-year strategic plan for operational excellence that aligns with the existing BILH strategic plan and delineates clear goals and metrics for enhancing and sustaining the highest quality and safety performance.  
• Serve as a primary interface to the BILH Quality/Patient Experience and Care Assessment Committee of the BILH Board of Directors.  Build an effective organization for quality and safety that is multi-disciplinary and transcends existing units. 
• In a rapidly changing healthcare environment where measures of quality, safety and value are critical factors in an organization's identity, reputation and reimbursement, the CMO must propel improvements in measures of clinical performance, safety and value. The CMO will do this by: enabling stronger performance through improving approaches based on calculated risks and benefits; benchmarking BILH's performance against other leading academic health systems and integrated delivery systems; proactively seeking to improve processes and implement best-in- class solutions, raising performance and efficiency in a thoughtful way; and identifying new systems and processes to improve quality and make healthcare delivery more efficient.  

Reports To:  

• EVP Chief Clinical Officer   

Direct Reports:  

• Executive Director, Credentialing and Verification Office   
• VP, Infection Prevention   
• Executive Director, Quality and Process Improvement   
• Patient Experience
• Safety Risk Management
• VP, System Lab Services  
• VP, System Emergency Management 

 Internal Relationships:  

• BILH Senior Executive Leadership Team   
• Hospital and Business Unit Presidents 
• Hospital and Business Unit Chief Medical and Nursing Officers  
• BILH Hospital Chief Financial Officers  
• Clinical Unit Leaders    
• Independent and Employed Physicians  

Required Qualifications:

Doctor of Medicine (M.D.) or equivalent degree and board certification is required. Bachelor's degree in health-related field required.    

Experience: 

The work required 15 years of progressive leadership experience. At least 10 years of experience leading clinical performance and improvement programs within a large, complex academic medical center or integrated delivery system with oversight for both inpatient and outpatient settings.  

Experience in an academic setting is strongly preferred with a national reputation and a track record of scholarship related to quality and safety. Proven experience in establishing strategic priorities and building the infrastructure and team to implement large-scale initiatives and behavioral change across the enterprise. Experience utilizing the approaches and methods of process improvement as evidenced by achieving desired outcomes.  

Licensure, and/or Certification:  

Licensed or eligible for license to practice medicine in Massachusetts required.