The Chief Quality Officer (CQO) provides leadership, strategic direction and tactical implementation for continuous improvement of quality of care, outcomes, safety and best evidence-based medical practice across the continuum of care with the goal of creating a high reliability organization. Working in collaboration with the Board Quality Committee, department leaders, nursing and other key senior clinical leaders at Central Maine Healthcare (CMH), the CQO will be responsible for enhancing a culture of excellence in the delivery of clinical services and will further design and strengthen a quality infrastructure that seamlessly integrates with the overall quality agenda and organizational goals, and that is consistent with industry best practices. The CQO will support operational leaders in the further integration of quality and safety in the operating structure.
Specifically, the CQO will oversee and direct the development of a comprehensive quality and patient safety program with practice guidelines. They will collaborate with physicians and system leadership in coordinating quality and safety initiatives and will provide appropriate medical direction in accordance with all applicable hospital policies and procedures. This position will participate in orienting Medical Staff and other hospital staff members to policies and procedures related to quality and patient safety. They will evaluate and monitor the quality of care performed by the hospital and medical staff and provide communication and education to the medical staff and hospital leadership regarding the activities of the program. They will communicate with the CNO regarding services and clinical enhancements necessary to maintain or achieve a safe, high quality patient care environment.
The CQO will also work collaboratively with the Medical Staff Executive Committee on quality and patient safety initiatives. As a Clinical leader, the CQO will educate and engage with network/group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. The CQO will monitor practitioner practice patterns in order to identify trends, develop barrier analysis and recommend corrective action.
EDUCATION AND EXPERIENCE
· M.D. from an accredited medical school, completion of a residency from an accredited institution and board certification.
· Graduate degree in a related business management (MBA/MPH) is preferred.
· License or eligibility to obtain a license to practice medicine in Maine.
CORE COMPETENCIES AND SKILLS
· 10+ years of experience as Quality executive within a complex healthcare organization and/or large multi-specialty physician group practice preferred, with demonstrated success in the management of clinical process improvement and patient safety.
· Proven track record of excellent application of improvement and patient safety science; conversant in the latest thinking in those disciplines; experience working with performance improvement tools and methodologies.
· Training and/or certification in Lean or Lean/Six Sigma preferred.
· Skilled in coaching, counseling and developing others.
· Skilled in team building, team participation, and achieving organizational success.
· Ability to analyze and solve complex issues.
· Excellent communication and relationship skills.
- Experience with CMS conditions of participation for acute care hospitals and CMS and Joint Commission survey processes.
- In-depth knowledge of external clinical quality reporting requirements.
- Current knowledge of Joint Commission, state, and federal guidelines, regulations, and standards, having prepared, and participated in state, Joint Commission, and CMS surveys within past 3-6 years.
- Current statistical knowledge and skill in developing statistical data displays.
Baseline understanding of health information technology (HIT) / health information exchange (HIE), including data networks, database management and operating systems and interfaces