| Significant Responsibilities and Accountabilities: A. Clinical Quality/Patient Safety: - Champions achievement of excellent, compassionate care including but not limited to CMS star ratings, Leapfrog Safety Scores, and adoption/adherence to best practices.
- Champions excellence in patient experience and supports improvement initiatives.
- Identifies and helps support clinical transformation and the promotion of ease of practice.
- Collaborates with and helps support quality department initiatives and oversight.
- Helps identify and track pertinent quality and operational metrics to expedite optimal care and service.
- Helps lead patient safety initiatives and oversight. Helps hospital drive toward goal of zero avoidable harm and becoming a high reliability organization.
- Participates and supports resolution of complaints and grievances involving medical and APP staff, peer review, and safety event review. Participates and supports root cause analysis reviews and implementation of lessons learned.
- Promotes transparency of quality/safety metrics with medical and APP staff and helps provide meaningful metrics to allow physicians and APPs to constructively engage in the delivery of high quality, high value care.
- Assures the adequate development and implementation of clinical protocols, policies, and procedures.
- Helps ensure and coordinate availability and consistency of clinical coverage.
B. Clinical Resource Management: - Responsible to help optimize and drive operational efficiency.
- Helps lead and inform initiatives to ensure appropriate utilization of resources while promoting best practice care and cost-effectiveness. Helps support the transition to value-based care.
- Oversees and supports Utilization Management and Clinical Documentation Integrity.
- Helps support, evaluate, and champion supply chain initiative in collaboration with physician and hospital leadership.
- Helps develop, implement, and utilize appropriate admission, discharge, and triage guidelines. Works closely with case management, nursing, and the medical staff to assure all patients have an appropriate plan of care and ongoing care coordination. Is the hospital’s physician leader for case management and support for complex discharge management. Participates in medical necessity determinations.
- Supports financial performance improvement in such areas as standardization of equipment and supplies, optimal utilization of ancillary services, cost-effective medical resource management, and the application of evidence-based medicine to assure appropriate length of stay.
C. Liaison: - Establishes strong working relationships and leadership with the medical staff
- Serves as a key liaison with the organized medical staff and serves as administrative leadership to the Medical Executive Committee.
D. Medical Staff Activities: - Oversees and participates in the review of patient care, enabling committees to work with the medical staff to monitor and continuously improve clinical performance.
- Oversees Joint Commission continuous readiness and compliance for the medical staff.
- Oversees the development, implementation, compliance, and revision of medical staff policies and procedures including medical staff office function.
- Assists in the design, build, implementation, and evaluation of clinical informatics systems such as decision support tools, order entry systems, and technologic approaches to clinical protocols and guidelines.
E. Regulatory Compliance and Quality/Service Line Certifications: - Helps lead and support regulatory compliance with state/national regulatory standards and those of the Centers for Medicare & Medicaid Services
- Helps support compliance and achievement of quality and program accreditation.
- Helps review, chaperone, and resolve quality and behavioral concerns involving the Medical and APP Staff
F. Renown Transfer and Operations Center (RTOC) - Serves as main liaison for RTOC. Provides physician leadership to RTOC. Serves as point of contact to help resolve conflicts, inefficiencies, quality concerns with RTOC
G. Integrated Academic Health System - Helps support positive learning environment for students, residents, and fellows.
The VP Medical Affairs similarly facilitates, coordinates, and assists in the effectiveness of contracted medical directors in meeting clinical objectives. Duties shall include, but not be limited to, the following: - Provide leadership, expertise, coordination, and direction to establish and maintain a positive working relationship between medical staff members.
- Provide clinical expertise and advice in leading quality improvement initiatives, which improve outcomes, processes and or behaviors for the betterment of patient care and safety.
- Leads quality improvement efforts through development and distribution of data, information and by providing improvement opportunities and suggestions.
- Facilitate standardizing, and the continuous improvement of clinical policies.
- Support and assures success with accreditation and compliance reviews and reporting, e.g., HIPAA, NCQA, The Joint Commission, MGMA, etc.
- Provide the leadership for a successful implementation and continuous quality improvement of electronic medical records (EMR) to include a work plan for medical staff member support, learning and effective, efficient use.
- Assist with resource management through standardization, standing orders and protocols.
- Facilitate best practices for clinical patient management through a clinical utilization and management program.
- Provide physician leadership, and personal discussions when necessary.
- Provide effective denial management assistance with various payers for improved patient outcome, i.e., make the necessary and appropriate appeal with respect to non-payment decisions.
- Provide leadership and coordination to contracted Medical Directors to achieve the purposes of their contracts.
This position does not provide direct patient care. |
