Henry Mayo Newhall Hospital (Henry Mayo) is a highly regarded 357-bed hospital located in Valencia, California, a rapidly growing part of Los Angeles County. Reporting to the CEO, the VP/CMO will serve as a champion for clinical quality at the Hospital He/She assists the administration and the medical staff with primary oversight of all quality and patient safety initiatives. The VP/CMO works closely with the Chief of Staff, and other physician leaders, including department and committee chairs. He/She will be responsive to the concerns and needs of medical staff members and will serve as a catalyst for efforts aimed at improving clinical outcomes and patient safety. The VP/CMO is expected to foster and contribute to a close and mutually beneficial relationship between the Hospital administration and the medical staff.
M.D. degree from an accredited medical school. Must be Board Certified and with an active medical license in the State of California. Additional management training or an advanced degree (MBA, MHA, MPH) is required.
Experience: The successful candidate for the position of VP/CMO must:
be a physician with respected clinical training who possesses exceptional leadership skills, including a faculty for conceptual thinking, clinical quality and patient safety expertise, physician coaching and peer motivation, conflict resolution, and problem solving
have experience as a CMO in an independent hospital or as an Assistant CMO in a larger health system
have experience in leading Quality Improvement and Best Practices in Medicine, and in providing Value Based Care initiatives support
have experience with EMR use and data analytics
demonstrate initiative and a passion for quality improvement
demonstrate the ability to work as part of a management team as well as to change medical staff performance
preferably have experience in partnerships with other healthcare systems.
FUNCTIONS AND DUTIES:
Serves as the overall champion for clinical quality at the Hospital. Provides decision support to other members of the management team, including the establishment of system-wide goals and metrics for quality and safety.
Serves as a liaison for communication and the relationship between Administration and the Medical Staff.Works to build trust and minimize conflict between Administration and the Medical Staff.
Develops, coordinates, and oversees clinical quality improvement, patient safety initiatives, and Lean/Six Sigma projects that involve the medical staff, including assisting in the preparation of the medical staff for The Joint Commission surveys. Provides the medical staff with leadership and management services to meet mutual objectives.
Assists the medical staff leadership, Performance Improvement Department, and Medical Staff Services in establishing standards of performance and monitoring mechanisms for all medical staff departments. Works to develop performance reports and “dashboards” on metrics and ensures such information is reported at the appropriate Medical Staff and Board level meetings, with an emphasis on actions to improve. Manages a quality improvement team that identifies new and innovative methodologies to assess and enhance clinical quality.
Is responsible for the development of clinical information systems that assist clinicians in the delivery of patient care. Coordinates physician input into information technology and serves as the primary liaison between the medical staff and the Chief Information Officer at the Hospital.
Routinely reviews reports on patient care variances and meets regularly with the Care Management team at the Hospital, in order to identify patient safety or clinical quality patterns and trends that require intervention. Compares internal rates to nationally established benchmarks.
Provides leadership to patient safety initiatives by serving as chairperson for the Patient Safety Committee, as well as a resource for subcommittees, including Patient Falls, Medication Errors, Infection Control, and Critical Results. Works with management, staff, and physicians to ensure a patient safety culture that encourages and supports active involvement by all parties, including reporting opportunities to improve safety.
Ensures management and staff are focused on appropriate measures to reduce and eliminate errors in the delivery of patient care. Provides direction for the patient safety officer and other members of management team on efforts to improve safety.
Attends selected meetings of the medical staff as a representative of Administration and the Board, including but not limited to the Medical Executive Committee, Practice Review Committee, Medical Staff Performance Improvement Committee, Infection Control, Pharmacy and Therapeutics Committee, and Critical Care Committee to support and lead efforts to improve clinical quality.
Meets as needed with the Chief of each Medical Staff Department to discuss quality initiatives, Department metrics, and evolving interests of the Department members. Meets with individual members of the medical staff to review data on their overall performance, focusing them on areas requiring improvement as necessary to support organization goals.
Attends all Hospital Board meetings representing Hospital administration and providing a physician perspective on clinical matters. Works to ensure clinical quality reports are shared with the Board, either by presenting directly or by assisting medical staff leaders with the development of their reports.
Provides input to medical staff committees regarding improvement of processes and patient care outcomes. Initiates corrective actions for any identified problems as appropriate.
Provides regular input to the appropriate IT personnel and Physician I.T. Steering committee regarding the on-going development of a physician friendly computerized medical record.
Assists in the development of the medical staff by recommending and arranging for medical education in areas that support improvements in clinical quality and patient safety.
Stays abreast of industry developments in areas involving clinical quality and patient safety, including developments from agencies such as CMS, TJC, Leapfrog, AHRQ, NQF, and IHI. Works to ensure requirements or recommendations from such groups are incorporated into patient care operations at the Hospital.
Additional Salary Information: * Base salary plus bonuses
Internal Number: 1
About Henry Mayo Newhall Hospital
Henry Mayo is a 357-bed, not-for-profit community hospital and Level 2 Trauma Center. It is situated in Valencia California, the third largest city in Los Angeles County. It has a stable 44% market share and an attractive payor mix, primarily serving the Santa Clarita Valley in the northern part of LA County. Its service area will grow significantly with the development of the 15,000-acre Newhall Ranch Project approximately 3.5 miles from the hospital.
At the end of 2019 Henry Mayo opened a new 119-bed patient tower that includes three 30-bed private room medical surgical floors, a 29-bed private room women’s unit including a licensed birthing suite, and two C-section surgical suites. It has received numerous awards and recognitions including the Stroke Gold Plus Quality Achievement Award for eight consecutive years, Level 2 Trauma Center re-designation by the American College of Surgeons, and Joint Commission recertification of the stroke program and the palliative care program.
Henry Mayo has a highly experienced and stable senior management team. Its financial strength has allowed it to successfully weather the COVID-19 pandemic. In 2018 it created a clinically integrate...d network called Henry Mayo Care Network, LLC to improve physician alignment. The network now includes 252 physicians.