Chief Medical Officer

Sheikh Shakhbout Medical City

Key Responsibilities of the role

LEADERSHIP

• Leads the organization s clinical staff and serves as a role model for professional excellence
• Leads in the development, approval, authorization and implementation of agreed clinical policies and procedures
• Assumes responsibility for establishing a clear system of communication with the medical workforce throughout the organization
• Attends all relevant corporate meetings and meets regularly with the Department Heads
• Fosters relationships with fellow medical leaders, academics and clinicians, and supports Department Head and Division Chiefs in championing the collaboration of research and exchange of ideas for best practice, helping to build the organization s reputation for clinical excellence
• Delegate s responsibilities to the Deputy Chief Medical Officer and other members of staff as required.
• Assumes additional administrative duties as requested by the Corporate Team

QUALITY AND PATIENT SAFTEY

Responsible to monitor, expand and improve outpatient and inpatient clinical care and service within the BE and collaboratively across the Health System.

• Supervise with the Chief Quality Officer and/or Director of Quality and the Quality Department to develop and implement annual quality and patient safety plan for the BE which is reviewed and approved by the Corporate Clinical Quality Department including a plan for the development and monitoring of key quality and safety benchmarked indicators.
• Support the BE Quality and Patient Safety Sub-Committee.
• Oversee the BEl Peer Review Committee (s).
• Oversees the Chairs and Chiefs performing regular evaluations on each Medical Staff Member based on the Physician Pay for Performance Program (PPFP) and OPPE (Ongoing Professional Practice Evaluation) and FPPE (Focused Professional Practice Evaluation) criteria set forth by Corporate Clinical Affairs and recommend and follow-up on appropriate action.
• Evaluate and take appropriate action on medical staff members as incidents arise.
• Ensure development and implementation of evidence based clinical practice guidelines in prioritized high risk clinical areas
• Review and approve appropriate Departmental Credentialing and Privileging criteria. Develop and implement additional privileging criteria as new procedures or programs are requested and obtain approval of the Credentialing Committee.
• Review and take action on all Medical Staff members requesting Medical Staff privileges
• Review, trend and report safety events. Implement action steps to prevent future events.
• Ensure Departmental compliance with Joint Commission International, HAAD,FANQ and other regulatory and compliance agencies.
• Participate in BE and Health System Quality and Safety meetings as requested.
• Review and take actions on all sentinel events and PSN reported incidents

OPERATIONAL EXCELLENCE

Development and implementation of strategies to facilitate the delivery of care and service excellence for physicians, staff and patients.

• Review periodic patient satisfaction for the BE and implement improvement actions when appropriate.
• Review periodic Patient Satisfaction for members of the medical staff and implement improvement actions as appropriate, including clarifying and enforcing the role of the physician in the patient experience.
• Support BE initiatives to improve the operational processes that impact physicians and patients.
• Jointly with the BE, develop, implement, monitor and report annual operational performance goals.
• Attend meetings that address performance improvement relative to service provided to patients.
• Review and take action on quarterly targets and indicators
• Oversees, guides, supports and ensures performance of the Transition of Care Case Management program and systems within the BE. Coordinates and collaborates in the work of the Case Manager with a focus on appropriateness and efficiency of admissions, continued stay consultations, treatment, care and throughput, as well as effective and timely discharge and post- acute placement.

GROWTH

Responsible to promote growth in clinical services across the system through the development of integrated clinical programs, robust educational programs and a strong research presence.

• In conjunction with the BE and Service Line leaders, conduct annual market share and the competitive analyses for each major program.
• In conjunction with the hospital and Service Line leaders, develop an annual strategic plan to identify potential areas for programmatic growth at the System level and for each hospital. If approved, the CMO will support implementation of the new program.
• Identify the clinical capital needs including IT support of the BE to support the Service Lines at the BE.
• Support strategies for system-wide clinical integration and clinical effectiveness in collaboration with corporate and divisional leadership.
• Facilitate and participate in fund development activities in the areas of promotion of extramurally funded research, the organization and delivery of clinical services, the generation of gifts and endowments, the creation and licensing of intellectual property and the negotiation of contracts for clinical research and other services.

PEOPLE

In collaboration with the HR Department, responsible to recruit and retain superior and diverse faculty with strong track records in clinical care, education and/or research in specific areas targeted for growth and development.

• Evaluate Department Chiefs annually based on agreed upon goals in all six Pillars of Excellence.
• Recruit and implement programs for retention of Medical Staff members based on the programmatic needs of the BE.
• Assigns clinical, administrative, research and education FTE to each physician at least on an annual basis and ensures that the Oracle Database is maintained to include FTE information as well as assigned standardized Department/Section, Tier and licensure.
• Develop succession plan and mentor potential candidates for senior positions

In conjunction with the BE, recruit support personal necessary to support programmatic growth and patient /physician/employee satisfaction