Chief Medical Officer

at  Lancaster General Health

SUMMARY

Executive leader

POSITION SUMMARY:

The Chief Medical Officer (CMO) serves as member of the executive management team and integrating force linking several key aspects of clinical care including:

• Quality and Safety
• High Reliability
• Evidence Based Practice
• Medical Staff Governance
• Care Continuity

This position works as a liaison between the medical staff, administration, the employees of the Lancaster General Health System and Penn Medicine. The CMO is responsible for promoting high-quality patient care focusing on the Institute of Medicine aims of Safe, Effective, Efficient, Timely, Patient-Centered and Equitable care.

This position has the direct oversight for the following areas of responsibility:

• Quality and Safety Management
• Medical Staff Credentialing and Privileging
• Infection Control
• Clinical Optimization
• Clinical Informatics
• Research

Competencies:

• Building cohesive collaboration
• Ability to influence
• Managerial Courage
• Managing Execution
• Flexible/Adaptable

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Provides strategic leadership in identifying and creating a focus on quality management, patient safety, and patient satisfaction, in collaboration with the Chief Nursing Officer
• Champions efforts to follow evidence-based practice and decrease unnecessary variation in care, using best practice guidelines.
• Promotes coordination of patient care throughout the continuum, i.e. inpatient, ambulatory, clinic practices and post-discharge sites of care.
• Works with executive team to build sustainable continuous organizational clinical improvement utilizing principles of high reliability
• Drives efforts to achieve performance clincal improvement goals across LG Health, in practice units and at the individual provider level
• Leads, along with CNO and COO, performance on all quality , patient safety metric, throughput and patient experience metrics.
• Serves as the entity Patient Safety Officer, or oversees an appropriately designated person
• Sponsors and insures the annual review of the Qualitiy Assurance Performance Improvement plan
• Serves as a key liaison between medical staff and the organization as a whole
• Represents, along with the President of the Medical Staff and Department Chairs, the needs and requirements of the physician community and serves as a key liaison with the medical staff members
• Ensures appropriate monitoring of practice patterns of physicians using Peer Review, FPPE and OPPE reviews
• Maintains full accountability and oversight of medical staff credentialing and privileging processes in accordance with state and federal regulatory standards
• Promotes leadership development among Medical staff members and provides mentoring for current medical leadership while identifying and nurturing future leaders
• Collaborates with PMMG leadership related to LGHP practice management (*), to ensure effective, coordinated, high quality delivery of clinical services.
• Drives compliance with requirements of the Joint Commission, PA DOH and CMS conditions of participation.
• Supports regulatory preparedness across all hospital clinical departments by partnering with hospital administration and medical staff
• Oversees LG Health Clinical Informatics, in coloration with Penn Medicine, including appropriate access and rendering of quality data in accessible and actionable reports
• Develops and implements administrative policies and procedures with clinical application and ensures they are followed
• Translates clinical, business and administrative imperatives to the medical staff and promotes physician alignment with entity goals the entity
• Participates in CMO/CNO council and works collaboratively with UPHS CMO and entity CMOs
• CMO will have direct responsibility for leading LGHP practices in collaboration with PMMG leadership until 7/1/2025, at which point the role will be as described above.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Participates in regional, state, and national medical group administrative forums, committees, and education programs.
• Other duties as assigned.

MINIMUM REQUIRED QUALIFICATIONS:

• Medical Doctor (MD), Doctor of Osteopathy (DO), issued by the Accreditation Council on Medical Education.
• Current Medical licensure issued by PA State Board of Medicine or the PA State Board of Osteopathic Medicine.
• Excellent communication skills, interpersonal and organizations skills, proven ability to work collaboratively as member of interdisciplinary team, ability to drive results etc.
• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

PREFERRED QUALIFICATIONS:

• Master’s in Business Administration and/or Public Health or related health or business-related field, preferred
• Experience and/or formal training in quality and safety, preferred

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies, General medical instruments
Software: Microsoft Office Products, Clinical information system

SENSORY ABILITIES SPECIFICALLY REQUIRED:

• Vision
• Hearing

PHYSICAL ENVIRONMENT

WORKING CONDITIONS: Exposure to hazardous conditions/ materials is negligible.
Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

DISCLAIMER

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.
Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Provides strategic leadership in identifying and creating a focus on quality management, patient safety, and patient satisfaction, in collaboration with the Chief Nursing Officer
• Champions efforts to follow evidence-based practice and decrease unnecessary variation in care, using best practice guidelines.
• Promotes coordination of patient care throughout the continuum, i.e. inpatient, ambulatory, clinic practices and post-discharge sites of care.
• Works with executive team to build sustainable continuous organizational clinical improvement utilizing principles of high reliability
• Drives efforts to achieve performance clincal improvement goals across LG Health, in practice units and at the individual provider level
• Leads, along with CNO and COO, performance on all quality , patient safety metric, throughput and patient experience metrics.
• Serves as the entity Patient Safety Officer, or oversees an appropriately designated person
• Sponsors and insures the annual review of the Qualitiy Assurance Performance Improvement plan
• Serves as a key liaison between medical staff and the organization as a whole
• Represents, along with the President of the Medical Staff and Department Chairs, the needs and requirements of the physician community and serves as a key liaison with the medical staff members
• Ensures appropriate monitoring of practice patterns of physicians using Peer Review, FPPE and OPPE reviews
• Maintains full accountability and oversight of medical staff credentialing and privileging processes in accordance with state and federal regulatory standards
• Promotes leadership development among Medical staff members and provides mentoring for current medical leadership while identifying and nurturing future leaders
• Collaborates with PMMG leadership related to LGHP practice management (*), to ensure effective, coordinated, high quality delivery of clinical services.
• Drives compliance with requirements of the Joint Commission, PA DOH and CMS conditions of participation.
• Supports regulatory preparedness across all hospital clinical departments by partnering with hospital administration and medical staff
• Oversees LG Health Clinical Informatics, in coloration with Penn Medicine, including appropriate access and rendering of quality data in accessible and actionable reports
• Develops and implements administrative policies and procedures with clinical application and ensures they are followed
• Translates clinical, business and administrative imperatives to the medical staff and promotes physician alignment with entity goals the entity
• Participates in CMO/CNO council and works collaboratively with UPHS CMO and entity CMOs
• CMO will have direct responsibility for leading LGHP practices in collaboration with PMMG leadership until 7/1/2025, at which point the role will be as described above

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Participates in regional, state, and national medical group administrative forums, committees, and education programs.
• Other duties as assigned