Description

As a member of the Johns Hopkins Hospital management team, the Associate Chief Medical Officer is responsible for spearheading innovative initiatives to enhance physician engagement, education, and professional conduct, as they relate to patient care in JHCC. This position assists in the design and implementation of operational projects/programs and procedures for supporting clinical practice and professionalism within JHCC at The Johns Hopkins Hospital.

The Associate Chief Medical Officer (ACMO) reports jointly to the Co-Directors of the Johns Hopkins Children's Center (JHCC), the Chief Administrative Officer (CAO) of JHCC and the VPMA of Johns Hopkins Hospital. The ACMO will work directly with these leaders, as well as with the JHCC Administrator, Director of Pediatric Nursing, Assistant Chief Medical Officer of JHCC, Vice Chair of Quality and Safety for JHCC, Vice Chair of Surgical Quality and Safety, Vice Chair of Ambulatory Services, and the Chief Informatics/Analytic Officer. The ACMO will liaise directly with the PFAC Program Administrator in managing patient complaints.

The ACMO will work with the Medical Directors, residency program directors, and faculty and staff throughout the JHCC and JHHS to advance best practices in patient-centered clinical care operations across both inpatient and outpatient settings. Ensures a reliable, scalable infrastructure and integrated systems in support of the JHCC and JHHS missions. In conjunction with the MDQs, implement programs and processes for the consistent monitoring, reporting, and organizational response to performance measures.

The ACMO should have a broad understanding of, expertise in, and respect for the clinical mission; sound and extensive experience providing care in ambulatory and inpatient settings, working familiarity with hospital and professional fee finances; and demonstrated emotional intelligence that allows her/him to resolve conflict, represent the JHCC institutionally, and lead respectfully. Along with the JHCC leadership team, the ACMO serves as a liaison with campus and community-based JHHS medical/surgical faculty and staff and referral area clinicians. This position requires at least 50% effort. Job responsibilities include:

1. With Co-Directors, CAO, Assistant CMO, Administrator, Director of Nursing, and other leaders working collaboratively on JHCC clinical operations issues, communication, staffing, and new services leading to excellent patient care. This includes troubleshooting issues that may arise among services and team members, including medical, surgical, nursing, social work, child life, patient services, transport, respiratory therapy, radiology, interpreters, home care, access services, housekeeping, security, facilities, information technology, trainees, etc. Interacts with medical/surgical practices regarding operational concerns raised by patients, clinical staff, and referral practices, and develops decisive and appropriate actions.

a. Assists in managing JHCC bed management and Rubenstein building room management, Pediatric OR management.

b. In cooperation with hospital medical directors and nursing, oversees admissions and discharge policies, including direct admissions.

c. Assists the Assistant CMO in Capacity Command Center management, LOS monitoring, and optimization, and the KTRIP team, including implementing strategic and operating plan initiatives to improve timely and effective patient care, including but not limited to patient flow and capacity planning.

d. Leads the USNWR Survey completion and improvement prioritization, annually

e. With Co-Directors, oversee transport services.

f. Supervises the unit-based Medical Directors (ICUs, Acute Care floors, CAP, PED) and assists them in defining unit-based goals, and their role-specific annual performance metrics

g. Provides guidance on unit management and difficult situations as needed.

h. Chairs the JHCC Clinical Operations monthly meeting-attended by JHCC unit based medical directors, focusing on quality performance, surfacing clinical issues, providing policy development feedback and other relevant operations topics.

i. Discusses cases and possible changes in action for clinical situations with JHCC Case Managers involving a change in status (i.e., discharge, transfer, admission, etc.) and referrals or transfers for patients with special needs or status.

j. Along with the JHCC leadership team, collaborates with Pediatrics at Home, Mount Washington Pediatric Center, and other care coordination partners.

k. Provides clinical insight and promotes adoption of new services, diagnostic and treatment modalities which are shown to be an improvement on current practice, considering efficacy, cost-effectiveness, and medical necessity.

l. Works with the Department of Pediatrics administration to review charity care applications for completeness and potential alternatives and make resource allocation decisions regarding the disposition of patients with limited means during their inpatient stay and post-acute care treatment planning.

m. Provides review and possible approval of pharmacy costs overrides as needed, in conjunction with the Pediatric Pharmacy Director

2. Active communication with leadership for strategic planning and program development (both business and clinical) related to the clinical components of health care planning for the JHCC and JHHS.

a. With Administrator and JHCC leaders, refine and implement collaborative models for inpatient and outpatient strategic integration and redistribution of services across JH entities.

b. Routine meetings with Armstrong Institute leadership to discuss quality and safety across the health system and SOM

c. Routine meetings with JHACH ACMO offering assistance on EMR harmonization, quality and safety reporting tool optimization and shared best practice,

3. With the Surgical Director of Quality, VC of Quality for the Department of Pediatrics, and the Medical Director of Ambulatory Quality:

a. Develop and define the mission and vision for JHCC Quality. Develops metrics to assess performance towards the defined goals to ensure high-quality and safe performance.

b. Develops and implements standards for practice and measures of performance that reflect the mission and values of the Children's Center

c. Lead efforts for development, implementation and monitoring of pathways and protocols to decrease practice variation throughout JHCC, and to communicate with pediatric medical leaders at Bayview, Howard County, Frederick, St. Agnes, MWPH, and future partners.

d. Implementation and maintenance of a comprehensive model for continuous quality improvement across all aspects of JHCC clinical operations, including process and patient outcomes, patient and provider engagement and satisfaction, and financial performance.

4. With the Chief Informatics/Analytics Officer:

a. Assist with the implementation, development, and enhancement of current and future clinical information systems and dashboards to optimize tracking of KPIs.

In fulfillment of the above duties, the ACMO will serve on specific JHCC and JHH Committees:

Specific JHCC or DOP Meetings/Committees

• JHCC Senior Leadership Team
• JHCC Kitchen Cabinet
• JHCC Leadership Council
• JHCC Clinical Quality Improvement Committee
  1. Coauthors annual JHCC Safety & Quality Improvement Report
  2. Works with the JHCC leaders and MDQs to identify annual JHCC and JHN Safety Dashboard priorities
• JHCC Management Forum
• JHCC Q&S Think Tank
• JHCC Peri-Operative Executive Committee
• Children's Surgery Performance Improvement for Patient Safety
• JHCC Mortality Review
• JHCC Serious Safety Event Review Committee
• JHCC M&Ms (e.g. Burns, Trauma, PICU, NICU, PCICU, Heart Center)
• DOP & JHCC Division Chief and Vice Chairs meetings
• JHCC CRP Weekly Meeting
• Peds Heart Center and JHCC Leadership
• Peds/Risk Process Monthly
• Patient and Family Advisory Council Steering
• S4 Monthly
• Monthly Nurse Manager Meeting for ACMO updates
• Weekly Discharge Barriers meeting
• JHCC Executive Walk Rounds
• JHCC Safety Rounds on various units across the Center
• All RCAs relevant for JHCC
• Various internal operational meetings as required

JHH/JHM Committees

• Weekly VPMA Meeting
• Children's Center and Dept of Peds Update with JHH leadership
• JHH Quality, Safety, and Service Committee
• JHH Quality and Safety Committee
• JHH Clinical Vice Chairs Meeting
• JHH Medical Staff Professionalism Group
• JHHS Medical Executive Leadership Committee
• JHHS Length of Stay Steering Committee
• JHHS Communication and Resolution Program (CRP) Steering Committee

JHH Meetings

• ACMO monthly meetings, Chaired by VPMA
• Monthly Vice Chair meetings, Chaired by VPMA

Qualifications

Knowledge:

• Strong clinical background/reputation, program-building accomplishments, experience with patient safety.
• Broad knowledge of quality management, risk management, utilization review and clinical outcomes management.
• Understanding of measures of patient safety, quality, risk management and legal issues.
• Understanding of the Maryland hospital reimbursement system.
• Understanding of internal/external forces and their impact on healthcare delivery preferred.
• Demonstrated excellence in communications and team building skills.
• Knowledge of medical staff credentialing and privileging.
• Understanding of the relationship between civility/professionalism, workplace culture and patient outcomes.

Skills:

• Demonstrated ability to blend clinical skills as a physician with administrative knowledge and understanding to achieve results.
• Strong interpersonal communication skills are necessary to diplomatically mediate and foster a close and mutually beneficial relationship between the medical staff and hospital leadership.
• Skill in organization and detail-oriented management of complex policies and guidelines.
• Demonstrated team building and management skills; and demonstrated leadership qualities and experience.
• Ability to articulate challenges and to be proactive and aggressive in thinking about new ways to do things and create enthusiasm for new initiatives.
• Ability to elicit commitment from stakeholders and team members.
• Responsive to the concerns and needs of medical staff members.

Application Instructions

Applicants should submit their CV and Letter of Interest to https://apply.interfolio.com/191898

Attn: Dr. Brenda Banwell

Director, Department of Pediatrics

Pediatrician-In-Chief

Co-Director, Johns Hopkins Children Center