OverviewEmory Healthcare (EHC) is seeking a board-certified physician leader to serve as Associate Chief Quality Officer (ACQO) at Emory Hospital Warner Robins (EHWR). This physician executive will lead quality and patient safety initiatives while maintaining a small clinical practice.
The Associate Chief Quality Officer provides leadership for quality management, regulatory compliance, and performance improvement initiatives across EHWR, comprised of 2 hospitals with 282 staffed beds.
Working closely with the EHC Chief Quality Officer and the EHWR Chief Medical Officer, the ACQO will lead initiatives to improve clinical outcomes, patient safety, infection prevention, and publicly reported quality metrics. This position will be structured with a ~0.8 Leadership / ~0.2 Clinical FTE split.
Key Responsibilities - Lead hospital-based quality improvement and patient safety programs
- Implement Emory Healthcare's Quality and Patient Safety (QPS) strategic initiatives
- Partner with clinical departments and hospital leadership to drive improvement initiatives
- Monitor performance metrics tied to CMS programs, value-based purchasing, and public reporting
- Ensure readiness for Joint Commission and regulatory surveys
- Investigate adverse events, including Root Cause Analyses and Failure Mode and Effects Analyses
- Participate in hospital and health system committees related to quality and safety
Qualifications Required
- MD or DO with an active board certification in any medical specialty
- Minimum 3 years of progressive leadership experience in healthcare quality
- Experience implementing quality improvement or patient safety initiatives
Preferred
- Experience within a complex health system
- Knowledge of regulatory and accreditation standards
- Leadership experience in physician executive, medical director, or hospital leadership roles
- Strong analytical, communication, and change management skills
About Houston County, Georgia - Provides a family-friendly atmosphere with modern amenities and a strong sense of community
- Conveniently located along the I-75 corridor, Houston is well-positioned between major metro markets and coastal destinations, making weekend get-aways easily accessible
- The area offers a low cost of living with high quality of life, allowing physicians and their families to enjoy spacious homes, safe neighbourhoods, and financial flexibility
- Families benefit from the top-performing Houston County School District, along with respected private schools
Interested candidates are encouraged to inquire to learn more about this physician leadership opportunity with Emory Healthcare.
DescriptionJOB DESCRIPTION: Provides leadership and support in the oversight for all aspects of quality and patient safety for their assigned facility. Provides oversight and administration of OU entity quality management, performance improvement, and regulatory compliance activities, to achieve Emory Healthcare (EHC) goal of clinical excellence
Reporting: Reports to the OU entity Chief Medical Officer (CMO) or Chief Quality Officer (CQO), in supporting the EHC Chief Quality Officer with development and implementation of quality improvement activities
Primary Duties and Responsibilities:Collaborates with the EHC CQO, EHI, Inc., Office of Quality to execute the EHC QPS plan and EHC strategic priorities by using methodologies of improvement to drive improvements of clinical and process outcomes related to patient safety, infection prevention, and other key quality performance metrics that are used to determine incentive and potential penalties as measured by CMS, private payers, and public benchmarking of EHC performance
Helps develop, plan, coordinate, and implement strategic and day-to-day quality (clinical improvement) programs across Emory Healthcare
Collaborates with local hospital operating unit leaders and EU academic departments to ensure integration of clinical quality management, regulatory compliance, patient safety, and risk management efforts across EHC
Manages the Quality & Patient Safety staff in adherence with EHC policies and standards with the responsibility for hiring, development, coaching, mentoring and performance management of staff
Participate in organizational committees at both the hospital and system committees as assigned or needed
Quality: Anticipate national trends and initiatives in performance improvement, clinical quality, health care informatics, and the use of clinical technology for improvement efforts
Ensures OU entity implements and are well positioned for local, state and national clinical regulatory programs, value-based purchasing methodologies, and comparison ratings
- Metrics/Data
- The ACQO shall be knowledgeable of their relevant campus metrics including but not limited to, QPS goals, drive/watch metrics, other relevant operational metrics that are utilized by relevant raters and ranking systems. He/she shall
- Proactively reviews key metrics and identifies trends
- Review them with hospital leaders
- Identify opportunities for improvement and drive improvement
Regulatory Accreditation and Certification: Helps provide direction regarding regulatory standards and compliance: regulatory body hospital-wide review/surveys (the Joint Commission, DCH, etc.) as well as surveys for disease-specific certifications.
Promote actions to achieve compliance with all relevant city, state and federal laws, government regulations, accrediting agency standards, and health system policies
Policy Management: Facilitate the dissemination, communication, and implementation EHC policies and procedures
Infection Prevention: Partners with IPC leaders to implement EHC IPC strategy and provide leadership of the Infection Prevention program and efforts at OU entity
Patient Safety: Leads and facilitates the patient safety efforts at OU entity in partnership with the Director, Quality & Patient Safety and OU entity leadership. Lead or facilitate cause, apparent, or common cause analysis, and FMEA. Investigate all major adverse events
- Participate and/or lead patient safety debriefs
- Apprise OU CMO or OU CQO of all major significant events
- Facilitate the investigation of all significant adverse patient events, including complaints/grievances in partnership with patient advocates in a timely (per regulatory requirements)
- Root Cause Analysis,
- Lead, participate and/or facilitate the RCA meeting
- Monitor plans of correction overseen and directed by the responsible party of the plans of correction
Risk Management: Partners with the risk management team to help facilitate risk management strategies to promote patient safety.
Quality Data Strategy and Program Reporting: Provides leadership and input of clinical quality data strategy for improvements in collaboration with data analytics team and information technology team
Ongoing Professional Performance Evaluations and Peer Review Analysis: Maintain physician credentialing, recredentialing, and to meet regulatory performance evaluations
MINIMUM QUALIFICATION:Medical degree from an accredited institution; board certification in medical specialty
Three (3) years of progressive leadership in healthcare quality related position
Experience with the design and implementation of quality, performance improvement and patient safety efforts in a complex health system
Change management skills
Strong team building ability: effectively able to motivate, engage and encourage team participation
Knowledge of patient safety field and/or hospital flow and efficiency
Strong analytical/problem-solving, critical thinking, and idea-generating ability
Experience in working collaboratively with clinical leadership
Excellent communication and interpersonal skills
Self-directed and motivated
Additional DetailsQualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
