Job Title: EHMG Medical Director, Ambulatory Quality

Job Summary

We are a newly aligned organization, bringing together the best of Endeavor Health System, with 9 hospitals, 25,000 team members and 6,000 physicians serving over a million patients from over 300 sites of care across the Chicago Land area.

Together, we share a common vision to provide vibrant, community-connected care with a focus on community connection, expert care close to home and the value of people

We are investing in our communities to support closing health equity gaps and assuring convenient access to healthcareWe have regional centers of care that provide exemplary patient experiences and are always working to develop innovative care solutionsWe are committed to being the best place to work, practice and receive care.

We are committed to being the best place to work, learn, practice, and receive care.

The Endeavor Health Medical Group (EHMG) governance and senior operations leadership team has been established to provide oversight of system-level strategy and practice standards across the north and south service areas, inclusive of the institutes and ambulatory clinical service lines, medical group quality, patient experience and care model design initiatives.

Job Summary

The EHMG Medical Director, Ambulatory Quality will contribute to the organizations’s mission to help everyone in our communities be their best through care delivery that is safe, seamless and personal. The Medical Director, Ambulatory Quality is responsible for strategic quality implementation and operationalizing quality initiatives aimed at improving clinical outcomes, patient safety and experience and process improvement across Endeavor Health Medical Group. The Medical Director, Ambulatory Quality will also oversee the performance of a local legacy entity and is accountable to the EHMG leadership team to achieve organizational medical group objectives at legacy entity level. In addition, the Medical Director, Ambulatory Quality will work in partnership with the Endeavor Health Physician Partners Clinically Integrated Network leadership team to ensure that value-based performance metrics and goals are achieved for the lives cared for within the system-employed medical group. This role will connect to the system ambulatory quality physician leadership, as well as the EHMG Senior Operations Leadership team.

Essential Functions and Responsibilities

QUALITY, STEWARDSHIP AND EXPERIENCE IMPROVEMENT

Leads the implementation and execution of quality, safety, and patient experience, and works to operationalize programs aimed at achieving clinical excellence and providing a differentiated experience for front-line clinicians aligned with the goal to make EHMG the best place to practice. Oversees and ensures that safe and reliable processes are embedded into the delivery of healthcare by the NS-EEH medical group and advances a culture that values patient safety, continuous learning and improving patient outcomes in a manner that is equitable for all patients. Works collaboratively with leadership of the clinical institutes and ambulatory service lines to support initiatives aimed at standardizing care delivery, improving clinical outcomes and patient and clinician experience and engagement Together with the Ambulatory Quality Leadership team across the EHMG and EHPP CIN, monitors and oversees the physician dissemination of all reports, information summaries, relevant publications, and clinical, utilization, and financial data related to these activities. In partnership with the Ambulatory Quality Leadership Team, leads the planning, development, and implementation of strategies for improving health outcomes, patient experience, quality care delivery and cost containment. Engage with key stakeholders  to implement a physician  and operational engagement strategy that advances physician leadership and participation in ongoing improvement efforts. Work with key acute care leaders to ensure that patient care transitions and care issues that cross the practice and acute care settings are well-coordinated. Supports Stewardship initiatives in partnership with practicing physicians and relevant subject matter experts (inclusive of imaging, pharmacy and safe prescribing, as well as laboratory and appropriate test ordering). Partners with system patient experience leadership to ensure patient experience of care delivery that is anchored in EHMG Mission, Vision and Values Partners with acute care CMOs, system-medical group physician leaders and the Primary Care POD Leaders to ensure alignment and implementation of key initiatives that impact population health performance. Engages and maintains relationships with the acute care CMOs and CIN physician leaders Frequently interface with governance boards at the system and regional level to provide presentations when needed and serve as a resource and subject matter expert regarding Quality and Performance Improvement. In conjunction with the Board Quality Committees, establish quality and safety goals, practices and policies for care across the continuum Facilitates the review of quality and efficiency metrics to be applied to physicians and leads the development of recommended performance thresholds for incentive-based payments based on selected metrics Leads and facilitates Clinical Management Forums to foster collaboration between participating physicians within the region, entity, and across the CIN.

PATIENT SAFETY AND RISK MANAGEMENT

Provide leadership in developing and executing patient safety and risk management strategies across EHMG Actively work to maintain a culture of safety and high reliability, and to ensure that all members of the health care team (including the patient and family) feel that their voices are heard.  Design, implement, and monitor the effectiveness of patient safety initiatives and risk management programs for EHMG Oversee the investigation of adverse events and near misses, support the peer review process, and utilize patient safety tools (inclusive of root cause analysis) to develop action plans to prevent recurrence In conjunction with clinical, operational and educational leaders, support the implementation of educational programs in quality and patient safety.

CLINICAL INFORMATICS

In conjunction with the NS regional CMIOs, support the implementation of one EMR platform across EHMG Medical Group in a manner that prioritizes usability for front-line clinicians and seeks to reduce clinician burnout, improve intrinsic motivation and overall joy in work.

Other duties as assigned.

Leadership Success Criteria and Competencies

Leads People

Effective Information SharingBuilding Effective TeamsCompassionSelf-Knowledge

Builds Alliances

Organizational AgilityNegotiating

Leads Change

Managing Vision & PurposeDealing with AmbiguityManagerial Courage

Drives Results

Data-drivenCustomer FocusDrive for ResultsCommunicates effectively.

Qualifications:

Member of the professional staff at an entity hospital within Endeavor HealthDeep knowledge of ambulatory quality, patient safety, population health, and managed careUnderstanding of regulatory bodies and statutes that cover value-based care

Minimum Education Level

MD or DO from an accredited medical school.Completion of residency training and board certification and maintenance of board certification in the individual’s specialty area

Minimum Licensure Requirements

Must have an unrestricted medical license for the state of Illinois.Must be a member of the professional staff at an entity of Endeavor Health

Minimum Certification Requirements

Certification in quality (IHI, LEAN/Six Sigma Certification and/or similar training), patient safety (CPPS), risk management (CPHRM) highly preferred.

Minimum Work Experience

Minimum of 5+ years of post-residency clinical practiceAt least 2 years of experience in patient safety, risk management or quality improvement with escalating leadership responsibilities across the acute care health setting

Knowledge, Skills and Abilities (KSAs)

The successful candidate will possess excellent communication, facilitation, analytical and motivational skills consistent with effective change management and innovation deployment. Demonstrates ability to effectively communicate verbally and in writing.Demonstrates ability to present information to a variety of audiences.     Focused, results driven, and able to collaborate with and lead others in direct and matrix management reporting structures.Fluent in process improvement methods and tools to evaluate, measure capability, and redesign operational and clinical processes. Function independently with data analysis, trending and understanding of statistical methods to determine impact of change. Interpret and display data in manner that identifies areas of opportunity and engages leaders to identify tactics for care improvement. Coordinate and lead multidisciplinary teams independently for both long term projects and ad hoc needs.Translates clinical questions into reporting requirements and coordinate with EPIC teams to deploy workflows and requirements of defines measures.Learns and maneuver multiple databases to glean insights and identify opportunities for improvement.Leads and directs Care Transformation Managers and others in accordance with strategic plans of the organization.

The expected number of direct reports is tbd and a dozen or more indirect resources.  This includes Care Transformation Managers.

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.  

Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.

EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor

Molly Meyer

Physician Recruiter

Email: mmeyer3@northshore.org

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