Medical Director of Quality, Safety, and Medical Affairs Opportunity

Trinity Health Oakland Hospital, located in Pontiac, Michigan, has an excellent full-time employment opportunity for a Board-Certified Physician to serve as Medical Director of Quality, Safety, and Medical Affairs.

This position will be split 0.6 FTE administrative and 0.4 FTE clinical.

The responsibilities for this opportunity will include :

• Understands, incorporates, and demonstrates the mission, vision, and values of the Ministry in leadership behaviors, practices, and decisions.
• Knows, understands, incorporates, and demonstrates the mission, vision and values of Trinity Health in leadership behaviors, practices and decisions.
• Experience with large-scale project management, clinical transformation and change management.
• Leads the development, deployment and change management of solutions that gather information for clinical benchmarking, determination of disease severity, and analysis of practice variation.
• Possess an understanding and working knowledge of current health care regulation, accreditation and licensure requirements for physicians and facilities (The Joint Commission, CMS and other).
• Serves as a member of the Patient Safety Committee (Zero Harm Committee)
• Serves as a member of the following medical staff committees : Medical Staff Quality Improvement Committee, Pharmacy and Therapeutics Committee, Medical Records Committee, Infection Prevention and Control Committee, Organizational Safety Huddle, Local Safety Huddles to evaluate the quality of the huddles, Health Equity Committee,
• Functions as a resource to the medical staff as appropriate in areas of Quality and Safety.
• Provides feedback to the medical staff regarding clinical quality and safety and process improvement initiatives; when necessary, provides one on one education / feedback.
• Assists in the development, delivery, and evaluation of training materials for physicians. Provides input into issues and initiatives in clinical quality, utilization and case management as appropriate and requested.
• Attends medical department meetings for the purpose of relating information specific to department clinical performance;

updating the department on internal or external practices; educating physicians on statistical and other review techniques.

• Demonstrated success in leading physician engagement and development opportunities within a hospital or medical group or equivalent.
• Promotes and provides leadership of the medical staff participation in various groups and task forces to assist in the fine tuning, design, implementation, and evaluation of the systems of clinical quality and safety.
• Demonstrated understanding of transition between strategic development and operational implementation.
• Represents TH Oakland within Trinity Health on issues related to Unified Clinical Organization Activities.
• Serves as a resource and / or member of medical staff or management committees as requested by the Chief of Staff and / or Chief Medical Officer.
• Should have a track record of operating in a collaborative, shared leadership environment and demonstrated ability of bringing dynamic groups to agreement around key, and at times controversial concepts.
• Continues to practice clinical medicine in area of expertise on an approximate half time basis.
• Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behaviors.
• Performs other duties commensurate with the office that may be reasonably requested by the organization.

The qualified candidate will have the following experience / certifications and education :

• MD or DO.
• Unrestricted current license to practice medicine in the Michigan.
• Board certification in clinical area of expertise.
• Must have five or more years of clinical practice experience.
• Membership on the Medical staff and privileged to write orders to clarify patient status.
• Excellent interpersonal skills with ability to build collaborative working relationships with medical staff, clinical staff, finance, and compliance.
• Excellent written and oral communication skills; ability to write clearly and succinctly in a variety of communication settings and styles.
• Possess an understanding and working knowledge of current health care regulation, accreditation and licensure requirements for physicians and facilities.
• Ability to demonstrate a comprehensive knowledge of a broad range of medical / surgical diagnoses, treatment modalities, therapeutic services, and intervention techniques.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.
• Preferred : Advanced graduate level training in health / business administration, public health, quality assurance and safety and / or medical staff governance.

The qualified candidate must also have the following leadership competencies :

General :

• Achieves excellence by being action oriented, decisive and follows through and aligns resources to accomplish objectives.
• Uses effective strategies to facilitate change initiatives and overcome resistance to change and identify sustainable improvements
• Understands complex issues and develops solutions that effectively address the problem.
• Lives out a set of deeply held personal beliefs and honors a spirit and presence greater than self and connects these to the CHE Trinity Mission and Core Values.
• Understands the role of emerging technology and its impact on operational effectiveness and organizational change.
• Possess strong communication and team skills
• Ability to effectively lead and participate as a member of multiple teams
• Possess the ability to work calmly and efficiently under tight deadlines
• Exhibits excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups

Quality and Safety :

• Strong understanding of quality management and elements of a high reliability, safety care system of care.
• Core understanding of serious safety events, how to conduct a root cause analysis and generate related SBAR communications.
• Assists the organization to create a learning environment for ongoing quality improvement and safety for board members, senior management, physician and nursing leaders and hospital staff.

Provides clinical quality improvement and patient safety insight into the strategic initiatives developed by the senior leadership team and in collaboration with the region and national system initiatives.

• Commitment to quality improvement activities and peer review with multidisciplinary teams.
• Serve as an executive champion for various quality and safety programs.
• Monitor and drive improvement on key local, regional, and system level initiatives.
• Champions the TogetherSafe program.
• Provide oversight of the Root Cause Analysis and Action process as well the Apparent Cause Analysis process.

Medical Staff Affairs :

• Ability to demonstrate a comprehensive knowledge of a broad range of medical / surgical diagnoses, treatment modalities, therapeutic services and intervention techniques.
• Ability to motivate physicians and staff to utilize clinical information systems and advanced technologies effectively and e
30+ days ago