Associate Chief Medical Officer Of Quality, Safety, And Clinical Excellence

This position is exempt from Career Service under the CCH Personnel Rules.

The Associate Chief Medical Officer of Quality, Safety, and Clinical Excellence (ACMO) partners with the Chief Medical Officer (CMO) and Executive Leadership to advance organizational goals for quality, patient safety, and clinical excellence. The ACMO will drive strategic initiatives, ensure compliance with regulatory standards, and foster a culture of continuous improvement and high reliability across all care settings at Cook County Health (CCH).

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
• Participate in collective bargaining negotiations, caucus discussions and working meetings

• Document, recommend and effectuate discipline at all levels
• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
• Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures and provision of applicable collective bargaining agreements

• Direct and effectuate CCH management policies and practices
• Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

• Contribute to the management of CCH staff and CCH systemic development and success
• Discuss and develop CCH system policies and procedures
• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary: hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
• Work with Labor Relations to discern past practice when necessary

• Provides oversight at John H. Stroger, Jr. Hospital and Provident Hospital to advance organization goals over quality, safety, and clinical excellence.
• Serves as a liaison to medical departments and supports their quality initiatives.
• Attends and participates in the CCH Policy Committee.
• Provides support and collaboration with Stroger Executive Medical Staff (EMS) and Provident MEC Peer Review and Credentialing Committees on behalf of the CMO.
• Promptly responds to patient complaints/issues with respect to clinicians.
• Attends weekly Quality and Safety meetings, i.e., Council meetings.
• Serves as the lead liaison for medical staff contact for Quality.
• Directs Quality Assurance/Quality Improvement (QA/QI) efforts and providers oversight of departmental quality leads.
• Attends and participates in Environment of Care (EOC) rounds and in Root Cause Analysis (RCA).
• In the absence of the CMO, serves as the medical liaison between the hospital, clinic and accrediting/regulatory bodies.
• Responsible for regulatory, i.e., Joint Commission, etc., compliance monitoring, auditing, and improvement related to the medical staff functions.
• Assists the CMO with preparation of regular performance and/or status reports as required to the CCH Board, Medical Staff Committee(s) and CCH leadership.
• Collaborates with administrative, nursing and allied health staff.
• Participates in pertinent committees including those directly interfacing with patient experience and advisory groups.
• Serves as liaison with medical departments and supports their quality initiatives.
• Maintains an active clinical load of a minimum of 40% at the discretion of the Chief Medical Officer.
• Performs other related duties as assigned.

Reports to the Chief Medical Officer

• Doctor of Medicine (M.D.) or Doctor of Osteopathy Medicine (D.O.) degree or foreign equivalent
• Licensed as a physician in the State of Illinois prior to starting employment
• Must be cleared for privileges by Medical Staff Services by start of employment
• Board eligibility or certification in his/her respective medical specialty
• Three (3) years of clinical leadership experience in leadership with demonstrated success in quality improvement and patient safety
• Experience in regulatory compliance, performance improvement methodologies, i.e., Lean, Six Sigma, and data driven decision Active Basic Life Support (BLS) certification
• Based on specialty:
  Active Advanced Cardiovascular Life Support (ACLS) and/or Pediatrics Advanced Life Support (PALS)

• Master’s degree in Public Health or Master’s…