Medical Director of Quality, Safety, and Medical Affairs Opportunity

3 weeks ago


Pontiac MI, United States Trinity Health Full time

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. 6 FTE administrative and 0.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; 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; 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.
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.
Unrestricted current license to practice medicine in the Michigan.
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.
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.
Advanced graduate level training in health/business administration, public health, quality assurance and safety and/or medical staff governance.

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.
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 efficiently.
Understands medical staff governance and appropriate quality tools within the medical staff such as OPPE, FPPE and peer review.
Works with department chairs and department quality/safety committees on defining, measuring, and monitoring of quality improvement initiatives and programs.
Participates in department and organizational (PPEC) peer review committees for awareness and monitoring of quality and safety.
This is an exciting opportunity for the right physician to join Trinity Health Oakland Hospital.
Trinity Health Oakland is offering an excellent competitive compensation and benefit package for the right candidate.



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