SUMMARY
This position serves as the senior physician leader for medical staff and member of the Hospital executive team to provide physician perspective on and leadership around the direction of healthcare delivery in alignment with the MHC strategic direction.  Directs processes and initiatives among medical staff to ensure high standards of quality, continuity, efficiency and effectiveness of patient care.  Has oversight of regulatory compliance, clinical performance and human resources management of medical staff.

ORGANIZATION

• The position has a direct reporting relationship to the Hospital President and an indirect (dotted line) relationship to the MHC System Chief Medical Officer.
      

SPECIFIC DUTIES

1. Supports the mission, vision, values and principles of Munson Healthcare.
2. Embraces and supports the Munson Alignment framework.
3. Provides the leadership and vision for MMC medical staff that advances True North performance and MHC   strategic goals.
4. Works in collaboration with trustees, administrative colleagues, medical staff, hospital leaders and corporate colleagues in developing clinical priorities for the hospital to support MHC system priorities.
5. Responsible for planning, coordinating, and overseeing the medical affairs of the hospital in achieving its goals of safe, high quality patient care, improved clinical outcomes, customer service, and medical expense management.
6. In collaboration with other members of the leadership team, is accountable for the overall success of the facility, including but not limited to, clinical competency of medical staff, medical staff recruitment, credentialing and privileging plus inter-hospital, intradepartmental, and community relationships
7. Promotes alignment with senior leaders and medical staff.
8. Serves as liaison between medical staff and senior leaders to bring medical staff issues and concerns forward to Administration as well as strategy and direction of the organization to the medical staff.
9. Promotes the use of clinically relevant and valid standards of care, guidelines and criteria.
10. Leads Process Improvement activities for the medical staff to promote better quality and safety outcomes.
11. Provides leadership and medical direction to facility staff/committees, e.g. MEC, Credentials, Board, Quality and Safety committees, Senior Leadership Executive meetings, etc.
12. Participates with the MEC in developing governance Committee Structure.
13. Coordinates with MHC CMO and local administration in medical staff planning and recruiting, serves as local point of contact for the recruitment team.
14. Orients, mentors and supports new medical staff leaders at Hospital.
15. Coordinates with the Chief of Staff on corrective actions and other medical staff issues dealing with the local medical staff.
16. Assures appropriate, consistent review and monitoring of any impaired physicians.
17. Coordinates local Medical Staff education functions and promotes system wide medical staff and GME education.
18. Communicates regularly and by multiple mediums with the Medical Staff (newsletters, meetings, etc.) Attends local department and section meetings regularly and as needed.
19. Participates in the development of medical staff bylaws and develops systems to assure compliance with the bylaws.
20. Assures the development of local charters, rules and regulations is in alignment with overall medical staff and organization direction.
21. Assures conformance of the hospitals governing documents, regulations, and standards of the state and federal agencies and The Joint Commission.
22. Oversees and reports to the Board, the monitoring of the quality of care and appropriateness of care provided to all patients in the hospital. Makes recommendations for improvement as needed.
23. Promotes the plans, policies, and objectives of the Medical Staff, Administration and the Hospital Board.
24. Performs all other duties as assigned.