The Evolving Role of the Chief Medical Officer (CMO)

1 The Evolving Role of the Chief Medical officer (CMO) Mark, tell me again - what do you do? SMA CME on the River - 2015 Mark S. Williams, MD, MBA, JD Objectives Gain an understanding as to the genesis of the CMO role Provide an understanding of the skill sets essential to success Identify trends in physician leadership rolesDisclosure: No financial interests to reportMust be some value in this role(but the job descriptions are all different?!)No shortage of opportunitiesVPMA/CMOC hief Medical Information OfficerChief Quality and Safety OfficerChief Integration OfficerPhysician Board MembersChief Physician ExecutiveService Line Medical DirectorOthersOld ParadigmHospitals attract physiciansHospitals supply resourcesThe sicker the betterIllogical charge/payment modelNo transparencyNo limits to growthOld ParadigmPhysicians know bestClinical realm belongs to MDMore volume.

2 More moneyNo transparencyNo limits to growthVPMAVice-President Medical Affairs Respected physician Trusted Liaison Semi-retired Minimizes surprises COSC hief of staff - Respected physician- Elected by the Medical staff - The Chief - One of us - Former physician- Chosen by administration- The Suit - One of them CMOC hief Medical OfficerManaged Care and the 1990sChief Medical Officers became crucial to helping insurers meet their bottom lines Modern Healthcare Reform a lot of value is going to be driven by the policies that come out of the Chief Medical officer s domain - in terms of safety and programs that keep people healthyIn 2005, based on the Call to Action for Healthcare That Is Safe, the Clinical Excellence Team set an audacious goal of providing excellent clinical care with no preventable injuries or deaths by July of 2008A Chief Medical officer in every Ascension Health SystemSolucient 100 Best of Breed Hospitals.

3 2005 CMO part of top leadership team in 68% in the best of breed and fastest growingCMO growth directly related to top priority that best of breed placed on importance of quality and patient outcomesThe delivery of healthcare is now overwhelmingly COMPLEX!RAC auditsUtilization ReviewOPPEFPPER educing Variation in CareEvidence-based Care (core measures)Transparency and DisclosureDisruptive (distressed) Physician Behavior Never Events and Hospital-acquired ConditionsMeaningful Use and EHRsPayment ReformQuality and PIPatient SafetyMedical staff AffairsGraduate Medical EducationInfection PreventionClinical IntegrationCase Management/URClinical DivisionsRisk ManagementResearch/IRBP atient ExperiencePhysician RecruitingClinical InformaticsPHO/ACOR esponsibility for System and Hospital Divisions(MD Executives)

4 Perhaps the Evolving role of a CMO is really a reflection of the Evolving relationship with physiciansEvidence-based MedicineMortality ReductionReducing Variation in CareReducing ReadmissionsElectronic Health RecordsPopulation HealthReducing HarmNew Payment Models3 yrs ago3 years from nowPercentage of CMOs Identifying Selected Responsibilities as Their Most Time ConsumingThe Evolving Role of the CMO2012 CMO Survey, The Advisory BoardMost Strategically Important Responsibilities (by % of Physician Executives)The Evolving Role of the CMO2012 CMO Survey, The Advisory BoardCMOs Seeking to Off-Load Responsibility to Other Leaders86% Right-sizing the CMO Role1.

5 Identify the responsibilities to prioritize2. Define the duties to delegate3. Find recipients for delegated dutiesVP AnalyticsDirector Population HealthMedical DirectorPost-Acute CareVP Clinical IntegrationSome ExamplesFocus on IndividualsExtensive ProfessionalizationStrong Personal BondingCollegial RelationshipsWary of Outsiders On the Front Lines Now Focus on PopulationsLess Professional SupportShared ResponsibilitiesFew Patient EncountersMust Prioritize IssuesNeed to Manage PoliticsPhysiciansHealthcare ExecutivesThe Culture Gap To Achieve Superior ResultsA Unified Culture That Leverages Respective StrengthsPhysician

6 Leadership InstitutePeer ReviewStrategic PlanningComprehensive Unit-Based Safety ProgramCo-ManagementOthers Designed to serve North Mississippi s partner physicians by providing innovative leadership training, personal development and practical management/strategic planning skills sets NMHS Physician Leadership Institute, 2011 Specific Selection Criteria Commitment Well-Defined 40 Class Hours 60-80 Out of Class Hours Support of Group Expectations Clear Honesty Respect Active Participation Future Leadership RoleCrucial ConversationsServant LeadershipPerformance ImprovementLEANM edico-LegalFinanceOperationsStrategic PlanningInfluencer in ChiefThe role of the Chief Medical officer increasingly revolves around influencing physicians and hospital administrators to create working relationships that benefit Words have ImpactThey are TrustworthyThey are

7 EngagingThey Go To Their AudienceThey are a Thought LeaderWhat is an Influencer?They Can InspireInfluencer Traits Questions?ThanksMark S. Williams, MD, MBA.