Chief Medical Information Officer

Navajo Preference Employment Act


In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Overview

POSITION SUMMARY

The Chief Medical Information Officer (CMIO) is responsible for supporting the development of clinical information systems that assist in the delivery of patient care and research. The CMIO will participate as a member of various leadership committees in representing the needs and requirements of the physician community and will serve as an advocate of administration in promoting the use of information systems in the clinical setting. The position will work in partnership with IT and relevant committees to translate clinical requirements into specifications for new clinical documentation systems.

Under the direction of the Chief Medical Officer and within the policies and procedures of TCRHCC the CMIO is a physician leader responsible for the coordination and development of clinical information technology in the inpatient, outpatient, ambulatory, and community setting to support the delivery of patient care. The CMIO will promote the use of information systems analytics in the clinical setting to improve safety, quality, efficient care delivery, and adherence to regulatory and compliance guidelines.

Manage physician and APP team of provider informaticists including direction and assignment of testing, training, template building and professional development activities.


Qualifications

NECESSARY QUALIFICATIONS

Education:

• MD/DO from an accredited school of medicine.
• A graduate degree in medical informatics and/or two (2) years of work experience in medical informatics systems as a champion or executive staff leader in the implementation of a hospital enterprise-wide clinical information system is preferred. Experience in a champion or executive staff leader in the implementation of a hospital enterprise-wide clinical information system will be required.
• Board Certified in their specialty with a history of at least five (5) years of clinical practice in a hospital setting, including experience in clinic-based ambulatory care.

Experience:

Requires a minimum of five (5) years' experience in clinical practice and/or five (5) years' experience as Medical Director in a progressive healthcare administration management experience in a large complex health care organization or hospital system. Clinical and Medical Director Experience may be concurrent.


Other Skills &Abilities:

TCRHCC prides itself on its mutually respectful working relationship with its medical staff. As a small organization working closely with our clinicians, both the executive and clinical teams regard the assurance of quality of care and patient safety as a mutual responsibility. Strong political skills will be a necessity of a CMIO to work closely with both teams to assure that all concerns are addressed in a spirit of mutual cooperation to ultimately benefit out patient. Such skills include, (and must be verified by all previous employers)

• Excellent interpersonal skills and ability to work effectively with a diversity of personalities. Must be approachable, show respect for others and be able to present data with effective communication and presentation skills. Must be an effective consensus builder.
• A good grasp of clinical workflow in both inpatient and outpatient settings, interest in clinical information systems and outcomes measurement.
• The ability to develop flexible, transferable models for pathways of care.
• Strong leadership abilities with a mature sense of priorities and solid practical experience and ability to design and implement systems within the framework of technical boundaries.
• A high tolerance for ambiguity and ability to work successfully in a matrix management model.
• Systematic thinking with strong organizational skills and the ability to deliver on time and within budget.
• Strong management skills, with adaptability and a strong collaborative management style, creative thinking with high energy and enthusiasm, and ability to be a team player who promotes the concepts of people working together versus individual performance.
• A thorough understanding of major trends in healthcare, healthcare regulatory environment, managed care, and familiarity with point of care products and medical informatics trends and tools.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

PHYSICAL

Must be able to walk several hundred yards quickly, write well, and see well for complete diagnostic skills.

MENTAL

Must be able to work on a regular basis and handle the stresses of rural medicine. Must be able to prioritize and use good judgment. Must be able to coordinate a variety of issues while being frequently interrupted.


Responsibilities

ESSENTIAL FUNCTIONS

1. Leadership:

a) Uphold, monitor and enforce adherence to approved TCRHCC Policies and Procedures.

b) Lead and facilitate clinician advisory groups in the design of clinical systems to support excellence in patient care and research.

c) Engage patient care providers with varying roles including physicians, nursing practitioners, nursing staff, ancillary department personnel, and medical records professionals to contribute to the development and use of the clinical information system.

d) Develop empathy and understanding of physician needs and build relationships with physicians to gain support of IT initiatives.

e) Work closely with clinical information system vendor to develop effective training programs for the clinical (medical and nursing) staffs, including "on-demand" or immediate support services available to end-users as required.

f) Participate in development on-going education programs as the clinical information system evolves and as enhancements are added and assure that clinical staff obtain education and certification in the use of the system on an ongoing basis.

g) Work closely with the medical and nursing staff to fully understand their needs and concerns and communicate these to their senior leadership and governance committee(s).

h) Provides leadership to areas of responsibility by developing a vision that is aligned with TCRHCC mission, vision and strategic plan.

i) Articulates the vision of the organization to develop a shared purpose of work and a sense of teamwork.

j) Lead design of clinical pathway models with physician, nursing and administrative leadership, and assist in modification of these models to gain maximum efficacy and support for patient care and research protocols.

k) Lead development of clinical "rules" supporting patient care and protocol research as well as the design of clinical system features supporting protocol management and the use of the system to leverage the clinicians' time and maximize communication with affiliates and referring physicians.

l) Lead development and deployment of solutions that cluster information in disease and episodic categories for benchmarking, clinical severity, and variance analysis.

2. Serve as Liaison between the clinical and executive leadership staffs:

a) Serve with clinical advisory groups to provide broad-based input into the design of the clinical information system.

b) Serve on governance committee(s) as assigned.

c) Review all system enhancement requests and work with clinical and medical staffs and vendor to deliver such requests in an organized and staged manner consistent with the ability of the vendor to provide such enhancements or changes in accordance with and under direction of the governance Steering Committee - including immediately required "fixes".

d) Work in concert with Information Technology Services to design and implement systems supporting patient care and research activities.

e) Develop Policy and Procedures and adheres to the approval process designated for a Policy or Procedure which impacts the Clinical Informatics services.

f) Fulfill all duties delineated in the Medical Staff Bylaws or Rules and Regulations

g) Serve as member of committees formed for the design, testing, implementation and policy development.

h) Design and evaluate collection of data for clinical purposes, including tracking and interpretation of outcomes.

i) Review patient assessments and management plans.

j) Participate in applicable clinical research.

k) Advocate for the provision of quality and cost-effective services by the clinical IT team to its customers.

l) Advises the Senior Leadership Council, Medical Executive Committee, and the Nurse Executive Committee of TCRHCC on Clinical Informatics matters.

m) Develop and Coordinate the Strategic Goals for the Clinical Informatics for each current fiscal year and the following fiscal year.

n) Advise and participate in development of operational and capital budgets for Clinical Informatics

o) Participate with members of other departments, in planning joint administrative and technical programs; and making recommendations of maximum coordination of Clinical Informatics services with other patient services.

3. Remain current on trends and legislative issues in clinical informatics:

a) Be responsible for assuring that TCRHCC meets the requirements of Regulatory and Certifying Agencies in regard to quality of care and Meaningful Use within the Clinical Informatics Services.

b) Review medical informatics trends, experiences and approaches; develop technical and application implementation strategies and assist in the development of strategic plans for clinical information systems.