The Physician Executive of Population Health and Payer Quality Informatics for Beaumont Medical Group (BMG) is responsible for all quality improvement and quality-related accreditation and regulatory compliance initiatives within the BMG Ambulatory practices. The Physician Executive, in partnership with the BMG System Director Population Health and Payer Quality, provides clinical, administrative, and strategic oversight to all staff, including medical staff, responsible for patient quality across BMG Ambulatory practices. The Physician Executive will work directly with the BMG leadership team to move BMG to become a Just Culture and a Learning Culture.
Scope of informatics activity – engagement, leadership, advocacy, and efforts in information technology (IT) arenas which promote provider usability and satisfaction with clinical information systems, in support of system initiatives, and in order to provide the best care possible to our patients – specifically in relation to payor quality endeavors. Domain expert for IT analysts in the areas of payor quality design, testing, and workflow. Advisory to IT leadership, relating the pulse of overall physician satisfaction with the state of IT systems/endeavors and collaborating on solutions in the payor quality space. Work is focused on provider engagement, education, adoption, and optimization of the electronic health record in relation to payor quality efforts.
The Physician Executive will ensure that BMG incorporates and utilizes continuous improvement systems-based strategies and methods to improve all aspects of patient care delivery. The Physician Executive, in conjunction with the BMG, System Director of Population Health and Payer Quality as well as IT and informatics leadership, will oversee data management, analysis, and dissemination of quality improvement data and information as it relates to BMG Ambulatory practices. Responsibilities will include analysis of clinical processes, identification of areas for improvement, and development of strategies to maximize delivery of reliable, patient centered care. Responsibilities also include leading and partnering with these groups on the proactive translation of payor quality requirements into the electronic health record (EHR) as well as the awareness and education of the medical group on workflows that support these payor quality programs. The Physician Executive will coordinate BMG initiatives associated with PCMH, PCMH-N, CPC+, MACRA, and other Payer quality programs.
Coordinate all BMG quality initiatives and configuration recommendations in the EHR in order to drive continuous improvement in BMG performance on publicly reported quality data as well as data reported to CMS and other commercial Payers’ various quality programs.
Lead preparedness efforts around the BCBS PCMH, CPC+, MACRA, and other initiatives for primary care practices, maximizing the number of BMG practices receiving designation status. This would include facilitating and coordinating pilots, developing best practice guidelines, instituting advanced PCP practice capabilities, and operationalizing “point of care” tools.
Lead preparedness efforts around BCBS PCMH-N, OSC, PGIP Specialty Value-Based Reimbursement and other Payer quality incentives for BMG specialists. This includes physician education, identification of performance gaps, and opportunities for improvement.
With a specific focus on quality, actively participate in IT project prioritization, deployment, implementation and optimization of EHR functionality, patient registries, and other point of care tools and reporting capability platforms. Work closely and provide direction for the Payor Quality Provider Informatics position.
Support accreditation activities of BMG to ensure BMG remains compliant with Joint Commission elements of performance standards.
In coordination with the Professional Affairs Committee, the Physician Executive utilizes the Just Culture algorithm and Vanderbilt PARS or similar techniques to promote professionalism within BMG.
Work with the Compensation Committee to make recommendations on incentive distributions for defined quality measures.
Be in good standing with BMG, the hospital, and medical staff and possess excellent communication and facilitation skills and consistently demonstrate the Beaumont Health principals.
Possess a strong foundational knowledge of various payor quality programs such as PCMH, PCMH-N, CPC+, MACRA, PCMH-N, OSC, PGIP as well as a willingness and interest to seek out and attend educational opportunities in these areas in order to maintain a domain expertise and stay up to date with evolving programs.
Have a foundational knowledge base in informatics and IT systems design and be able to integrate, function, and lead in an IT/informatics culture.
Internal Number: 02282018
About Beaumont Health
Beaumont is a not-for-profit organization formed in September 2014 by Beaumont Health System, Botsford Health Care and Oakwood Healthcare to provide patients with the benefit of greater access to the highest quality, compassionate care, no matter where they live in southeast Michigan.
The organization has net revenue of $4.1 billion and consists of eight hospitals with 3,337 beds, 168 outpatient sites, nearly 5,000 physicians and 35,000 employees, with approximately 3,500 volunteers.
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