The Chief Medical Officer's Essential Guidebook

Description

A chief medical officer (CMO) is a senior executive responsible for providing strategic leadership and direction to an organization's medical and clinical affairs. But how does a physician learn how to be an effective CMO? This book is for current CMOs, those aspiring to be CMOs, and the executives and peers who work with them.

This book is a compilation of dozens of medical executives' experiences and lessons, including what they wish they had known before becoming CMOs. A Foreword by Peter Angood, MD, chief executive officer of the American Association for Physician Leadership, puts the book in context for modern physician leadership.

What Is Inside:

Section One — The Plan: What is a CMO? Who wants to be one and why? A survey of the physiology of the CMO — body, heart, brains, and spirit.

Section Two — The Anatomy of the CMO: The building blocks of the ideal CMO: quality and safety, change management, professionalism, patient experience, the EMR, and dealing with payers.

Section Three — Relationships: Medicine is a team sport. CMOs need partners. Authors recount the dynamics of relationships with the CEO, CNO, CFO, board of directors, and medical staff leaders — and the importance of mentoring.

Section Four — Systemic Thinking: How the CMO deals with forces outside the hospital: accreditation and ratings agencies, the media, and the community, requiring non-clinical skills and the ability to lead teams of non-clinicians.

Section Five — Values: The CMO's spirit must be oriented toward the highest ideals: equity, justice, and respect. This section covers ethics, diversity, and the historic challenges that continue to influence healthcare delivery now and into the future.

From patient safety, to HealthIT, to working in dyads and inter-professional teams, to interacting with the community and the board, to working with accrediting agencies, to handling the media, this practical book reviews what is expected, how others have stumbled or failed, and how CMOs have found the way to succeed.

Read The Chief Medical Officer's Essential Guidebook to get an inside look at the CMO world, learning from others' experiences and gaining that secret knowledge necessary to be an effective chief medical officer.

About the Authors

Mark D. Olszyk, MD, MBA, CPE — Editor

Mark D. Olszyk, MD, MBA, CPE, is the chief medical officer at Carroll Hospital in Maryland. He earned his medical degree from Columbia University and is board-certified in emergency medicine. He served his country as a U.S. naval officer, deploying overseas with the Marine Corps. He also worked for the Department of Veterans Affairs, where he further honed his skills and expertise. Olszyk is a proud father of four children and has been an active scout leader, with all three of his sons achieving the rank of Eagle Scout. In addition to his many accomplishments, Olszyk also serves as the vice chair of the Maryland Board of Physicians, where he continues to make a positive impact in the medical community.

Erin S. DuPree, MD, and Rex Hoffman, MD, MBA — Co-Editors

Table of Contents

Dedication

Acknowledgments

About the Author

Foreword — Peter Angood, MD, FRCS(C), FACS, MCCM, FAAPL(Hon)

Preface and Introduction — Mark D. Olszyk, MD, MBA, CPE, FACEP, FACHE, FAAPL, FFSMB

Section One: The Plan

1. What, Exactly, Is a CMO? — James Kravec, MD, FACP
2. Why I Wanted to Be a CMO — Amanda Brisebois, MSc, MD, FRCPC, FACP, AoADI, CEC
3. How I Became a CMO — Seife Yohannes, MD

Section Two: The Anatomy of the CMO

4. The CMO and Quality Improvement — SreyRam Kuy, MD, MHS; Avilasha Sinha, BS; Andy F. Espinoza, MD; Anna R. Kimata, BS; Christy Y. Chai, MD; and Samir S. Awad, MD, MPH
5. Leading Change Management — Steven D. Brass, MD, MPH, MBA, and Esmaeil Porsa, MD, MPH, MBA
6. Patient Experience and the CMO — Jason M. Golbin, DO, MBA, MS
7. Patient Experience: Another Perspective — Brenda F. Johnson, BA, MS, MBA
8. Disruptive Behavior and Discipline — Lynn E. Welling, MD
9. Navigating EHR and the Realm of IT — Irshad Siddiqui, MD, MS, CPE, CHCIO
10. Patient Safety and Risk Management — Brent C. Jackson, MD, MBA, FACS
11. Components of Utilization Management — Charlie Abraham, MD, MBA, FACP
12. Improving Clinical Documentation — Alistair J. Aaronson, MD, MHA, FACP
13. Managing Contracts — Daniel J. Weissburg, BA, JD, and Rex Hoffman, MD, MBA
14. Understanding Health Insurance — Reka P. Danko, MD
15. Building Bridges with Payers — Reka P. Danko, MD

Section Three: Relationships

16. The CEO and the CMO — Bernard J. Klein, MD, MBA, with Commentary by Rex Hoffman, MD, MBA
17. The Medical Staff and the CMO: Advocacy and Accountability — Drew J. White, MD, MBA
18. The CMO and the Medical Staff: Defining a Successful Relationship — Lynn E. Welling, MD
19. The Medical Staff and CMO: Working with Advanced Practice Providers — Kevin R. Walsh, PA-C
20. The CMO and the Chief Nursing Officer: Creating Synergy — Nicole C. Beeson, MSN, MBA, with Commentary by Rex Hoffman, MD, MBA
21. The CMO's Role in Maximizing Profitability — Michael S. Kobernick, MD, MS-HSA, MS-PopH, FAAFP, CPE
22. The CMO and Strategic Growth — Mark Spektor, DO, MBA
23. The CMO's Relationship with the Board — Lee S. Scheinbart, MD, CPE
24. The CMO and the Board: A Board Member's Perspective — W. Daniel McLaughlin
25. The CMO and the Organization: Understanding and Navigating the Environment — Cydney T. Teal, MD, MBA, CPE, FACP, FAAFP
26. The CMO's Value to the Larger Organization — Samuel E. Moskowitz, FACHE, MHA
27. The CMO/CMIO Relationship: Harnessing Technology — Allen L. Hsiao, MD, FAAP, FAMIA
28. Mentorship: Developing Self and Others — Michael S. Kobernick, MD, MS-HSA, MS-PopH, FAAFP, CPE

Section Four: Systemic Thinking

29. Ratings, Rankings, and Continuous Improvement — Amir K. Jaffer, MD, MBA, and Purvi Shah, MD, MSc
30. Understanding Accreditation and Regulatory Readiness — Erin DuPree, MD, and Marianne Coughlin, MPH (retired)
31. Communicating Effectively — Elsie Koh, MD, MHL, FSIR
32. For the CMO Toolbox: Media and Media Relations Strategies — Aaron George, DO, with Commentary by Mark D. Olszyk, MD, MBA, CPE, FACEP, FACHE, FAAPL, FFSMB
33. Making Impactful Presentations — Mark D. Olszyk, MD, MBA, CPE, FACEP, FACHE, FAAPL, FFSMB
34. Population Health and Value-Based Healthcare — Catherine M. Chua, DO, FAAFP, FMNM, CPE
35. Community Benefit and Community Trust — Chad B. Krilich, MD, MBA

Section Five: Values

36. Civility for the CMO — Sunil Eappen, MD, MBA
37. Ensuring Equity — LaTonya B. Washington, MD, MBA, CPE
38. Fostering a Culture of Employee Engagement — LaShannon Spencer, MPA, MHSA, PhD(c)
39. Navigating Ethics — Mark D. Olszyk, MD, MBA, CPE, FACEP, FACHE, FAAPL, FFSMB
40. Reducing Burnout and Improving Resiliency — Arpan Waghray, MD, and Ryan C. Dix, PsyD, MS
41. The Future of Healthcare and the Role of the CMO — Michael S. Kobernick, MD, MS-HSA, MS-PopH, FAAFP, CPE
42. Putting It All Together to Ensure Safe, Equitable Healthcare — Ronald M. Wyatt, MD, MHA

Testimonials

• "This book takes the reader behind the scenes in a large hospital to see what's going on that makes it such a remarkable institution: a complex, humane, and continually evolving social organization without the heavy overlay of corporate headquarters. The volume is a compilation of scores of hospital administrators' insights into their work, its demands, and their practical responses to these. This is not a business school case book; to the contrary, readers will hear the voices of professionals at a hospital near them or similar to those they frequent. You will never imagine the variety of challenges they meet. The book is a don't-miss for professors, students, and researchers in the Sociology, Anthropology, and Economics of Medicine and of Hospital Administration; but also for directors of large Not-for-Profit organizations; and analysts in management consulting firms. Physicians in leadership positions would do well to recommend it to their trainees, staff, and patients, as the issues its contributors explore relate to the experiences virtually all of us have when for whatever reason we visit a hospital. Young and old, ill and healthy, we have the editors to thank for bringing us this fresh view of one of our society's key institutions." — G.E. Goodell, PhD, Professor Emerita, Johns Hopkins University, Washington, DC