Innovative Health Alliance of New York (IHANY) is the recognized population health value based care clinically integrated network (CIN) in the Capital Region of New York State. It comprises of 1,500 providers, 3 health systems, a rehab hospital, a full spectrum of continuing care and behavioral health facilities, two federally qualified health clinics and a number of independent primary care and specialty practices. IHANY was established in 2014 and is involved in Medicare, Medicaid and commercial populations across 6 counties comprising the Capital Region of upstate New York (Albany and surrounding counties). It currently serves over 50,000 covered lives in value based contracts.
I. GENERAL SUMMARY/OVERVIEW:
The CMO works in concert with the IHANY Leadership Team and the Governing Board to develop and implement the overall population health strategy. The role collaborates with the CEO in a dyad manner. This includes driving the clinical aspects of value based care such as coaching around team based care, proliferating the use of evidence based clinical practices, evaluating provider and network performance on cost and quality, facilitates performance improvement efforts, and educates key aspects of care transformation to achieve triple aim (better care, improved health status, and smarter spending). This role includes the advancement of quality improvement and more importantly, ways to lower the total cost of care.
The CMO works closely with the IHANY CEO, IHANY Governing Board and Committees, and the physician members with a special emphasis on advancing clinical transformation of the Primary Care Practices and reinforcing the PCMH framework. The CMO will review and oversee implementation of the annual Quality Plan, which is a requirement of the Certificate of Authority for all payer ACO contracts in New York State. Additionally, the CMO will have a strong working relationship with the Chief Medical Officers of the employed medical groups, the Chief Clinical Officer of SPHP, and population health leadership within Trinity Health. The CMO will be responsible for presenting innovative solutions for improving population health management and ways to reduce physician burnout.
II. PRINCIPAL DUTIES AND RESPONSIBILITIES:
1) The CMO plays a critical role as liaison to and supporter of the IHANY and its value based programs. Responsibilities include:
a) Provides leadership and support to IHANY PCPs and Specialists, develops, and implements programs to improve contract performance in all the Value Based programs IHANY offers to its network. Works closely with and meets on a regular basis with IHANY physicians and administrators to develop and implement quality improvement plans, review results and evaluate impact of changes to improve patient outcomes.
b) Collaborates with the practices to stress the importance of both acute care and specialty care coordination for excellent patient care. For practices with infrastructure including a CMO, the IHANY CMO, and the CMO or Medical Director of the employed medical groups will collaborate on clinical care improvement initiatives. Such as those in bullets a-c.
c) Attends all IHANY Board of Director meetings and other committee meetings as relevant (finance, network, etc.). Serves as IHANY's staff rep to the CIQ including working regularly with the committee chair to set work plan and monthly agendas, proofs minutes, prepares meeting agenda and materials for advance distribution, etc. CIQ is responsible for evaluating the performance of the network and coordinating such information with the Network Committee responsible for renewing participation.
d) Develops and implements programs that support IHANY’s network of clinical integration focusing on smooth care transitions across the care continuum acting as a clinical liaison to support the ICCS role out across our network and good communication between PCPs, SCPs, Behavioral Health Practitioners, Home Care, Skilled Nursing and Rehabilitation providers.
2) The IHANY CMO is a valued member of the IHANY leadership team, who has responsibility for Quality Improvement and Medical Management activities as assigned. Examples of responsibilities include:
a) Is responsible for the development, implementation and management of population health strategies and the IHANY staff to improve IHANY’s quality and efficiency performance under "risk" and "pay for performance" contracts. Works closely with IHANY staff and others to develop informational tools and impact analyses to ID best practices to scale across the network and other materials that support clinical quality and efficiency initiatives.
b) Responsible for overseeing effectiveness health care delivery, compliance with IHANY policies and procedures, adherence to quality of care standards and initiatives, patient care accessibility and satisfaction, and physician performance.
c) Leads the development of education programs related to population health and value based care for the IHANY members.
d) Ensures the population health analytics generated by IHANY is utilized at the practice level to improve patient care and transparently reports performance to participants, CIQ and the Board.
e) Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the achievement of goals, and to foster a positive work environment.
f) Champion innovation in care delivery across IHANY CIN.
g) Support the rollout of the SPHP ICCS program and the co-management model to facilitate coordination of care across the care continuum.
h) Will be the impassioned leader promoting Population Health and Value Base Care program transitions from the traditional volume based paradigm.
3) External Relationships: The IHANY CMO collaborates with the medical leadership from the Alliance for Better Health to facilitate the development of pilots that may improve care delivery for our mutual patient population. In addition is key to:
a) Liaison role to Health Plans, CMS, Trinity Health.
b) Educational outreach to the Physician Groups within the IHANY CIN
c) Assistance with Physician Recruitment to support CIN expansion
4) Performs other similar and related duties as required or directed.
JOB KNOWLEDGE AND SKILLS:
Proven leader with experience in improving Population Health and Value Based Care.
Experience in data analysis to assess quality and efficiency of care and return on investment for medical management programs.
Superior leadership skills that is effective in influencing change management.
Strong verbal and written presentation skills and is able to translate complex concepts and data into an easy to grasp story.
Knowledge of integrated health delivery systems and networks of independent and employed provider groups.
Expertise in current clinical standards, guidelines and best practices.
Creative thinking and problem solving skills.
Self motivated, goal-oriented and independent
Ability to understand importance of and respect for the confidentiality of all patient information in accordance with applicable standards and regulations and of payer and other contractual confidentiality requirements
Proficiency in Microsoft Office applications, including Access, Excel PowerPoint and Word; familiarity with use of Registries and electronic health records
Medical degree from an accredited university required (i.e., MD or DO)
Board certification required.
Current unrestricted medical license in NYS.
Recent clinical experience relevant to use of EHR and claims data used for making practice transformation changes that result in performance improvements, understanding and success with practice transformation like team based care, and understanding how to advance population health principles based on alternative payment model incentives.
Master's degree in Health Care Administration, Public Health or Business preferred.
At least 5 years in active clinical practice.
At least 5 years in a clinical leadership role in an IPA, CIN, ACO, or if with a payer administering alternative payment models/population health.
Internal Number: 00129646
About St. Peter's Health Partners
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.