ARH Ambulatory Medical Director
Position Description and Performance Expectations
Reports to Chief Executive Officer
The Ambulatory Medical Director will work with his/her physician executive counterpart in a dyad relationship to co-manage Medical Group operations in a manner that is complementary rather than duplicative. Together, the roles will:
• Lead development and execution of the group strategic planning process
• Develop, execute, and monitor Medical Group policy and procedure
• Co-Lead the Medical Group Physician Advisory Council
o Develop and execute meeting agenda
o Conduct meetings
o Provide input regarding member recruitment and performance
o Develop, review, and revise Charter as necessary
• Develop Medical Group budget and monitor financial performance
• Foster the shared expectations and behavioral norms consistent with the desired group culture
• Promote, monitor, and report on group and individual performances related to
o Quality of care, patient safety
o Patient experience
o Clinical risk management
o Patient access
o Operating budget
o Capital asset efficiency
o Corporate compliance
• Develop and maintain balanced scorecards/dashboards for divisions/practices/providers
• Advance provider onboarding to enhance assimilation and retention
• Boost internal organizational relationships
o Other clinical departments and support services
• Stimulate external organizational relationships
o Referring physician relations
o Network resource development and retention
? Community based resources
• Set group strategies and action plans for an inclusive patient experience program
• Implement population health management action plans across the practices
• Optimize outpatient clinical informatics and data analytics system design and utilization in conjunction with CIO/CMIO
Duties specific to the Ambulatory Medical Director include:
• Establish divisional organization, work priorities, and workforce responsibilities
• Develop operational goals for each division based on Medical Group and Health System strategic goals and objectives
• Supervise the activities of all practice personnel and delegate authority and responsibility to division administrators
• Manage and develop human resources consistent with organizational values, guidelines, regulatory agencies, established contracts and legal requirements
• Participate as needed in employee disciplinary process including employment termination decisions.
• Ensure the financial viability of Medical Group by establishing and monitoring all Medical Group financial functions including budgeting, accounting, and reporting.
• Supervise the preparation of regular financial statements and work with departmental administrators to identify and address material deviations from the Medical Group budget.
• Review the entire accounting system to ensure that established procedures provide well-defined internal control standards.
• Coordinate with Health System leadership to ensure provision of necessary support functions including marketing, IT, financial, and legal resources.
• Prepare and retain records, files and reports according to various regulatory, accreditation, and practice standards.
• Address and resolve all issues pertaining to practice operations in accordance with established Medical Group policies and procedures.
This individual must:
• Be or become an active physician member of a medical staff within ARH in good standing
• Have had adequate clinical experience to effectively lead the employed group practices
• Preference is given to those candidates who also have a working knowledge of management techniques and have prior successful service within a medical staff structure, such as a department chair, medical executive committee member, credentials committee member, chair of another medical staff committee, MSLC member, system board member or other equivalent medical staff or other physician management or leadership roles Have previously participated or be willing to participate in education and training in medical administrative activities related to the competencies identified below
• The group practice medical director may not, during his or her term of office, be a physician leader at any other hospital.
The performance expectations for fulfilling the responsibilities of employed group practice medical director well include the following:
• Seek to diligently understand and effectively fulfill the responsibilities of this position
• Participate in leadership education to gain the knowledge, skills and competencies needed to fulfill the responsibilities of this position well
• Dedicate adequate time to fulfill the responsibilities of this position well, which is anticipated to require full time or close to full time for these administrative functions
• Regularly prepare for, lead (as appropriate), attend, and actively participate in all meetings required of individuals in this role
• Periodically review data regarding the performance of individuals within each practice, each practice site, and the practices as a whole and use this data to identify and implement opportunities for improvement
• Assist in continuously improving the validity and value of data measuring the performance of individuals practitioners, specific practice sites, and the group practice[s] as a whole
• Hold in confidence all information determined by group practice, medical staff, hospital and ARH leaders to be confidential and not share such information outside of authorized individuals and groups
• When fulfilling the responsibilities of this role, act in a manner that supports the needs of all members of the employed physician group in a fair and balanced way and avoid advocating for the interests of any one individual or group
• If the person in this role feels the need to advocate for any one individual or group, clearly identify they are advocating as an individual or group representative, and not a physician serving in a management role
• Be open to feedback and be willing to be held accountable for the efficacy with which the individual carries out the responsibilities for this position as outlined in the contract for this position and this position description
• When provided feedback that identifies opportunities for improvement in fulfilling the responsibilities of this position, respond in the spirit of continuous performance improvement by utilizing this feedback to constructively improve performance in fulfilling these responsibilities
Medical Management Functions
• Interface of employed group practice management with the roles and responsibilities of the medical staff, governing board, and management
• Measure and manage practitioner performance
• Manage physician and management leader performance
• Balance the needs of the employed physician practices with the needs of individual practitioners, practice groups, individual hospitals, the healthcare system, and the community
• Build collaborative relationships with the medical staffs, management, and leaders within the region and across ARH
• Effective communication (verbal and written)
• Meeting management
• Managing diversity
• Negotiation, mediation and conflict resolution
• Recognize and manage conflicts of interest
• Leading organizational culture change
• Change management
Working within the Hospital and System
• Regulatory and legal requirements affecting employed group practices
• Patient safety and performance improvement
• Addressing cost effectiveness
• Pay for Performance
• Drivers of group practice, hospital and system financial performance
• Basic group practice financial accounting and reporting tools
• Chain of command
• Healthcare law
• Future trends in healthcare
The Appalachia Mountains are a majestic world that is full of life and opportunity. History, adventure, culture, hospitality and natural wonders beg to be explored throughout Kentucky and West Virginia.
The roots of diversity run deep in the mining and lumber communities of this region. Industrious individuals from all over the world flocked to the region to find prosperity within these once booming business sectors. The rich global heritage and traditions of our earliest settlers still exist within these communities. It’s incumbent on ARH—as a business and community leader—to carry that legacy of diversity into the future and beyond.
From our very beginning, we’ve been rising to meet the healthcare needs of the people in Appalachia. Our independent, not-for-profit health system was formed in the 1960s when thousands of Appalachian citizens were going to lose their local hospitals. Since then, we’ve remained steadfast in our commitment to ensure that the people of southeastern Kentucky and southern West Virginia would always have a health system that works as hard for them as they do for one another.