Chief Medical Officer (CMO)

Reporting Relationships

• Reports directly to the Chief Executive Officer
• Partners with the COO, CNO, CFO, Chief Ethics & Compliance Officer and Governing Body
• Provides executive oversight of Facility Medical Directors, attending physicians, and advanced practice providers

Executive Responsibilities

• Lead enterprise clinical strategy
• Standardize evidence-based care
• Oversee physician recruitment, credentialing, privileging, peer review and succession
• Lead QAPI, infection prevention, resident safety and emergency preparedness
• Improve quality, survey readiness and value-based performance
• Represent the organization with hospitals, payers and regulators

Clinical Governance

• Establish enterprise medical policies
• Maintain Medical Director governance model
• Lead serious event review and root-cause analysis

Compliance & Risk

• Partner with Compliance while preserving independence
• Promote documentation integrity and medical necessity
• Support CMS, NYDOH, Medicare and Medicaid compliance

Authority

• Issue interim clinical directives
• Require physician performance review
• Recommend privilege restriction through governance
• Escalate unresolved risks to CEO and Board

Qualifications

• MD/DO with unrestricted NY license
• Board Certified; CMD preferred
• Executive multi-site SNF leadership
• Expertise in CMS, NY regulations, QAPI and value-based care

First-Year Deliverables

• 90 days: enterprise assessment
• 180 days: physician scorecards and dashboards
• 365 days: measurable quality and physician improvements

Executive KPIs

• Resident outcomes
• Risk-adjusted readmissions
• CMS Five-Star trends
• Survey performance
• Physician engagement
• Strategic initiative execution

Executive Competencies

• Visionary leadership
• Executive communication
• Systems thinking
• Physician engagement
• Strategic partnerships
• Financial stewardship
• Innovation
• Change management
• Governing Body communication