Quality Team
Main Content
Chief Medical Officer Leadership

Lisa A. Didion, MD
Chief Medical Officer
Chief Medical Officer

Jennifer L. Hong, MD
Associate CMO - Children's
Associate CMO - Children's

Mildred Ridgway, MD
Associate CMO - Adult
Associate CMO - Adult

Phyllis R. Bishop, MD
Chief Quality Officer
Chief Quality Officer

Zeb K. Henson, MD
Medical Chief of Staff
Medical Chief of Staff

Jay G. Shake, MD
Associate Medical Chief of Staff
Associate Medical Chief of Staff
What does the CMO office do?
- Oversees an infrastructure for clinical quality improvement for UMMC
- Defines performance gaps in clinical services to inform leadership and as the basis for quality improvement programs
- Implements a process for setting quality improvement goals with input and buy-in from all branches of leadership
- Provides support services for UMMC with content experts who help the clinical staff do the work
- Oversees essential work for UMMC staff in their areas of expertise
- Defines the metrics (one source of truth) for quality improvement and for The Hospital Quality Scorecard
- Collects, manages and disseminates quality data monthly with an emphasis on engagement and transparency
- Supports data use and communication
- Completes required reporting of hospital and provider data on quality, safety and outcomes
- Standardizes content for communication: Clinical Intranet/Leadership Rounds
- Builds accountability: Quarterly data review with department chairs and nursing leadership