System Division Director of Maternal-Fetal Medicine

System Division Director of Maternal-Fetal Medicine
Department of Obstetrics & Gynecology, Boston Medical Center Health System
Position Summary
The System Division Director of Maternal-Fetal Medicine (MFM) is the physician leader responsible for the clinical, operational, quality, academic, and strategic direction of Maternal-Fetal Medicine across Boston Medical Center Health System, including Boston Medical Center, BMC Brighton, and BMC South.
The System Division Director provides leadership for MFM physicians and other members of the multidisciplinary MFM team and is accountable for ensuring consistently high-quality, evidence-based, equitable maternal and fetal care across all sites. The Director establishes systemwide clinical standards and expectations for MFM care; oversees the quality, safety, effectiveness, and coordination of MFM services; and works with hospital, departmental, nursing, and administrative leaders to ensure that patients receive the appropriate level of care at the appropriate site.
The System Division Director also leads the academic mission of the MFM Division at Boston Medical Center and Boston University Chobanian & Avedisian School of Medicine, including faculty development, education, scholarship, and research. The Director will advance a systemwide vision for MFM that combines the capabilities of a tertiary academic medical center with strong community-based obstetric services, allowing patients to receive care close to home whenever appropriate while ensuring timely access and transfer to tertiary-level care when needed.
A central expectation of this position is the development of an integrated MFM program across Boston Medical Center Health System, with shared clinical standards, coordinated staffing and coverage, common approaches to quality and safety, and clear pathways for consultation, escalation, and maternal transfer among the three hospitals.
Reporting and Key Relationships
The System Division Director of Maternal-Fetal Medicine reports to the System Chair of Obstetrics & Gynecology.
The Director works in close partnership with:
● Vice Chair of Clinical Operations and Strategy
● Chiefs of Obstetrics & Gynecology at BMC Brighton and BMC South
● Director of the Antenatal Testing Unit
● MFM clinicians across the health system
● Obstetricians, Certified Nurse Midwives, Family Medicine physicians, and advanced practice providers providing obstetric care
● Nursing and administrative leaders at each hospital
● Neonatology, Anesthesiology, Critical Care, Genetics, Cardiology, and other medical and pediatric subspecialties involved in high-risk pregnancy care
● Quality, patient safety, risk management, and credentialing leadership
● Boston University Chobanian & Avedisian School of Medicine educational and research leadership
The System Division Director has authority for systemwide MFM clinical standards, professional practice expectations, quality and safety priorities, and MFM service strategy. Local operational implementation is carried out collaboratively with the OB/GYN Chief and administrative and nursing leadership at each hospital.
Duties and Responsibilities1. System Leadership and Strategic Direction
● Develop and implement a comprehensive vision and strategic plan for Maternal-Fetal Medicine across Boston Medical Center Health System, in alignment with the priorities of the Department of Obstetrics & Gynecology and the health system.
● Lead the development of an integrated systemwide MFM service that appropriately distributes clinical expertise and services among BMC Main Campus, BMC Brighton, and BMC South.
● Establish clear expectations regarding the scope of MFM services provided at each hospital and criteria for consultation, escalation of care, and transfer to the tertiary academic medical center.
● Identify opportunities to expand access to high-risk obstetric care throughout the system while maintaining appropriate levels of maternal and fetal safety.
● Partner with departmental, hospital, and system leadership in strategic planning for obstetric and perinatal services, including anticipated changes in clinical volume, patient acuity, staffing, facilities, and technology.
● Represent MFM in systemwide planning regarding maternal and fetal health.
2. Clinical Operations
● Provide physician leadership and oversight for inpatient and outpatient MFM services across all three hospitals.
● Oversee clinical operations of the high-risk obstetric practice in the ambulatory setting.
● Oversee and provide mentorship for the department genetic counselors.
● Ensure that each hospital has appropriate MFM coverage based on its patient population, clinical capabilities, acuity, and designated scope of care.
● Develop and oversee coordinated physician staffing and coverage models for MFM services across all three sites, including ambulatory consultation, prenatal care, ultrasound and antenatal testing, inpatient consultation, Labor & Delivery support, and after-hours MFM availability.
● Establish systemwide expectations for timely MFM consultation and response to urgent maternal and fetal conditions.
● Ensure appropriate MFM participation in multidisciplinary management of complex pregnancies.
● Develop efficient systems for sharing MFM expertise across hospitals, including in-person consultation, telemedicine, remote review, and other models when clinically appropriate.
● In collaboration with the ATU Director, oversee standards for interpretation and timely review of obstetric ultrasound and fetal diagnostic studies performed throughout the health system.
● Work with clinical and operational leaders to improve patient access, scheduling, continuity, and efficiency of MFM services.
● Optimization of billing in collaboration with departmental administration
● Maintain an active clinical practice in Maternal-Fetal Medicine appropriate to the individual's expertise and leadership responsibilities.
3. Systemwide Clinical Standards and Care Integration
● Lead the development and implementation of consistent evidence-based clinical policies, guidelines, pathways, and standards for high-risk obstetric care across the health system.
● Establish standardized approaches to common high-risk maternal and fetal conditions while allowing appropriate adaptation to the resources and capabilities of each hospital.
● Define clinical criteria for patients who can safely receive care at community hospitals and those who should receive consultation, co-management, or transfer to Boston Medical Center.
● Develop and periodically review maternal and fetal transfer criteria and processes, including mechanisms for urgent physician-to-physician consultation.
● Ensure effective coordination between outpatient MFM care, inpatient obstetric services, Labor & Delivery, antenatal testing, and ultrasound services.
● Strengthen communication and continuity across sites when patients move between community-based and tertiary care.
4. Quality, Safety, and Clinical Outcomes
● Provide physician leadership for quality and patient safety in high-risk obstetric care across the health system in collaboration with quality and safety leadership
● In conjunction with department quality and safety leadership, establish and monitor systemwide MFM quality metrics and clinical outcomes, with particular attention to severe maternal morbidity, maternal mortality, fetal and neonatal outcomes, obstetric complications, transfers, and other measures relevant to high-risk pregnancy.
● In conjunction with department quality and safety leadership, identify unwarranted variation in clinical practice or outcomes among sites and lead improvement efforts when opportunities are identified.
● Ensure appropriate MFM participation in maternal morbidity and mortality review, obstetric case review, safety-event review, root-cause analysis, and other quality processes throughout the system.
● Ensure MFM participation in the development and review of maternal-child health policies and guidelines.
● Lead quality improvement initiatives addressing racial and other inequities in maternal morbidity and mortality and the complex medical and social needs of the populations served by Boston Medical Center Health System.
● Promote a culture of safety, transparency, learning, and continuous improvement across the MFM Division.
● Ensure compliance with relevant institutional policies, regulatory requirements, accreditation standards, and professional guidelines.
5. Faculty Leadership and Professional Development
● Provide professional leadership for MFM physicians and high-risk advance practice providers across Boston Medical Center Health System.
● Foster a culture of collaboration in which MFM physicians function as members of a unified system division while maintaining strong relationships with their individual hospital teams.
● Participate in recruitment, hiring, onboarding, retention, and succession planning for MFM faculty.
● Participate in annual performance evaluations and professional development planning for MFM faculty in collaboration with the Department Chair and appropriate site leadership.
● Mentor faculty in clinical excellence, education, scholarship, research, leadership, and academic advancement.
● Identify opportunities for individual faculty members to develop areas of clinical or academic expertise and assume