The Joint Commission on Accreditation of Healthcare Organizations has reorganized its senior management structure to split up the executive responsi- bilities for operations.
The reorganization abolishes the position of chief operating officer that had been held by Karen Timmons, and it creates three executive vice president positions reporting directly to President Dennis O'Leary, M.D.
Timmons becomes one of the three executive vice presidents, taking charge of support operations. The other two are Charles Bair, in charge of accreditation operations, and Alfred Buck, M.D., responsible for measurement and research.
Previously, five vice presidents had overseen operations under Timmons. The reorganization represents a promotion for Bair, who joined the JCAHO in September 1994 as vice president for accreditation services. Buck, who will join the commission April 1, was hired in December 1994 as executive vice president, but his predecessor, William Jessee, M.D., was an operational vice president under Timmons.
Two other department heads, however, will continue reporting to Timmons under the new support-functions hierarchy: David Kamowski, chief information officer, and John Laing, vice president for marketing and external relations.
Laing, who joined the JCAHO in January 1994 after five years as an executive with the international public relations firm Burson Marsteller, agreed last August to split his job in two, creating a new position exclusively for government relations (Aug. 29, 1994, p. 44).
At the time, Timmons said that quality-measurement initiatives at the federal and state levels required an officer-level position to manage the JCAHO's involvement in those activities. She said Laing was given his choice of the two slots and elected to stay with the marketing and customer relations responsibilities that remained with his existing position.
The spun-off government relations position will have a direct path to O'Leary rather than going through senior management. In January, the commission hired Charles Mowll, who had been vice president of finance at the New Jersey Hospital Association.
O'Leary said Mowll has a "proven track record as a policy analyst and consensus builder" and would work closely with state hospital associations, governmental agencies and business coalitions.
As a state association executive, Mowll moved in the same circles as a number of the JCAHO's most vocal critics. A growing dissatisfaction among state associations with the commission's operational track rec ord was a driving force behind the American Hospital Association's decision to put pressure on the JCAHO to improve its performance (Jan. 23, p. 3).
The fifth vice president and department head, Deal Chandler Brooks, will report to Senior Vice President Paul Schyve, M.D., who takes on expanded duties for Brooks' division of education. He'll continue to oversee quality improvement. Schyve will report directly to O'Leary.