Physician Leadership Training Meeting the CIO/ACO Healthcare Challenge

Transcription

1 Physician Leadership Training Meeting the CIO/ACO Healthcare Challenge Brian E. Condit MD, MSHA Director, Physician Leadership Institute NMMC Tupelo (tertiary, 650 beds) 6 Community Hospitals 35 Clinics School based Nurses Nursing Homes Home Health Care PPO To continuously improve the health of the people of our region 1

2 Our Foundation for Growth PEOPLE SERVICE Critical GROWTH Success Factors QUALITY FINANCIAL ACCOUNTABILITY COMPASSION SMILE VALUES MISSION RESPECT BALDRIGE CRITERIA FOR EXCELLENCE EXCELLENCE One Third of Hospitals will close by 2020 David Houle Health Care Futurist The New Health Age, 2011 Help! My Healthcare Platform is on Fire! We must all hang together or assuredly, we will all hang separately. The significant problems we face cannot be solved at the same level of thinking we were at when we created them. 2

3 It s all about Culture The Culture Gap Extensive Professionalization Strong Personal Bonding Focus on Individuals Collegial Relationships Suspect of outsiders On the front lines Now Physicians Less Professional Support Focus on Populations Shared Responsibilities Few Patient Encounters Must Prioritize Issues Need to Manage Politics Healthcare Executives A Unified Culture That Leverages Respective Strengths To Achieve Superior Results 3

4 Physician Leadership Institute Developed 2010 in response to need for greater physician engagement Thirty seven physicians of 350 physicians in system have completed or are completing the program Overwhelmingly positive feedback Private Physicians NMHS Physicians

5 Focus on Contribution What can I and no one else do, which, if done well, would make a real difference to this organization? Peter F. Drucker Collaboration Requirements Trust and Transparency Ability to sustain and resolve conflict through respectful vigorous discussion Commitment to the team and mission Accountability for action plans Results (Lencioni, The Five Dysfunctions of a Team) Strategic Planning Servant Leadership Knowledge Management Finance/ Operations Customer Value & Results Lean Process Management HR Performance Management Crucial Conversations 5

6 FOCUS ON CUSTOMER VALUE & RESULTS Patients Families Referring Physicians Service Lines Hospital Community Insurance Companies Medicaid Medicare Care Synergy Cycle Clinical Quality Revenue Cycle Patient Safety Patient Outcomes LEAN Operations SWOT Strategic Plan Capstone Project Innovation By Doing 6

7 How Do You Get Busy Physicians Involved? Emphasize improved patient care through increased physician effectiveness/influence Engage Alumni in high visibility activities that demonstrate the value of their new skills. Trusted Peer Recruitment Model 7

8 Outcomes of Physician Leadership Training Develops engaged, informed physicians for leadership roles in moving forward Creates a hothouse for innovative ideas for care improvement and economic alignment Builds an influential group of change agents who understand the CIO imperative Clinically Integrated Organization Model Physician/ Health system incentives aligned Consistent use of metrics across multiple payers Minimization of administrative costs Strong information infrastructure (Dye, 2013) CIO: Clinically Integrated Organization Physician Driven/Physician Accountability Focuses on entire episode/continuum of care Robust quality measures/cost containment Meets FTC definition to engage in joint contracting/ collective negotiation for improved reimbursement (Carson Dye, 2013) 8

9 Accountable Care Organization (ACO) All ACOs are CIOs if they are to be successful ACO s are defined by the federal government with specific legal waiver protections ACO may assume financial risk for healthcare for a given population (shared savings or full risk) (Dye, 2013) How to Bootstrap Your Program Find a physician champion with a passion for leadership education to lead program with Medical Education Develop a curriculum using internal assets (CEO,CFO,CMO) and extensive external readings for national perspective Recruit first class from upcoming Medical Executive Committee members and positive clinical leaders Build in incentives: CME, Recognition Have opportunities for contribution available for graduates Future Challenges We re all at the Table 9

10 Thank you Questions? 10