Un-Siloed Physician Leadership Development
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Transcript Un-Siloed Physician Leadership Development
David O. Parrish, MS, MD, FAAFP
Bayfront Family Medicine Residency
Why do we have to change?
Current status of Healthcare Leadership
The Physician Executive
Leadership training (in medical education)
Business management training (in medical education)
How do you break down the silos (in medical
education) with respect to business and leadership
training?
A pathway forward
Institute of Medicine’s Crossing the Quality Chasm
Report1
Skyrocketing health care costs2
Management of health care resources3
Sources:
1.
http://www.iom.edu/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-CareQuality-Initiative.aspx
2.
http://www.kaiseredu.org/Issue-Modules/US-Health-Care-Costs/Background-Brief.aspx
3.
http://www.aafp.org/online/en/home/practicemgt/reform.html
Most hospital CEOs hold a degree in Masters of
Hospital or Healthcare Administration1
Types of Experience: Strategic management,
business leadership, executive leadership1
Physician CEOs: 235 out of 6,500 hospitals within
US2,3
Sources:
1. http://www.healthcareadministration.com/becoming-a-hospital-ceo/
2. http://www.amandagoodall.com/SS&MarticletJuly2011.pdf
3. http://well.blogs.nytimes.com/2011/07/07/should-hospitals-be-run-by-doctors/?seid=auto&smid=twnytimeswell
Who are they?1,2,3
Board-Certified MDs/DOs
What do they do?1,2,3
a.
b.
c.
Provide administrative direction to the health care organization’s
organized Medical Staff
Guide the Medical Staff towards the goals of the
health care organization
Provide administrative direction of the
health care organization
Sources:
1. http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=AHA/NewsStory_Article/data/HHNMAG245&d
omain=HHNMAG
2. http://net.acpe.org/Resources/Articles/Reclaiming_Physician_Power.pdf
3. http://www.aafp.org/fpm/1999/0700/p37.html
A formal longitudinal pathway of leadership and
business training for physicians is needed
Usually undertaken by “seasoned” practicing
physicians
On the job +/- formal business & leadership education
The Joint Commission
The Accreditation Council for Graduate Medical
Education
Liaison Committee on Medical Education
Limited requirement for leadership training for practicing physicians,
physicians-in-training, or medical students, yet they are increasingly
being evaluated on “Interpersonal and Communication Skills” and “
Professionalism”. In addition, as they progress in levels of their
educational training they are being placed into leadership roles in
their respective communities, health care organization, and health
care associations due to their expertise.
The Joint Commission
The Accreditation Council for
Graduate Medical Education
Liaison Committee on Medical Education
Limited expectations for business management education for
practicing physicians, physicians-in-training, or medical
students, yet they are increasingly being evaluated on “systembased practice” and managing healthcare costs.
Can be a physical impediment, however, more so an
organizational and/or individual mind-set that results
in the unwillingness to share or participate in a cross
system manner that will benefit the overall ecosystem
in which the organization and/or individual operates
within.
Source: Lencioni, Patrick. “Silos, Politics and Turf Wars: A Leadership Fable About Destroying the Barriers That Turn
Colleagues Into Competitors”
Accreditational: The Joint Commission vs. ACGME vs.
LCME
Institutional: Inpatient vs. Outpatient
Leadership: Senior Management vs. Middle
Management
Willingness of industry leaders to break silos
Working across the ecosystem of health care to
develop an enhanced framework of medical education
and training as it relates to business education and
leadership training
Measuring the change and “flexing” with the results
“Un-Siloed” Framework for the Development of the Next
Generation of Physician Executives
Start as early as possible to explain, discuss and teach not
only interactive leadership skills, but the coordinated
business expectations.