The Truth About Physician & Administrator Relations and How Can it Help You
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The Truth About Physician & Administrator Relations and How Can it Help You
- 1. The About Relations and How it Can Help You!
- 2. Objectives Common Misconceptions Understand Why Physicians & Administrators Don’t Mesh Well Why Collaboration Is Needed In Order To Fix The Healthcare System
- 6. Forget About The Little Guy!
- 9. The Hero With The Plan To Save The Day!
- 10. This is where The Action Happens!
- 11. Man, We Look Good In Our Suits!
- 12. We Never Smile It’s Not The Businessman Way.
- 13. We Have a Tight Hold Over Our Finances
- 14. We Love Going To Lame Parties!
- 15. Micromanagement is a Must!
- 16. Did I Mention We Like To Wear Suits???
- 18. Want Autonomy
- 22. So, why do these misconceptions exist?
- 24. It’s not that either side is right or wrong.
- 25. It is our broken healthcare system that causes this conflict to exist!
- 26. Our “system” forces both groups to work toward opposing goals.
- 30. Quality Driven
- 31. It’s this core conflict that develops what we like to call,
- 32. The Gap
- 33. The perceived gap includes: Difference in thinking and approach Priorities and incentives Roles and responsibilities
- 34. Physician Administrator Focus Individual patient survival Organizational survival Education Structured. Uniform Unspecified. Highly varied. How to handle expertise? Individually possess & use Orchestrate. Facilitate. Time Horizon Short term Long term
- 35. Physician Administrator Decision-making Independent. Rapid Group process. Deliberate Job defined by Accreditation, licensure Job description Mgmt. Approach Authoritative; act alone Collaborative, communal Professionally accountable to: Professional standards & peers Hospital Board external to hospital
- 36. Even though we have quite a few differences…
- 37. We do share something in common.
- 39. These shared values provide the structure needed for effective physician and administrative collaboration!
- 40. What Needs To Happen In Order To Come Together?
- 41. Teach the business of healthcare to all health professionals
- 42. Trust
- 44. Embrace Change
- 46. In order to develop a solution to this broken healthcare system,
- 47. We must come together and work as a TEAM!
- 48. Especially As We Move Forward In This New Healthcare Environment.
- 50. Cuts in Medicare Due to Healthcare Reform, 2013-2022 Hospital Services $260 billion Payment Rates in $156 billion Medicare Advantage DSH Pmts. and Other Medicare Provisions $145 billion Home health services $66 billion Skilled nursing services $39 billion Health Reform Cuts $716 billion from Medicare All other services $33 billion Hospice services $17 billion $0 $50 $100 $150 $200 $250 *Source: Congressional Budget Office billion
- 51. Quality & Patient Satisfaction Determine Reimbursement
- 52. The Affordable Care Act Will Make Physician-Executive Collaboration Vital
- 53. Therefore, we have to address the challenge of doing more with less together.
- 55. Nursing Process Engineering Team Physicians Makeup Medical Staff Administrators
- 56. The team goal is to identify operational inefficiencies and develop solutions that will address either cost, quality, access, or all three.
- 58. “Columbia Hospital System” – performs 800 Angiograms / year Boston Scientific • $22.00 • Used Occasionally Cordis • $27.00 • 1 Radiologist Use Regularly Terumo • $35.50 • 3 Radiologists Uses Regularly
- 59. “Columbia Hospital System” – Total spend on Angiographic Catheters: $26,700 Boston Scientific • $9,100 savings to switch to Boston Scientific Cordis • $5,100 savings to switch to Cordis • Cordis will give us a 10% discount for ordering from them. Terumo • We would see no savings • Most Liked By Physicians
- 60. VAT Question: Is there a clinical advantage of Terumo over Cordis over Boston Scientific? Why do our Radiologists insist on using Terumo products.
- 61. 5 Things To Look For In A Physician-Hospital Aligned Organization
- 62. Commitment to quality Active communication Collaborative decision- making Dependable support services Win-Win financial relationships
- 63. Questions?
- 64. Chase Ryan Babcock Broadhead chasebabcock@gmail.com broadhea@email.sc.edu