james a. greer, jr., md, mba medical director ochsner clinic foundation baton rouge
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James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge. Medical Profession. Ethics Law Business Administration. Healthcare Trends. Changing Patient Demographics Changing Workforce Consumerism Technology Genetics Quality Patient Safety Tort Reform - PowerPoint PPT PresentationTRANSCRIPT
James A. Greer, Jr., MD, MBAJames A. Greer, Jr., MD, MBAMedical DirectorMedical Director
Ochsner Clinic FoundationOchsner Clinic FoundationBaton RougeBaton Rouge
Medical ProfessionMedical Profession
Ethics
Law
Business Administration
Healthcare TrendsHealthcare TrendsChanging Patient DemographicsChanging WorkforceConsumerismTechnologyGeneticsQualityPatient SafetyTort ReformBaby Boomers ImpactUninsured Population Insurer ConsolidationSpecialty Hospitals
Local Market TrendsLocal Market Trends
Charity System
Medicaid Funding
Physician Competition with Hospitals
Specialty Hospitals
ResourcesResources
ManpowerMaterialsMachinesMoneyMethodsMarketing
Group Practice TasksGroup Practice Tasks
Physician Manager
Administration
Tasks of Both
► Doers ► Planners, Delegaters
CliniciansClinicians ManagersManagers
► 1:1 Interactions ► 1:N Interactions
► Reactive Personalities ► Pro-Active Personalities
► Deciders ► Expect Delayed Results
► Value Autonomy ► Value Collaboration
“My Judgment” “Our Team”
► Patient Advocate ► Organization Advocate
► Tolerates System ► Committed to System
► Authority of Knowledge ► Authority of Position
► Resents Rules ► Promotes Rules
► Optimizes ► Controls
“What is best?” “What will do?”
Physician Manager TasksPhysician Manager Tasks
Maintaining QualityInnovative Adequate Work EffortRetentionAdequate Compensation PlanRecruitmentPersonnel IssuesDealing with Exceptional and Problem
PhysiciansExternal RelationshipsDeveloping Future Leaders
Tasks of Physician Manager Tasks of Physician Manager and Administratorand Administrator
Customer SatisfactionStrategic DirectionMarketingCommunicationFee ScheduleAllocation of ResourcesCulture of Group
Personnel Issues/PhysiciansPersonnel Issues/Physicians
Evaluations– Patient Satisfaction, Competence,
Relationships, Practice Data
Impaired Physicians–Medically Incompetent, Personality
Problems, Substance Abuse, Sexual Misconduct
Physician Management of Non-Physician Personnel
Physician CompensationPhysician Compensation
Allocation for Physicians – Payout vs. Retained Earnings
Allocation to Physicians– How to Distribute?– Gross Charges, Revenue, RVU’s,
Equal Distribution, Other
Subjective Components
Strategic PlanningStrategic Planning
What’s the future and how do we get there?
Growth– Natural or Planned?
Capital NeedsPlanningChangesBranches
Information SystemsInformation Systems
Cost
User Friendly
Flexible
Integrated Database
Easy to Maintain
Information SystemsInformation Systems
PACS
EMR
Managing ProfessionalsManaging Professionals
Realize Peer Pressure
Sell Input
Use Facts/Knowledge
Communicate the “Big Picture”
The Business PlanThe Business Plan
Executive SummaryMarket AnalysisCompany or Group DescriptionOrganization and ManagementMarketing PlanService or Product LineFunding RequestFinancial StatementAppendix
ChallengesChallenges
Managing the ProfessionalsManaging the Cost/Q TensionPositive and Negative InteractionsBalance of “Physician & Manager”Advocate of both Physicians and
Organization
Lessons LearnedLessons LearnedPractice MedicineAssume People Will Do Their BestPersuade, Not DictatePrepare for Meetings(Over) CommunicateRelationships & Colleagues– 1st: Patients– 2nd: Organization– 3rd: Individual
Involve Physicians with Decisions– They always raise issues
Satisfaction is Different