Physician Compacts and the

Medical Engagement Framework

Partnering with Doctors

Scott McLachlan, Chief Executive OfficerDr Peter Thomas, Director Medical Services

With a view to a better partnership

Western NSW - Who we are

5

Life expectancy at birth 2005-07

Premature mortality (ages 0-74)

Socio-economic status lower is more disadvantaged

Figure 38. Medical-surgical hospitalisation rates per hundred

persons, WNSW 2011/12

10

15

20

25

30

35

40

Bathurst Orange Dubbo North West Remote

Med

-su

rg h

osp

per

10

0 p

erso

ns

WNSW = 28.9

Living Well TogetherOur commitment to each other and the

people we serve

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Aligning frontline staff with direction and values of Western NSW LHD

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The Engagement Framework

Studer & Living Well Together

16

Person Centred Quality care

Having a high performing,

value based organisation

Value Based Organisations

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• Personalise organisational values

• Simple values reinforcing purpose and behaviour

• Consistent messaging and “marketing”

• Work together, Respect all

• Own it and Care

• Putting Safety & Quality first

Five Lessons

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• Set the goals and communicate them

• Hardwiring accountability

• Rounding Tools - Use them and be clear why

• Courageous conversation - elevating performance

• Leadership Development Training - build capacity

Physicians & Compacts

A Respectful Culture In Medicine

20

Setting Expectations

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Lead by example:

• Drive the vision – engage colleagues and other clinicians

• Set the standards – above and below line behaviour

• Open and honest dialogue

• Manage below the line behavior early

• Accountability

• Leadership Training - Capacity

Engaging Clinicians: The Dialogue

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Communicating the vision-

Regular meetings with physicians and executive:

• Medical Heads of Department

• Clinical Council

• Engagement Meetings

• Clinical Streams - Can be powerful

• Rounding – Informal/Formal

Engaging Clinicians: The Dialogue

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• Define our purpose and realign our goals

• Define an overarching vision

• Strategies on how to execute the vision

• Allocation of resources and time

• Physicians need to be involved in strategic planning:

Recruitment/Services/Local & Regional

What should we do for you?

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• Responsive to ideas & needs of the clinicians

• Ease of delivering care to your patients

• Position OHS to adapt and deal with changing needs

• Confidence in administration to carry out its duties

• Communication both ways – up and downstream

The Compact: Orange Health Service

25

A living document:

• Re-appointment of VMOs

• GP VMOs in District Hospitals

• Recruitment

• Medical Heads of Department

• Staff Specialists 2017

The Compact

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The Medical Engagement Taskforce(MET)

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• Led by Executive Medical Director

• Review models of best practice of medical engagement

• Communication between the MET, Executive and Physicians in a timely manner

• Focus on physician well-being and models to help prevent clinician burn out.

• Providing a framework for early peer to peer conflict resolution

The Compact

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R. C. A.

Respect

Communication

Accountability

Roslyn Crampton, Belinda Doherty, Stephen Hampton, Michael Hensley, Harvey Lander, George Rubin,Peter Thomas, Paul Young

Where to now?

The Compact

31

The Compact

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Workshop -

Your Engagement Frameworks

What does this look like for you?

Barrier and enablers

What tools do you need?

Next steps?