physician engagement
TRANSCRIPT
Ramesh Sahjpaul MD , MScHead, Department of Surgery, Lions Gate Hospital
Co-Medical Director, Surgery Program, Lions Gate HospitalClinical Associate Professor, Division of Neurosurgery
Vancouver Coastal Health, UBC
Feb 20 2015, Quality Forum 2015, Vancouver BC
As Jauhur puts it, “American doctors are suffering from a collective malaise,” for reasons ranging from bureaucratic hassles to increased pressure to see more and more patients. Hence surveys showing that up to 40% of current doctors would choose a different career if they had to do it all over again, and even more say they would try to talk their kids out of a career in medicine. Physicians also tend to have unusually high suicide rates. According to the American Society for Suicide Prevention, male physicians commit suicide at a 70% higher rate compared with other professions, and female
An agreement to be married
An arrangement to meet or be present at a specific time or place
Emotional involvement or commitment
An agreement to be married
An arrangement to meet or be present at a specific time or place
Emotional involvement or commitment
A hostile encounter between military forces
An agreement to be married
An arrangement to meet or be present at a specific time or place
Emotional involvement or commitment
A hostile encounter between military forces
…..Sound familiar??
A. Drive patient satisfaction ?
B. Drive improved patient safety ?
C. Drive improved quality of care ?
A. Drive patient satisfaction ?
B. Drive improved patient safety ?
C. Drive improved quality of care ?
D. Drive reduction in costs ?
A. Drive patient satisfaction ?
B. Drive improved patient safety ?
C. Drive improved quality of care ?
D. Drive reduction in costs ?
E. Drive improvement in operational efficiency ?
A. Drive patient satisfaction ?
B. Drive improved patient safety ?
C. Drive improved quality of care ?
D. Drive reduction in costs ?
E. Drive improvement in operational efficiency ?
ANSWER: All of the above
CORE ASPECTS OF ENGAGEMENT
Collaborative
Shared vision
Requires patience
Working in the fuzzy areas Schedules
Budgets
Policies
CORE ASPECTS OF ENGAGEMENTCORE QUALITIES OF MOST PHYSICIANS
Collaborative
Shared vision
Requires patience
Requires accommodation
Working in the fuzzy areas Schedules
Budgets
Policies
Busy > lots of distractions
Lots of patients but not always a lot of patience
Limited knowledge of systems/budgets
Weary and cynical from years of being beaten down…
Fiercely independent…
Engagement is optional
No formal training in systems/institutional operations
*now increased recognition/support for leadership training
A lot going on
Credentialing overhaul
NSQIP
TPOTWait time targets/MOH deliverables
An engaging leader – preferably a physician colleague
-ie we’re on the same team…
Feedback – closing the loop
Win-win scenario
What’s in in for me?
For my patients?
An engaging leader – preferably a physician colleague
-ie we’re on the same team…
Feedback – closing the loop
Win-win scenario
What’s in in for me?
For my patients?
Leadership: Inspiring change through shaping belief
Can’t (easily) fire the bad apples…
In industry, 80% of success is firing/hiring…
We’re working with a tough crowd!
Imagine a hockey team full of Alexander Ovechkins!
Can’t (easily) fire the bad apples…
In industry, 80% of success is firing/hiring…
We’re working with a tough crowd!
Imagine a hockey team full of Alexander Ovechkins!
Asking more and more of physicians’ time without compensation
LEADERSHIP ENGAGEMENT
Provide the mandate but not the tools
No leadership or top-down leadership
Tell people what they have to do but not why
Don’t listen to people
Don’t provide feedback
Don’t reward success
Value their time
Invest in leadership
Listen to their concerns
Tell them what you heard
Tell them what you’re going to do
Tell them what you did
Tell them again…..
OVERCOMMUNICATE…..
>> build a culture of trust one step at a time