First Among Equals: Physician Leadership · Physician Leadership Development •Is a powerful tool...

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First Among Equals: Physician

Leadership

Andy Ziskind, MD

Managing Director, Physician Solutions and

Healthcare Transformation, Huron Healthcare


Building Leadership

“Leadership has been identified as the most important

ingredient in transformational improvement.”

From Joint Commission Resources presentation; Executive quality improvement survey results.

Journal of Patient Safety March 2, 2006

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Market Demand for GOOD Physician

Leaders Has Never Been Greater!


Medical Group

Transformation

4

Physician

Led

Patient

Centered

Sustainably

Managed

Effective

Physician

Leadership

and

Partnership


Execution Framework: Evidence-Based LeadershipSM

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LEADER EVALUATIONImplement an organization-wide

leadership evaluation system to

hardwire objective accountability

LEADER DEVELOPMENTCreate process to assist leaders in

developing skills and leadership

competencies necessary to attain

desired results

MUST HAVES®

Rounding, Thank You Notes, Employee

Selection, Pre and Post Phone Calls, Key

Words at Key Times

PERFORMANCE GAPRe-recruit high and middle performers,

Move low performers up or out

STANDARDIZATIONAgendas by pillar, peer interviewing, 30/90 day

sessions, pillar goals

ACCELERATORSLeader Evaluation Manager®

Validation MatrixSM

Provider Feedback SystemSM

Studer Group Rounding

Patient Call ManagerTM


• None of us are perfect physician leaders

• None of us are perfect administrative partners

• None of us have perfect organizational structures

• None of us have enough resources

• None of us can do it by ourselves

• All of our markets are in transition

• All our organizations are in transition

• All of us have made mistakes

• Not all of us volunteered for this mission

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How Do We Promote Effective Physician

Leadership When…


1. Select Leaders

2. Develop Leaders

3. Align Leaders to

Common Goals

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The Practical Approach to Effective

Physician Leadership


• 1910 – Flexner’s Medical Education in the United States and

Canada

• Emphasized scientific basis of medical education

• Reinforced physician focus on self-discipline,

individual responsibility, and self-sacrifice

Moving from Clinical Excellence to Leadership Excellence

Step 1: Selecting Physician Leaders

A Century after Flexner

• Individual Sense

of Duty and

Commitment

• Autonomy

Today’s Need to

Function as a Team

• Team Learning

• Team Execution

• Team Improvement

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You can manage through gaps

in knowledge, skills, and experience

An MBA does not guarantee

competence

Be mindful of the gaps

• What you don’t know you don’t

know is what will get you in

trouble!

We need to provide training,

support, mentoring, and structure to

support a successful transition to

leadership

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Positioning physician leaders

for success

Moving from Clinical Expertise to Management

and Leadership Skills


Temperament and Personality

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Can see the

bigger picture

Adaptable

fast learner

Patient and

persistent to

work the

details

Humble

Emotional

intelligence

and self-

awareness

Balances trying

to please

everyone

Great

communicator

Results

focused

Able to move

beyond

autocratic

model

Willing to

take risk

Passioniate

about the

cause


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Modeling Leadership and Accountability

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Step 2: Developing Physician Leaders

One Step at a Time


Physician Leadership Development

• Is a powerful tool for physician engagement and

alignment

• Populating a system with “graduates” creates

organizational “change capacity”

• Creates shared, simultaneous learning with

administration/nursing leadership

Much More Than Just Creating Physician Leaders!

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• Understanding the external environment

• How to lead in a dyad

• How to manage a difficult colleague

• How to assess physician performance

• How to address the low performing physician

• How to run meetings

• How to “on-board” physicians

Physician Leadership Development:

Specific Skills

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Aligning leaders begins with creating shared

goals among leaders that emerge from the

organizational goal matrix and cascade all

the way to the frontline physician

Step 3: Aligning Physician Leaders

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Physician Leader Sample (Outpatient)

Increase provider visits by 5% compared to

2012

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Leader Evaluation: Comparison of those organizations that have the leader

evaluation process hardwired and those that do not

76.1

79.9

73.5

77

86.2 86.2 86.4 85.1

65

70

75

80

85

90

1Q08 (n=507) 2Q08 (n=482) Jul 08 (n=335) Aug 08 (n=300)

Mean

Leader Evaluation

Organization does not have leader evaluation process hardwired

Organization does have the leader evaluation process hardwired

Source: Studer Group® October 2008 Measurement Spreadsheet; Organizations that hardwire the leader evaluation process in their organization, show patient perception of care ratings that are significantly higher than those that do not. Patient perception of care mean score average includes all partner selected vendors including Arbor, Avatar, Gallup, HCAHPS, Healthstream, Jackson, NRC, PRC Picker, Press Ganey, RPM, and Statisquest.

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Williamson, West Virginia

Dino Beckett, DO2014 Robert Wood Johnson Foundation

Culture of Health Winner!

• Coal town

• Profound

economic decline

• Abysmal health

• Diabetes

• Obesity

• Pulmonary

disease

• Substance

abuse

Williamson, West Virginia

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You!

Your Mission,

Should You

Choose To Accept

it


Reflect on the characteristics of current leaders – both

good and bad

Ask yourself ”What kind of leader am I?”

Where are my gaps?

And, what can I do about them?

Am I focused on what’s important?

How can I expand my “band of leaders” willing,

dedicated, and unified around transformational work

Do I set goals that quantify success?

Do I hold others accountable for those results?

Do I hold myself accountable for those results?

Leadership – Your Assignment!

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EVALUATION REMINDER:

We want your feedback to get better. Please

remember to take the session evaluation. Thank you!

Andrew Ziskind, M.D.Managing Director

Healthcare Transformation

Huron Healthcare

312-405-7298

[email protected]

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First Among Equals: Physician Leadership · Physician Leadership Development •Is a powerful tool...

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