Enhanced Physician Engagement, Volume 2: Tools and Tactics for Success

by Carson F. Dye (Editor)

Overview

Successful physician engagement comes in many shapes and sizes. What works for one healthcare organization may not work for another. And with myriad differences among physicians in terms of age, specialty, work location, and more, multiple approaches to enhancing engagement are needed. The key is exploring different strategies and finding the ones that work for you and your organization. Enhanced Physician Engagement, Volume 2: Tools and Tactics for Success is a how-to guide for involving and inspiring physicians. The book examines concrete, practical methods for tackling hot-button issues such as burnout, the burden of electronic health records, and accountability—factors that can cause disengagement. With more than 40 years of healthcare leadership and management experience, editor Carson F. Dye possesses unique expertise in getting physicians more engaged. Written by recognized physician leaders, each of the book’s chapters stands on its own, allowing you to find practical tips and guidance by topic according to your needs. Chapter authors explain the tactics that have been successful for them and share the lessons they have learned. Topics include: assessing physicians for leadership positions; developing dyad, triad, and quad organization structures; creating a physician leadership development program; and measuring physician engagement success. In Enhanced Physician Engagement, Volume 1: What It Is, Why You Need It, and Where to Begin, Dye offers a foundation for understanding what physician engagement is and the critical role physician leaders play in healthcare organizations. In this second volume, you will learn step-by-step tips and techniques for developing your own robust action plan for long-term engagement and organizational success.
 

Product Details

ISBN-13:	9781640552722
Publisher:	Health Administration Press
Publication date:	08/16/2021
Pages:	268
Product dimensions:	6.00(w) x 9.00(h) x 0.80(d)

About the Author

Carson F. Dye, FACHE, president and CEO of Exceptional Leadership LLC, is a seasoned consultant with more than 40 years of leadership and management experience. He has served as an executive search consultant and partner with Witt/Kieffer, TMP Worldwide, and LAI/Lamalie Associates. Prior to these roles, he was partner and director of Findley Davies’s healthcare consulting division in Toledo, Ohio. He has 20 years of experience in healthcare administration, serving in executive-level positions at St. Vincent Mercy Medical Center in Toledo, the Ohio State University Wexner Medical Center in Columbus, Clermont Mercy Hospital in Cincinnati, and Cincinnati Children’s Hospital Medical Center. Dye has been a regular faculty member for the American College of Healthcare Executives since 1987 and has presented workshops for 40 state and local hospital associations. He has written 10 other books, all published by Health Administration Press, including three James A. Hamilton Book of the Year Award winners: The Healthcare Leader’s Guide to Actions, Awareness, and Perception; Developing Physician Leaders for Successful Clinical Integration; and Leadership in Healthcare: Values at the Top. Other notable titles include Exceptional Leadership: 16 Critical Competencies for Healthcare Executives and Winning the Talent War: Ensuring Effective Leadership in Healthcare. Dye received his BA from Marietta College and his MBA from Xavier University.
 

Table of Contents

Foreword Elizabeth Ransom, MD, FACS xv

Preface xix

Acknowledgments xxv

Introduction Carson F Dye 1

Overview of Chapters 6

1 Preparing Physicians to Be Engaged Margot Savoy 11

Defining Engagement 12

What Is Physician Engagement? 13

Practical Approaches to Engage Physicians 17

Conclusion 43

2 Physician Engagement as an Antidote to Burnout Kevin M. Casey 47

Impact on the Healthcare Institution 49

Spotting Burnout 50

Conclusion 63

3 The Electronic Health Record Walter C. Kerschl 67

Moving Past the Why 69

The What 69

The IKEA Effect 74

The How 74

Building Satisfaction with the EHR 79

Physician "Well-Being 81

Conclusion 83

4 Making the Most of the Chief Medical Officer Terry R. McWilliams 87

Does the Organization Need a CMO? 88

Knowing "What to Look For 91

Characteristics That Support Physician Engagement 98

Where Candidates Come From 99

Business Suit or White Lab Coat? The CMO's Dilemma 101

The CMO Cannot Do It All 103

Physician Leadership Councils 103

Conclusion 104

5 Dyads, Triads, and Quads, Oh My! Terry R. McWilliams 107

Management Dyads 108

Management Triads 119

Management Quads-or Dual Dyads 120

Conclusion 122

6 Assessing Physicians for Leadership Kevin M. Casey 125

The Conundrum 126

Nonnegotiable Characteristics 127

The Three Cs of Leadership 128

Working Clinically 134

Physician Executive Skills 136

Early Identification of Physician Leaders 139

Strengths Versus Weaknesses 140

Continued Growth 141

Conclusion 142

7 Supply-Chain Issues Scott B. Ransom 145

Traditional Efforts to Improve the Supply Chain 147

Engaging Physicians in Optimizing Supply Utilization 149

Balancing Quality, Efficiency, Access, and Cost 150

Systematic Literature Reviews and Product Assessments 151

Transparency of Data 153

Physician Coaching 157

Group Meetings 159

Clinician Training for Best Practices 160

Reducing Conflicts of Interest 160

Financial Incentives 161

The Physician Leaders Role 162

Conclusion 163

8 The Roles of Boards of Trustees Bbagwan Satiani Mary Dillhoff 167

Board Representation Important as Part of Physician Engagement 168

Why Hospital Boards Need a Physician Presence 169

Roadblocks to Increasing Physician Representation 174

Misconceptions That Are Holding Physicians

Back from Boards 176

A Roadmap for Physicians Wanting to Sit on Hospital Boards 177

How to Engage Physicians from a Board Perspective 178

How to Succeed as a Physician Board Member 182

How Not to Succeed as a Physician Board Member 184

Conclusion 185

9 Quality: A Cornerstone of Physician Engagement John Byrnes 191

How Physician Culture and Attributes Drive Engagement and Quality 195

Celebrating Successes 202

Rewards and Recognition 203

Conclusion 207

10 Disruptive Physician Behavior Lily Jung Henson 211

Disruptive Behavior Defined 212

Scope of the Problem 212

Causes of Disruptive Physician Behavior 213

Consequences of Disruptive Physician Behavior 216

Prevention of Disruptive Physician Behavior 217

Management of Disruptive Physician Behavior 222

The Vanderbilt Model 223

Conclusion 225

11 Physician Leadership Development Bhagwan Satiani Daniel Eiferman 233

Physician Representation in Leadership Roles 234

A Team Sport 235

Physicians' Changing Roles as Employees 237

Evidence to Support Leadership Training for Physicians 238

Selected Physicians Leadership Training Organizations 240

History and Development of the Wexner Medical Center Faculty Leadership Institute Training 244

Internally Developed Versus External Leadership Programs 254

Conclusion 255

12 Telehealth Kevin Post 261

The Need for Physician Engagement in the Future of Telehealth 262

The Impact of Telehealth on Medical Providers 263

Telehealth Expectations for Medical Providers 264

Telehealth Training and Support for Medical Providers 265

Personal Impact of Telehealth on Medical Providers 266

Impact of Telehealth on Consumers and the Patient-Provider Relationship 267

Telehealth Care Platforms and Portfolios 268

Common Uses of Virtual Care 269

Physician Engagement Strategies for Telehealth 271

Barriers to Physician Acceptance of Telehealth 273

Aligning Telehealth Strategies with the Mission and Values of an Engaged Health System 274

Conclusion 277

13 Engagement Ideas from the Front Lines Carson F. Dye 279

Communication 279

Culture 282

Finding Commonality 285

Building Trust 287

Participation in Decision-Making 289

Show Appreciation and Recognition 290

Leadership Development 292

Organizational Structure 294

The EHR 295

Understanding What They Do 297

Helping Them to Understand W/hat You Do 298

Economics 299

Setting Clear Expectations 299

Additional Thoughts from Healthcare Leaders 300

Participants in the Survey 300

14 Measuring Physician Engagement Katherine A. Meese Carson P. Dye 301

Why Measure Engagement? 301

How to Measure? 303

Whom to Measure? 307

What to Measure? 308

What to Do with This Information? 311

Conclusion 311

Conclusion: Summing Up the Book's Lessons Carson F. Dye 313

Ready Physicians to Be Engaged 314

Reduce Burnout First, Then Engage 314

The Electronic Health Record 314

Having a Chief Medical Officer Is Not a Guarantee Engagement Will Occur 315

Dyads, Triads, and Quad Dyads 315

Assessing Physicians for Leadership 315

Supply Chain 316

Getting Physicians Engaged on Boards 316

Using Quality to Drive Engagement 316

Disruptive Physician Behavior 316

Physician Leadership Development Programs 317

Telehealth 317

Thoughts from the Trenches 317

The Importance of Measurement 318

For More Theory Behind This Book 318

Index 319

About the Editor 345

About the Contributors 347

Editorial Reviews

Reviewer: Gwendolyn M. Oglesby-Odom, Ed.D, MSN, BSN, RN-BC, NEA-BC(Advocate Aurora Health)
Description: This book is a resource for healthcare systems and leaders looking to unlock the perplexity of physician engagement. The book provides readers with the tools and tactics needed to implement, evaluate, and sustain a high level of physician engagement. The author utilizes an array of learning modalities to aid readers in understanding the proposed concepts; those modalities include but are not limited to scenarios, graphs, models, frameworks, quotes, and survey findings. This book has a companion volume that was published in 2021. The author highly recommends readers read the first volume before reading the second volume. The first volume defines engagement and underscores why physician engagement can have a negative or positive impact on quality, safety, and health outcomes. The second volume focuses on providing readers with the tools and tactics to aid them in improving physician engagement.
Purpose: The book aims to provide clinical and administrative leaders in health care with a roadmap and myriad of tools to foster meaningful engagement with physicians. The author meets his objective. The book provides a robust number of resources including suggestions, examples, and scenarios from physicians, healthcare thought leaders, and healthcare executives from around the country. Health care has experienced a paradigm shift in recent years due to the COVID-19 pandemic. Healthcare systems and leaders understand high levels of physician engagement lead to improved quality, safety, and health outcomes and are essential to successfully rendering care in our current value-based model of care.
Audience: This book was written for clinical and administrative leaders in health care and meets the needs of those searching for tools to enhance physician engagement. Author and editor Carson F. Dye has over four decades of consulting, leadership, and management experience and has been a member of the American College of Healthcare Executives since 1987. He is a highly sought-after speaker who has spoken and hosted numerous workshops in over 40 states for several local hospital associations. In addition to this book, the author has published 10 other books. Several of his books received the James A. Hamilton Book of the Year Award.
Features: The book provides insight into tools and tactics that can help improve physician engagement. The author has recruited different contributors to write each chapter allowing readers to look at engagement in the voice of physicians at every level while noting that a more seasoned physician's voice is drastically different than the voice of a novice physician. Having a myriad of perspectives points out the obvious and, to some, the not-so-obvious fact that healthcare leaders need to equip themselves with several different approaches when it comes to physician engagement. Illustrations, graphs, diagrams, tables, charts, and quotes are used throughout the book to aid readers in understanding and absorbing the content. For readers seeking additional support, the contributor to each chapter provides a list of resources at the end of the chapter. There is also a comprehensive index to aid readers in navigating the content. The author has done a fantastic job of underscoring the complexity and multidimensional aspects of physician engagement. This book provides readers with a multitude of approaches to dissect the complexity and build a path forward for physicians at every stage of their career. The author has thoroughly covered the range of tools and tactics and referred readers back to the first volume if they had no foundational knowledge pertaining to physician engagement.
Assessment: Many healthcare organizations struggle to attain a high level of physician engagement; a conundrum that continues to perplex clinical and administrative healthcare leaders. Physicians play a major role in a healthcare organizations' ability to meet or exceed key performance metrics. Therefore, it is crucial that healthcare organizations figure out how to foster high levels of engagement from physicians. This book is a great resource and I would highly recommend it for healthcare leaders. If someone is new to the world of physician engagement, I suggest that they read volume 1 before reading volume 2. Volume 1 will provide the foundational knowledge needed to understand the complexity of physician engagement.

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