May 2014

Physician and Health Care Executive Leadership

M Wagner, MD FACP

2

Tufts Medical Center and the Floating Hospital for Children

➤Tufts Medical Center Founded in 1796

350 bed full service medical center

Located in downtown Boston

Primary teaching hospital for Tufts University School of Medicine

44 GME programs with >400 residents and fellows • Tufts Medical Center

Physicians Organization (Tufts MCPO)

– Academic multispecialty group practice

– >500 physicians organized into 17 clinical departments

Disclosures/Bias

➤Executive Leadership of Tufts Medical Center and Floating Hospital for Children

➤Physician: Internal Medicine with focus on hospital medicine

➤Personality type INTJ

Strategic, Achiever, Analytical, Self Assurance, Deliberative

➤Experiences Non-profit academic medicine

For profit physician practice management

Venture capital back healthcare start-ups

Managed care

Objectives

➤What do you want to work on?

➤Who are you?

➤What do you need to learn and experience?

➤How do you create value for your organization?

“You've got to be very careful if you don't know where you are going, because you might not get there.”

Yogi Berra

Three questions

➤Describe a moment in which you came to a realization about your career or work?

➤Tell me how you have brought value to the organization you work for?

➤Standing at the end of your career, what do you want to accomplish or be known for?

What do you want to achieve?

Who are you?

➤Which personality inventory is the best to use? All of them – with a grain of salt

Interpret for yourself what it means

Interaction Other You

Conflict: Thomas-Kilmann Model

Co

nce

rn fo

r m

y n

ee

ds

Concern for other’s needs

“The SPEED of Trust” by Stephen M.R. Covey

2 X 2 box of competencies

Analytical - Math - Statistics - Data manipulation - Funds flow

Communication - Presentation - Written - Graphical - Listening

Organizational - Project management - Time management - Delegation and follow-thru - Attention to detail

Human interaction - Conflict management - Respect - Humility - Firm, Frank and Friendly

2 X 2 box of competencies

Analytical - Math - Statistics - Data manipulation - Funds flow

Communication - Presentation - Written - Graphical - Listening

Organizational - Project management - Time management - Delegation and follow-thru - Attention to detail

Human interaction - Conflict management - Respect - Humility - Firm, Frank and Friendly

Strategic

- Organizational behavior

- Relationships/dependencies

- Market dynamics

- Value positioning

- Creating framework/context

Inflection Point

December 2013

Inflection

Point

time

The Basic Value Proposition

14

Value =

Quality

Cost

Value Driven Healthcare

15

Quality Core Measures, safety

goals, HEDIS ambulatory

measures

Time Capacity, wait

times, LOS, TAT

Satisfaction Patient, Staff,

Provider

Financial Revenue, expenses,

capital

Value

Driven

Care

My framework

Pe

rso

na

l

Clarity

Engagement

Objectivity

Transparency

Ph

ys

icia

n l

ea

de

rsh

ip

Recruit and retain best physician talent

Clinical – financial integration

Integration with community

Org

an

iza

tio

na

l Safety

Accessible

Patient Centric

Glo

ba

l Improved healthcare for the individual

Improved healthcare for the population

Bending the cost curve

Possible areas for career focus

➤ Quality and patient safety

➤ Patient experience

➤ Medical informatics

➤ Population based care

➤ Private equity and venture capital

➤ Physician practice management

➤ Public policy

➤ Research, discovery and intellectual property

➤ Individualized or personalized medical care

Thanks…

“I just want to thank everyone who made this day necessary.”

Yogi Berra