Date post: | 25-Jan-2015 |
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Leadership & Management |
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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