STUART J. GLASSMAN, MD, MROCC, FAAPMRGRANITE PHYSIATRY, PLLC

CONCORD, NHCLINICAL ASSISTANT PROFESSOR, GEISEL

SCHOOL OF MEDICINE AT DARTMOUTHCLINICAL INSTRUCTOR, TUFTS UNIVERSITY

SCHOOL OF MEDICINEALTERNATE DELEGATE (NH) , AMERICAN

MEDICAL ASSOCIATIONSJG@GRANITEPHYSIATRY.COM

Leadership and Health Care Influence—The New

Hampshire Experience

Disclosure Slide

No financial disclosures to report

Objectives

To improve attendee understanding of effective techniques for health care leadership skills

To increase participant awareness of strategies appropriate for influencing health care policy and legislation

To enhance audience knowledge of physiatrist involvement in current and future health care reform systems

Leader?

Leadership Definitions?

“ A process of social influence, which maximizes the efforts of others, towards the achievement of a goal’ (Kevin Kruse, www.forbes.com, 4/9/13)

“The healthcare leader of the future will be an independent thinker who understands the emerging healthcare market” (Stephen Lindsey, Becker’s Hospital Review, 9/25/12)

“A genuine political leader must have integrity, honor partnerships, and value differences of opinion” (Diana Walsh, Boston Globe, 5/2/04)

Health Leadership Competency Model

National Center for Healthcare Leadership (www.nchl.org)

Healthcare Leadership: Transformation

Visioning, energizing and stimulating a change process that coalesces communities, patients and professionals around new models of healthcare and wellness

Analytical thinkingInformation seekingStrategic orientation

Leader?

Healthcare Leadership: Execution

Translating vision and strategy into optimal organizational performance

AccountabilityCollaborationInitiative Organizational AwarenessProcess ManagementDoing Your Job

Leader?

Healthcare Leadership: People

Creating an organizational climate that values employees from all backgrounds and provides an energizing environment for them

ProfessionalismRelationship BuildingSelf ConfidenceTalent DevelopmentTeam LeadershipEMOTIONAL INTELLIGENCE!!

Leader?

Health Care Influence—New Hampshire

Involvement with New Hampshire Medical Society Executive Committee (President of the NH Society of PM&R)—2003

Appointed Member at Large for NHMS in 2006

Appointed Treasurer of NHMS in 2009 Appointed Vice President of NHMS in 2011Became President of NHMS in 2013Became Alternate Delegate to AMA in 2015

Health Care Influence—Concussion Legislation SB 95 (The Empire Strikes Back)

New Hampshire SB 95—Study of Youth Sports Concussions (2011)

Sponsored by 7 State Senators (work began in the fall of 2010)

Passed the NH Senate Feb. 23, 2011 (testimony given by numerous physicians)

Would have established a Commission to study ‘youth sports concussions and other concussions received while at school’

Failed in the House Education committee; testimony by those opposed to bill gave ‘disinformation’ about concussion care (testimony by NHMS)

NH Concussion Law SB 402 (Return of the Jedi)

New Hampshire Youth Concussion LawPassed in May 2012, Signed into Law August 2012 Has components of: (a) annual concussion

information/policies for coaches, student-athletes and parents; (b) removal of student athlete with suspected concussion and written medical clearance issues by a health care provider; (c) limited liability issues for schools; (d) parental consent for return to play

Only covers grades 9-12 in school systems; not middle school, or any community/recreational youth leagues

No academic issue discussion2011-2012—appeared on NHPR, spoke with reporters from

major NH newspapers, worked with numerous schools as concussion specialist/ImPACT ® reviewer

SB 402 Signing Gov. Lynch (8/6/12)

Leader?

Healthcare Influence—NH Therapeutic Cannabis Program

NH House Bill 573, passed June 2013NH Therapeutic Cannabis Advisory Council

established in September 2013NHMS has 1 member (physician) on the CouncilNH Board of Medicine has 1 member (physician) on

the CouncilNH Nurse Practitioner Association has 1 member

(nurse practitioner) on the councilCouncil has meet 3-4 times per year since

September 2013 to create Registry Rules (Dept. HHS), obtain public input, address the evolution of the law

NH Therapeutic Cannabis Program (cont.)

NHMS has been asked to be the main source of physician education for the state concerning therapeutic cannabis (no CME required for physicians to ‘certify’ patient diagnoses in order to obtain marijuana from dispensaries/ATC’s)

(Don’t Get Caught in the Weeds: Therapeutic Cannabis in Clinical Care--Thursday, September 24, 2015 SERESC, Bedford, NH)

4 CME Category 1 Credits

Medical Marijuana and the 2016 Presidential Election

Healthcare Influence—The NHMS President’s Blog

Weekly online blog on the opening page of the NH Medical Society Website every Wednesday (https://www.nhms.org/presidents-blog)

Late night Tuesdays!Any topic, anywhere, anytime!!An OPPORTUNITY to use your medical/political

voice if you choose—you speak for all physicians, not just PM&R!

Initially viewed by 2,000 NHMS physicians, but eventually read by NH legislators and attorneys

You are only as good as your last blog?!!!

The NHMS President’s Blog (cont.)

Alzheimer’s research (“Forget Me Not”)Asking patients about gun ownership (“The Right To Bear

Arms”-mental illness/Florida gun ownership law HB 155)Ferguson, MO shooting (“Family Physician To The

Bereaved”-forensic pathologists) Domestic violence (“Mama Said Knock You Out”-Ray Rice) Heroin overdoses in New England (“Ace of Spades”—

Philip Seymour Hoffman)Ebola Virus Disease (“The Stand”)Physician health (“Physician, Heal Thyself”—Dr. Mike

Foley)Concussion lawsuits NCAA/NFL (“Head Games”)School shootings (“Stop The Madness”)

Ompqua Community College Shooting (Roseburg, OR) (10/1/15)

Healthcare Influence—AMA House of Delegates

By being NHMS President, was automatically an Alternate Delegate to the AMA House of Delegates meeting in June 2014 (Chicago, IL)

Dr. Jim FoydelInvolved with Resolutions that dealt with concussion issues,

testified at the Reference Committee sessions on A: Cheerleading as a Sport (NCAA medical coverage issues) and B: recommendations that the AMA NOT accept the AAN Position Paper on Concussions (due to lack of focus on academic issues) and refer it for further study by the AMA Science and Public Health Committee

Currently now the official AMA Alternate (NH)Working on Medical Marijuana Resolution with New England Delegation to AMA

Leadership Lessons

Be involved, for the right reasons—own the processIf at first you don’t succeed, try again, and BE

BETTER!Be a source of information and advocacy for

patients, administrators, legislators and the mediaYou MAY benefit from executive coaching on how

to be a more effective health care leaderMany times, listening and learning is as important

as knowing the right thing to sayIf it was easy, everyone would be a leader!

AAPM&R Leadership Program

2 year programIdentify and train future PM&R leadersImmersion in volunteerism of the AcademyGeared towards early-career physiatrists (in-

practice 4-10 years)Attend focused events in conjunction with the

Annual Assembly, the Board of Governors Spring meeting, and Advocacy Day in Washington, D.C.

https://www.aapmr.org/members/activities/Pages/AAPMR-Leadership-Program.aspx

Academy Leadership Program (cont.)

Leaders?

Thank You!