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Transcript of a free resource sponsored by the
a free resource sponsored by the
The Hospital’s New “Home Team” How Hospitalists Can Help Shape the
Emerging Medical Staff Model
Practice Administrators' Roundtable Series X
February 9, 2012
Presenters
Jasen W. Gundersen, M.D., MBA, CPE, SFHM
President & Chief Medical Officer
TeamHealth Hospital Medicine
Mark Sey, Pharm.D., MBA
Vice President & Chief Administrative Officer
Lodi Memorial Hospital
The Hospital Medicine “Drivers”
• Care for the uninsured • Provider preference for employment models• Improve costs / length of stay• “Demand” from other providers
– Co-management of surgical patients
• Quality / Patient Safety• Hospital initiatives
– Electronic Health Record– Avoiding unnecessary readmissions– Bundled payments
The Unintended Consequences
• Provider passive separation from the Hospital • Active separation by directly competing with
Hospital• Provider disillusion with Hospital “change”• Reduction in focus within Medical Staff
Departments
Medical Staff Bylaws
• Complicating the evolutionary changes of traditional Medical Staff models– Changing or altering the bylaws is not easy– May not be in sync with current practice patterns
• Affect on the ‘new medical staff’– More time demands on limited providers– The role of the EMR
• Staff Categories• Maintaining synchronization with hospital
administration
Polling Question
• Do your medical staff bylaws have a staff category for outpatient only providers?
o Yeso Noo Currently developing a new categoryo Unsure
Planning for the Future
• Community provider involvement remains CRITICAL– Care transition programs– Role in admission/readmission management– Improving ambulatory care sensitive admissions
• Develop new staff categories– Maintain ‘active’ role
• Maintain relationships between inpatient & outpatient providers– Quarterly Meetings– Newsletters
Hospital MedicineShaping New Medical Staff Models
• Department or Division– Depends on size of program
• Credentialing/Delineation of Privileges– Assure current with practice patterns
• Block scheduling and provider participation• Supporting committee work and development• The high cost of turnover
– Individual vs. Group– A ‘problem’ for the specialty
Hospital MedicineShaping New Medical Staff Models
• Hospital Medicine physician engagement– Varying levels of commitment – Identifying areas of interest – Encouraging program/project “ownership”
• Shaping more than the Medical Staff • Compensation
– Direct– Workload reductions
Polling Question
• Hospital Medicine physicians fulfilling Medical Staff leadership responsibilities are a difficult commitment and burdensome.
o Agreeo Somewhat agreeo Disagreeo Unsure
Thank you for your time today