Medical Staff Leadership as an Agent of Safety & Quality in Healthcare Organizations: Relationships & Teamwork. Keith Doram, MD, MBA, FACP Sr. VP and Chief Medical Officer Christiana Care Health System Associate Professor of Medicine Penn State College of Medicine. Harry Truman once said….
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Keith Doram, MD, MBA, FACP
Sr. VP and Chief Medical Officer
Christiana Care Health System
Associate Professor of Medicine
Penn State College of Medicine
“You know what makes leadership? It is the ability to get men to do what they don’t want to and like it.”
Leaders are people who do the right thing; managers are people who do things right. Both roles are crucial, but they differ profoundly. I often observe people in top positions doing the wrong thing well.
- Warren Bennis
Safety is first & foremost “doing no harm”.
Quality (in hospitals & healthcare) is doing the right thing right—not just for one patient, but for all patients.
Managing Relationships Healthcare Organizations:
Conflict Prevention and Negotiation
Performance & Quality
Set Goals & Standards
Vision & Purpose
Source: Advisory Board Interviews
and Analysis, 2004Twelve Leadership Competencies(The M.I.C.P.S. – Management Incentive Comp Plans)
Effective leader executives can be fat or lean, extrovert or shy, drink a lot or not at all—but they all share five habits or practices…(Drucker)
Administrators’ View shy, drink a lot or not at all—but they all share five habits or practices…
Lack of knowledge
Insuff. role definition
Lack of knowledge
Poor peer relations
Lack of commitmentOrganizational Barriers for Physician Leadership in Hospitals(Source: Physician Leadership Academy, 2004)
Key Factors That Determine Physician Leadership Involvement in Hospitals(Source: Advisory Board 2002 Survey of 531 physicians in 10 specialties)
CCHS has a mentorship program, a formalized year-round faculty development curriculum with the ACP Executive training program and the Advisory Board
These Standards are Just Good EBM!!
Obstetrics and GynecologyOral and Maxillofacial SurgeryOsteopathic Traditional Rotating InternshipPreliminary Medicine YearPharmacy PracticePodiatric Medicine and Podiatric SurgeryTransitional Year
Research number of coalitions (AMA, ACC, AHA, AHRQ, CMS, NCQ, Pharmacopoeia…)
2 Occupational Health
21 Other Research
15 Pathology and Laboratory
2 Pediatric Neurology
96 Pediatric Oncology
5 Preventive Medicine
32 Radiology/Radiation Oncology
732 Total Clinical Trials