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James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge

James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge. Medical Profession. Ethics Law Business Administration. Healthcare Trends. Changing Patient Demographics Changing Workforce Consumerism Technology Genetics Quality Patient Safety Tort Reform

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James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge

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  1. James A. Greer, Jr., MD, MBAMedical DirectorOchsner Clinic FoundationBaton Rouge

  2. Medical Profession • Ethics • Law • Business Administration

  3. Healthcare Trends • Changing Patient Demographics • Changing Workforce • Consumerism • Technology • Genetics • Quality • Patient Safety • Tort Reform • Baby Boomers Impact • Uninsured Population • Insurer Consolidation • Specialty Hospitals

  4. Local Market Trends • Charity System • Medicaid Funding • Physician Competition with Hospitals • Specialty Hospitals

  5. Resources • Manpower • Materials • Machines • Money • Methods • Marketing

  6. Group Practice Tasks • Physician Manager • Administration • Tasks of Both

  7. ► Doers ► Planners, Delegaters Clinicians Managers ► 1:1 Interactions ► 1:N Interactions ► Reactive Personalities ► Pro-Active Personalities ► Deciders ► Expect Delayed Results ► Value Autonomy ► Value Collaboration “My Judgment” “Our Team” ► Patient Advocate ► Organization Advocate ► Tolerates System ► Committed to System ► Authority of Knowledge ► Authority of Position ► Resents Rules ► Promotes Rules ► Optimizes ► Controls “What is best?” “What will do?”

  8. Physician Manager Tasks • Maintaining Quality • Innovative Adequate Work Effort • Retention • Adequate Compensation Plan • Recruitment • Personnel Issues • Dealing with Exceptional and Problem Physicians • External Relationships • Developing Future Leaders

  9. Tasks of Physician Manager and Administrator • Customer Satisfaction • Strategic Direction • Marketing • Communication • Fee Schedule • Allocation of Resources • Culture of Group

  10. Personnel Issues/Physicians • Evaluations • Patient Satisfaction, Competence, Relationships, Practice Data • Impaired Physicians • Medically Incompetent, Personality Problems, Substance Abuse, Sexual Misconduct • Physician Management of Non-Physician Personnel

  11. Physician Compensation • Allocation for Physicians • Payout vs. Retained Earnings • Allocation to Physicians • How to Distribute? • Gross Charges, Revenue, RVU’s, Equal Distribution, Other • Subjective Components

  12. Strategic Planning • What’s the future and how do we get there? • Growth • Natural or Planned? • Capital Needs • Planning • Changes • Branches

  13. Information Systems • Cost • User Friendly • Flexible • Integrated Database • Easy to Maintain

  14. Information Systems • PACS • EMR

  15. Managing Professionals • Realize Peer Pressure • Sell Input • Use Facts/Knowledge • Communicate the “Big Picture”

  16. The Business Plan • Executive Summary • Market Analysis • Company or Group Description • Organization and Management • Marketing Plan • Service or Product Line • Funding Request • Financial Statement • Appendix

  17. Challenges • Managing the Professionals • Managing the Cost/Q Tension • Positive and Negative Interactions • Balance of “Physician & Manager” • Advocate of both Physicians and Organization

  18. Lessons Learned • Practice Medicine • Assume People Will Do Their Best • Persuade, Not Dictate • Prepare for Meetings • (Over) Communicate • Relationships & Colleagues • 1st: Patients • 2nd: Organization • 3rd: Individual • Involve Physicians with Decisions • They always raise issues • Satisfaction is Different

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