- Learn strategies for exercising power and influence in the absence of authority
- Understand the spheres of control, influence, and interest of the physician executive regarding employed physician performance and conduct
- Identify practical approaches to addressing performance and conduct issues with employed physicians
- Effectively manage conflicts between employed and private practice physicians
- Identify strategies for dealing with challenges in which the CMO/VPMA does not see eye-to-eye with the CEO
- Proactively manage disagreements regarding significant executive team decisions
- Rebuild trust between physicians and the hospital
Solving medical staff problems is never an accident. It is always the result of high intention, sincere effort, intelligent direction and skillful execution. It represents the wise choice of many alternatives.—Adapted from John Ruskin, Scientist, Writer, Philosopher
- Case Study #1: The CMO Role and Physician Employment: The employed physician group is losing $170,000/physician/year. The employed physicians were automatically signed up to participate in the hospital’s ACO, but have not bought into making needed changes in patient care. The primary care employed physicians have set up patient-centered medical homes with little impact on patient outcomes or costs. And several employed physicians have recently left for other positions because they were unhappy with how management was running their practices. Even though the employed physicians don’t report directly to you, the governing board, with the tacit support of the CEO, has turned to you as CMO with a simple, mission-critical directive: “Fix the employed docs!” Now what?
- Case Study #2: Clinical Integration as a Moving Target: You recognize that your hospital and medical staff will not succeed unless they find ways to improve quality and reduce costs at the same time—at a pace and magnitude you are not achieving today. Your organization has launched several clinical integration initiatives, including projects to reduce CHF and COPD readmissions, a clinically integrated network for commercial and Medicaid contracts, and service line co-management agreements. You are also in the early stages of developing your first bundled payment arrangements. Other than some improvement in readmission rates, none of these initiatives is going particularly well right now. You were too busy to take a leading role in the launch of all of these initiatives when they started, but now that they aren’t going well, your CEO is expecting you to solve the problems and get all of them back on track. What action plan will you implement?
Adjourn at 4:30 PM; Dinner on your own.
7 AM to 11 AM, with a break at 9:30 AM: SEMINAR SESSION The Unique Challenges of the CMO/VPMA Role (continued from Day One)
- Case Study #3: Rebuilding Trust Once It’s Broken After a recent series of events—including a decision to change out a much liked but difficult-to-work-with ED physician group, an aggressive EMR and CPOE initiative, persistent lack of nursing responsiveness to physician concerns, and pushback on the way the revised physician conduct policy has been implemented—a new chief of staff has been elected on the platform of being management’s worst nightmare. As CMO/VPMA, you supported some of the administrative initiatives, understood the need for some of the others, have your own frustrations with nursing leadership, and disagreed with the decision to change out the ED group. What will you do now to turn this situation around?
Challenges and Opportunities In the Career Path for CMOs/VPMAs: What Will Be Your Action Plan for Enhancing Your Effectiveness As a CMO/VPMA When You Get Home?
11 AM: Adjourn
Agenda is subject to change
CONTINUING MEDICAL EDUCATION
The CMO/VPMA Retreat offers CME/CE credits as follows:
- Accreditation Council for Continuing Medical Education (ACCME) for a maximum of 11.75 AMA PRA Category 1 Credits™.
- American College of Healthcare Executives (ACHE): Eligible for self-reported ACHE Qualified Education Credit upon application for advancement or recertification.
Visit our seminar continuing education page for more information.
The CMO/VPMA Retreat is presented by Rick Sheff, MD and Raul Zambrano, MD, MS, FAAFP, FACHE. Visit our seminar faculty page for detailed bios on the faculty for this and other Greeley programs.
WHO SHOULD ATTEND
Attendance at this retreat will be limited to facilitate peer-to-peer learning from your fellow CMOs/VPMAs and to ensure that the individual issues most important to participants are addressed.