What is a Physician Hospital Compact?

1
What is a Physician Hospital Compact?

• A compact is an agreement that clearly states the
  commitment of the medical staff and hospital
  leadership to one another for the purpose of
  improving patient care and furthering our mutual
  business interests.
• It is developed by the medical staff and hospital
  leadership as a living document to help achieve
  a shared vision. The compact will evolve as
  healthcare changes.

2
Why is it Important?

• Our environment is rapidly changing and the way
  physicians and hospital leadership worked
  together 20 years ago wont sustain us in the
  future
• The compact means
• Medical Staff and hospital leadership will work
  together to achieve
• Better coordinated care and services for
  physicians and your patients
• Improved patient outcomes
• Ease of access to key patient information
• Improved services that will result in an
  increased market share for the physician and
  hospital

3
Development of the Compact

• The compact process was initiated by the Medical
  Staff Leadership
• The draft compact has been the result of a group
  of physicians who volunteered to be a part of the
  process with hospital leadership.
• The physicians involved in the development were a
  cross section from all departments
• Dr. M. Balon Dr. L. Cheung Dr. M. Devore
• Dr. T. Dolnicek Dr. A. Drelichman Dr. S.
  Eathorne
• Dr. R. Forte Dr. I. Grinberg Dr. M Harris
• Dr. M. Haynes Dr. L. Hochman Dr. D. Hollander
• Dr. D. Lincoln Dr. S. McGraw Dr. W. Murray
• Dr. R. Pearlman Dr. S. Stern Dr. K. Swanson
• Dr. R. Tobar Jr Dr. S. Zeltzer

4
Why Are We Here?

• The compact is not done we are seeking input
  from the medical staff
• Input is being sought at department meetings, and
  in focus groups.
• The compact will be voted on by the medical
  executive committee prior to adoption. We need
  your input through March, 2008

5
Shared Vision
DRAFT

• It is our vision that physician and hospital
  leaders will be honest and transparent in
  communication and planning. This will result in
  trust and confidence and lead to mutual respect,
  optimism, creativity and cooperation. The compact
  that follows provides a framework of expectations
  to govern daily interactions and to create future
  policies. This compact will help to create the
  preeminent health care delivery system, focused
  on the patient-doctor relationship and the
  establishment of a medical home for the patient
  and his primary physician.

6
Why and Why Now

• We believe the health of the entire community is
  the concern of physicians, hospital leadership
  and staff
• We believe physicians and the health care team
  members have a vocation to heal and prevent
  sickness and alleviate suffering
• We believe our deepest aspirations for our
  professions coupled with societys demand for
  demonstrably effective care makes our
  interdependence apparent and our need for
  partnership essential
• We recognize the need to create a new
  relationship to ensure our mutual future success
• We have developed this compact to make explicit
  our relationship, to provide strategic direction
  and consistency beyond any single individual
  involved in its implementation.

7
Our Mutual Commitments to Each Other

• Physicians and hospital leadership will
• Put aside past conflicts and seek to understand
  all points of view in order to progress.
• Participate in the design and implementation of
  best clinical practices.
• Give and receive feedback in the service of
  improving our patient centered care.
• Commit time and resources to professional growth
  and development, including participation or
  support of medical education and research.
• Support the vision

8
Our Mutual Commitments to Each Other Better Care

• Hospital Leaders Commitment
• Provide services and results on a timely basis to
  support clinical decision-making.
• Commit to understanding, processing and
  distributing outcome data to achieve best
  clinical practice
• Pursue public recognition and market its
  programs, services and its physicians to raise
  awareness in the communities we serve
• Demonstrate respect and appreciation for
  physician contributions.

• Physician Commitments
• Communicate the plan of care to the patient, the
  healthcare team and each other
• Institutionalize best clinical practices as the
  guiding principle for quality and utilization
  management
• Hold each other accountable for achieving results
  necessary to position Providence and its
  physicians favorably in the market
• Demonstrate respect and appreciation for hospital
  associates and each other

9
Our Mutual Commitments to Each Other Better
Business

• Physician Commitments
• Recognize the legitimate authority of appointed
  and elected medical staff leaders
• Explore program development and business venture
  options with the hospital as the preferred
  partner recognizing mutual business constraints.

• Hospital Leader Commitments
• Include physician leaders in strategic and
  financial planning
• Expand opportunities for interested physicians to
  participate in clinical programs and services

10
Questions To Consider

• What do you think of the shared vision? Is
  anything missing? What would you change?
• What concerns you about entering into the new
  compact with the hospital?
• What would it take for you to commit to and
  support these commitments?

11
Upcoming Town Hall Meetings To Discuss the
Physician Compact

• Wednesday February 20, 2008
• Friday February 22, 2008
• Saturday February 23, 2008
• Thursday March 6, 2008

• 6-8 PM in the Medical Staff Lounge Conference
  Room 3
• 7-830 AM in the Medical Staff Lounge Conference
  Room 3
• 8-10 AM in the Medical Staff Lounge Conference
  Room 3
• 7 8 AM in the Medical Staff Lounge Conference
  Room 3