a free resource sponsored by the

1
a free resource sponsored by the
The Hospitals New Home Team How
Hospitalists Can Help Shape the Emerging Medical
Staff Model
Practice Administrators' Roundtable Series
X February 9, 2012
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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

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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

4
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

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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

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Polling Question

• Do your medical staff bylaws have a staff
  category for outpatient only providers?

• Yes
• No
• Currently developing a new category
• Unsure

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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

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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

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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

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Polling Question

• Hospital Medicine physicians fulfilling Medical
  Staff leadership responsibilities are a difficult
  commitment and burdensome.

• Agree
• Somewhat agree
• Disagree
• Unsure

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Thank you for your time today