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and How it Can Help You!
About
Relations
The
Objectives
Common Misconceptions
Understand Why Physicians & Administrators Don’t Mesh Well
Why Collaboration Is Needed In Order To Fix The Healthcare System
Known
as
SUITS!
Collect Fat
Checks!
Forget About The Little Guy!
Worlds Best Motivators!
The Hero
With The
Plan To
Save The
Day!
This is where The Action
Happens!
Man, We
Look Good
In Our Suits!
We Never
Smile
It’s Not The
Businessman
Way.
We Have a
Tight Hold
Over Our
Finances
We Love Going To Lame
Parties!
Micromanagement is a Must!
Did I Mention
We Like To
Wear Suits???
Want
Autonomy
Demand the
Latest and
Greatest Technology
Set On
Their
Ways!
Favor
Clinical
Opinions
So, why do these
misconceptions
exist?
Well, The truth
is...
It’s not that
either side is
right or wrong.
It is our broken healthcare
system that causes this
conflict to exist!
Our “system” forces both groups to work
toward opposing
goals.
financial viability
Quality
Driven
It’s this core conflict that develops what
we like to call,
The Gap
Difference in thinking and approach Priorities and incentives Roles and responsibilities
The perceived
gap includes:
Time Horizon
How to handle expertise?
Individually possess & use Orchestrate. Facilitate.
Education
Structured. Uniform Unspecified. Highly varied.
Physician Administrator Focus
Individual patient survival Organizational survival
Short term Long term
Professionally accountable to:
Professional standards & peers external to hospital
Hospital Board
Mgmt. Approach
Authoritative; act alone Collaborative, communal
Job defined by
Accreditation, licensure Job description
Decision-making
Independent. Rapid Group process. Deliberate
Physician Administrator
Even though we
have quite a few
differences…
We do share
something in
common.
Core Values
Altruism The Challenge
Service
These shared values provide
the structure needed for
effective physician and
administrative
collaboration!
What Needs To Happen
In Order To Come
Together?
Teach the business of
healthcare to all
health professionals
Trust
Teamwork
Approach
Embrace
Change
Peer Driven
Accountability
In order to
develop a
solution to
this broken
healthcare
system,
We must come together
and work as a TEAM!
Especially As We
Move Forward In This New Healthcare
Environment.
Reform has
changed the
game...
Payment Rates in
Cuts in Medicare Due to Healthcare
Reform, 2013-2022
*Source: Congressional Budget Office
$0 $250 billion
$50 $100 $150 $200
$260 billion
$156 billion
$145 billion
$66 billion
$39 billion
$33 billion
$17 billion
Hospital Services
DSH Pmts. and Other
Home health services
Skilled nursing services
All other services
Hospice services
Health Reform Cuts
$716 billion
from Medicare
Medicare Provisions
Medicare Advantage
Quality & Patient Satisfaction
Determine Reimbursement
The Affordable Care Act Will Make Physician-Executive
Collaboration Vital
Therefore, we have to
address the challenge
of doing more with less
together.
Multidisciplinary
Teams
Nursing
Process Engineering
Physicians
Medical Staff
Administrators
Team
Makeup
The team goal is to identify
operational inefficiencies
and develop solutions that
will address either cost,
quality, access, or all three.
Boston Scientific
• $22.00
• Used Occasionally
Cordis
• $27.00
• 1 Radiologist Use Regularly
Terumo
• $35.50
• 3 Radiologists Uses Regularly
“Columbia Hospital System” – performs 800 Angiograms / year
Boston Scientific
• $9,100 savings to switch to Boston Scientific
Cordis
• $5,100 savings to switch to Cordis
• Cordis will give us a 10% discount for ordering from them.
Terumo
• We would see no savings
• Most Liked By Physicians
“Columbia Hospital System” – Total spend on Angiographic Catheters: $26,700
Is there a clinical advantage of
Terumo over Cordis over Boston
Scientific?
Why do our Radiologists insist on using Terumo products.
VAT Question:
5 Things To Look For In
A Physician-Hospital
Aligned Organization
Commitment to quality
Active communication
Collaborative decision-making
Dependable support services
Win-Win financial relationships
Questions?
