James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge
description
Transcript of James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge
![Page 1: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/1.jpg)
James A. Greer, Jr., MD, MBAJames A. Greer, Jr., MD, MBAMedical DirectorMedical Director
Ochsner Clinic FoundationOchsner Clinic FoundationBaton RougeBaton Rouge
![Page 2: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/2.jpg)
Medical ProfessionMedical Profession
Ethics
Law
Business Administration
![Page 3: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/3.jpg)
Healthcare TrendsHealthcare TrendsChanging Patient DemographicsChanging WorkforceConsumerismTechnologyGeneticsQualityPatient SafetyTort ReformBaby Boomers ImpactUninsured Population Insurer ConsolidationSpecialty Hospitals
![Page 4: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/4.jpg)
Local Market TrendsLocal Market Trends
Charity System
Medicaid Funding
Physician Competition with Hospitals
Specialty Hospitals
![Page 5: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/5.jpg)
ResourcesResources
ManpowerMaterialsMachinesMoneyMethodsMarketing
![Page 6: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/6.jpg)
Group Practice TasksGroup Practice Tasks
Physician Manager
Administration
Tasks of Both
![Page 7: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/7.jpg)
► Doers ► Planners, Delegaters
CliniciansClinicians ManagersManagers
► 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?”
![Page 8: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/8.jpg)
Physician Manager TasksPhysician Manager Tasks
Maintaining QualityInnovative Adequate Work EffortRetentionAdequate Compensation PlanRecruitmentPersonnel IssuesDealing with Exceptional and Problem
PhysiciansExternal RelationshipsDeveloping Future Leaders
![Page 9: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/9.jpg)
Tasks of Physician Manager Tasks of Physician Manager and Administratorand Administrator
Customer SatisfactionStrategic DirectionMarketingCommunicationFee ScheduleAllocation of ResourcesCulture of Group
![Page 10: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/10.jpg)
Personnel Issues/PhysiciansPersonnel 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
![Page 11: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/11.jpg)
Physician CompensationPhysician Compensation
Allocation for Physicians – Payout vs. Retained Earnings
Allocation to Physicians– How to Distribute?– Gross Charges, Revenue, RVU’s,
Equal Distribution, Other
Subjective Components
![Page 12: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/12.jpg)
Strategic PlanningStrategic Planning
What’s the future and how do we get there?
Growth– Natural or Planned?
Capital NeedsPlanningChangesBranches
![Page 13: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/13.jpg)
Information SystemsInformation Systems
Cost
User Friendly
Flexible
Integrated Database
Easy to Maintain
![Page 14: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/14.jpg)
Information SystemsInformation Systems
PACS
EMR
![Page 15: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/15.jpg)
Managing ProfessionalsManaging Professionals
Realize Peer Pressure
Sell Input
Use Facts/Knowledge
Communicate the “Big Picture”
![Page 16: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/16.jpg)
The Business PlanThe Business Plan
Executive SummaryMarket AnalysisCompany or Group DescriptionOrganization and ManagementMarketing PlanService or Product LineFunding RequestFinancial StatementAppendix
![Page 17: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/17.jpg)
ChallengesChallenges
Managing the ProfessionalsManaging the Cost/Q TensionPositive and Negative InteractionsBalance of “Physician & Manager”Advocate of both Physicians and
Organization
![Page 18: James A. Greer, Jr., MD, MBA Medical Director Ochsner Clinic Foundation Baton Rouge](https://reader036.fdocuments.us/reader036/viewer/2022062723/5681402a550346895dab8b2e/html5/thumbnails/18.jpg)
Lessons LearnedLessons LearnedPractice MedicineAssume People Will Do Their BestPersuade, Not DictatePrepare for Meetings(Over) CommunicateRelationships & Colleagues– 1st: Patients– 2nd: Organization– 3rd: Individual
Involve Physicians with Decisions– They always raise issues
Satisfaction is Different