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OMSS Education - Physician Leadership

*View webcast to earn continuing medical education (CME) credit.
--Free for AMA members; $30-60 for non-members.

*Physicians Leading Change for Better Outcomes (Nov. 2013)
*The Role of the Physician as a Leader in Patient Safety and Quality: (Nov. 2013)

Aligning the medical staff and hospital interests for better outcomes.

View the program description and register for access to the webcast.

*The Joint Commission's Leadership Standard on Conflict Management: (June 2013)

Empowering medical staff leaders to advocate to "yes"
View the program description and register for access to webcast.

*Physician Leadership During Challenging Times (June 2012)
*Leadership and the AMA Code of Medical Ethics (June 2012)
*Lessons Learned from Newly Integrated Medical Practices: Two case studies (June 2012)
*Doing the Right Thing for Our Patients - Leading as a Professional (Nov. 2011)
*Engaging Members of the Medical Staff to Measure and Improve Quality (Nov. 2011)
*Future of the Medical Staff Organization (Nov. 2011)
Leadership Perspectives on Providing Accountable Care -- Part 1 (Nov. 2010)

Part 1 - Pathways for Physician Success in Accountable Care Organizations and Healthcare Payment Reform

CME credit is no longer available for this program

Faculty

Harold Miller

Description

The Patient Protection and Affordable Care Act (PPACA) establishes voluntary pilot projects to develop three new care delivery and payment models: bundling, the medical home, and accountable care organizations (ACOs). In addition to these Medicare and Medicaid programs, the private market is rapidly moving to adopt these arrangements. Enabling individual and small group physician practices - which account for the majority of physicians currently practicing in the U.S. -- to participate in these new arrangements is a stated goal of many health care policymakers and of industry, and is a top priority of the AMA. The AMA is uniquely positioned to provide both education about these reforms and the "Pathways" for physicians to participate - i.e. a hands-on, "how to" guide for this critical segment of physicians.

Learning Objectives

  1. Explain the concepts of accountable care organizations (ACOs), bundling, and medical home.
  2. Identify the necessary pathways to enable physician participation in these reform models.

Download lecture materials

Leadership Perspectives on Providing Accountable Care -- Part 2 (Nov. 2010)

Part 2 - Legal Issues and Structures for Accountable Care Organizations

CME credit is no longer available for this program

Faculty

Anthony Schiff, JD, MPH

Description

The Patient Protection and Affordable Care Act (PPACA) establishes voluntary pilot projects to develop three new care delivery and payment models: bundling, the medical home, and accountable care organizations (ACOs). In addition to these Medicare and Medicaid programs, the private market is rapidly moving to adopt these arrangements. Enabling individual and small group physician practices - which account for the majority of physicians currently practicing in the U.S. -- to participate in these new arrangements is a stated goal of many health care policymakers and of industry, and is a top priority of the AMA. The AMA is uniquely positioned to provide both education about these reforms and the "Pathways" for physicians to participate - i.e. a hands-on, "how to" guide for this critical segment of physicians.

Learning Objectives

  1. Describe the tools necessary to participate in ACOs, bundling and medical home.

Download lecture materials

Leadership Perspectives on Providing Accountable Care -- Part 3 (Nov. 2010)

Part 3 - ACO/Bundled Payment Panel Presentations and Discussions

CME credit is no longer available for this program

Faculty

  • Theodore Mazer, MD
  • Richard Afable, MD, MPH
  • Hector Flores, MD
  • Anthony Schiff, JD, MPH
  • Harold Miller (moderator)

Description

The Patient Protection and Affordable Care Act (PPACA) establishes voluntary pilot projects to develop three new care delivery and payment models: bundling, the medical home, and accountable care organizations (ACOs). In addition to these Medicare and Medicaid programs, the private market is rapidly moving to adopt these arrangements. Enabling individual and small group physician practices - which account for the majority of physicians currently practicing in the U.S. -- to participate in these new arrangements is a stated goal of many health care policymakers and of industry, and is a top priority of the AMA. The AMA is uniquely positioned to provide both education about these reforms and the "Pathways" for physicians to participate - i.e. a hands-on, "how to" guide for this critical segment of physicians.

Learning Objectives

  1. Explain the concepts of accountable care organizations (ACOs), bundling, and medical home.
  2. Describe the tools necessary to participate in ACOs, bundling and medical home.
  3. Identify the necessary pathways to enable physician participation in these reform models.

Download lecture materials:

Physician Led Organizational Structures for the Future (June 2010)

CME credit is no longer available for this program.

Faculty

Frank Opelka, MD, FACS

Description

As Health System Reform is implemented, Accountable Care Organizations (ACOs) will become more prevalent in the delivery of healthcare. This program will identify and discuss organizational structures for the future of physicians' practices. It will delve into the various forms of relationships a physician may have with these new structures. Real life case studies will be presented proving physician led ACOs have been successful. Physicians will leave with the tools and knowledge needed to organize and lead a new structure for physicians practices.

Learning Objectives

  • Discuss the likely role of Accountable Care Organizations based on the status of Health System Reform initiatives.
  • Identify and discuss organizational options for taking full responsibility for care, receiving and distributing bundled payment.
  • Differentiate the forms of relationships a physician may have with these structures.
  • Explain the role of physicians if they are to lead and control structural options for taking full responsibility for care, receiving and distributing bundled payment.
  • Demonstrate real life case studies of physician led ACOs that have been successful.
  • Citing real life example, explain the steps one could take to initiate and develop an Accountable Care Organization.

Download lecture materials

Implementing the New Joint Commission Medical Staff Bylaws Standard – MS.01.01.01 (June 2010)
Organizing your Medical Staff to Effectively Perform in the Evolving Environment (Nov. 2009)

CME credit is no longer available for this program.

Faculty

Rosalio Lopez, MD

Description

As Health Care Reform continues to evolve and change, hospital medical staffs will inevitably change. In order to effectively perform in the shifting environment and to ensure patient safety and quality of care it is critical to organize your medical staff accordingly. In this educational program you will be armed with the knowledge to organize your hospital’s medical staff based on both consumerism and patient safety. This program will demonstrate how to compete and get organized in today’s challenging environment in order to successfully perform as physicians and provide quality care to your patients.

Learning Objectives

  1. Discuss how to organize your medical staff in the current environment.
  2. Demonstrate how your medical staff can compete in today’s healthcare setting.
  3. Create effective strategies to ensure patient safety and quality of care.

Download lecture materials

Promoting a Culture of Safety (Nov. 2009)

CME credit is no longer available for this program.

Faculty

J. Bryan Sexton, PhD

Description

According to the Institute for Healthcare Improvement (IHI), "in a culture of safety, people are not merely encouraged to work toward change; they take action when it is needed." Leadership is a key ingredient in creating a culture of safety. Organizations can only improve upon their safety with direction and guidance from their leaders. Senior staff must be the driving force behind promoting a culture of safety through demonstrating their own commitment to safety of care and providing the necessary resources to foster an environment conducive to change. This program will demonstrate how healthcare professionals can work together as a team to promote a culture of safety and ultimately enhance patient care.

Learning Objectives

  1. Discuss the attributes of successful leaders.
  2. Explain how to work together as a team of healthcare professionals, e.g. nursing, administration and medical staff to ensure patient safety.
  3. Demonstrate how to identify problems, fashion solutions to those problems and implement changes, which ultimately improve safety.

Download lecture materials

Will Physicians Lead the Way in the Development of Accountable Care Organizations? (Nov. 2009)

CME credit is no longer available for this program.

Faculty

  • Joseph Corkery, MD, Lahey Clinic (Mass.)
  • Gary Piefer, MD, WellMed Medical Group (Texas)
  • Mark Shields, MD, Advocate Healthcare (Ill.)

Description

In a frequently-cited New Yorker article, physician author Atul Gwande, MD, wrote, "As America struggles to extend health-care coverage while curbing health-care costs, we face a decision that is more important than whether we have a public-insurance option, more important than whether we will have a single payer system in the long run or a mixture of public and private insurance, as we do now. The decision is whether we are going to reward the leaders who are trying to build a new generation of [accountable care organizations (ACOs)]." ACOs can include multispecialty medical groups, physician organization such as IPAs, regional information networks, PHOs, or any health system that strives to integrate and coordinate the work of a community of physicians and health care professionals to provide comprehensive care for patients. In an ACO, health care professionals work in teams and are supported by the organization's workflow processes, communications procedures, and payment systems. This program will demonstrate how health care professionals have contributed to the development of successful physician-driven ACOs. Physician attendees will learn how they can be involved in leading change in their own communities and advance or advocate for the ACO model.

Learning Objectives

  1. Summarize the ABC's of ACOs.
  2. Illustrate how different physician organization models have achieved varying degrees of accountability.
  3. Analyze how effective physician leadership can influence organizational change that leads to more accountable care.

Download lecture materials:

Leadership Primer on Meeting Management (June 2009)
Generational Change and the Future Healthcare Leadership (June 2009)

CME credit is no longer available for this program.

Faculty

Richard Corlin, MD, Past President, American Medical Association

Description

The differences between the current generation of health care leaders and the next - in terms of wants, needs, expectations and even language - are profound. Failure to understand the magnitude of these differences and to respond to them appropriately will diminish the ability of any organization to continue its relevance and fulfill its mission. Hosted by the American Medical Association Organized Medical Staff and Young Physician Sections, this lecture will highlight these differences and examine positive ways in which current leaders might welcome new and potential physicians into the profession and help maintain their interest in participating.

Learning Objectives

  1. Identify specific behavioral and motivational difference between the two generations.
  2. Assess these differences and how they can affect each generation's style of leadership.
  3. Develop appropriate responses to these differences in a manner that encourages younger members' continued participation in our activities.
  4. Determine an alternative structure, schedule and organizational function in order to achieve continued importance in the lives of physician.

Download lecture materials

Organized Medical Staffs & Disruptive Behavior (Nov. 2008)

Webcast is temporarily unavailable.

Faculty

  • Michael J. Schoppmann, Esq, Kern Augustine Conroy & Schoppmann P.C.
  • Elizabeth Snelson, Esq., Counsel to Medical Staffs
  • Robert A. Wise, MD, The Joint Commission

Description

Disruptive Behavior amongst physicians and other health care professionals in hospitals impacts patient safety and the quality of care that is provided and has increasingly become an issue in the present healthcare system. In response, The Joint Commission has created a new standard that took effect in January 2009. This new standard, will require hospital administrators to adopt codes of defining disruptive behavior against the codes of conduct and developing procedures to invoke discipline. In this program Dr. Wise will discuss the new Joint Commission standard on Disruptive Behavior. Mr. Schoppman will describe the consequences to physicians when faced with disruptive behavior allegations. Finally Ms. Snelson will discuss methods for addressing disruptive behavior for Organized Medical Staffs to incorporate in their written processes.

Learning Objectives

  1. Define The Joint Commission's leadership standards regarding disruptive behavior.
  2. Demonstrate what can happen to physicians facing disruptive behavior charges.
  3. Illustrate and educate physicians on issues surrounding disruptive behavior and medical staff processes to effectively address these concerns.

Download lecture materials:

Creating A New Future for A New Day with a Revamped Organized Medical Staff Structure (June 2008)

CME credit is no longer available for this program.

Faculty

  • Howard Lang, MD
  • Tom Curtis, JD
  • Frank Gamma, JD

Description

We must develop organizations that preserve physician autonomy in a world where medicine has come to be dominated by large corporations. The centerpiece of any healthcare delivery system is the physician-patient interaction, physicians should form organizations that support those interactions and reject the notion of patients as money-winning or money-losing biological structures.

We have the opportunity to recreate the relationships between medical staffs and hospitals. This new paradigm consists of removing the medical staff from the organizational structure of the hospital and declaring the entire organization independent of the hospital.

Physicians would identify with community or regional physician organizations. The organization would not be tied to any one hospital, but instead offers ownership and participation to physicians at any hospital within the relevant service area. The hospitals in the relevant service area would contract for needed patient services with the community or regional physician organizations.

Learning Objectives

  1. Discuss factors that lead to increased tension between medical staffs and hospitals.
  2. Identify methods medical staffs have utilized to retain self-governance.
  3. Describe the function and structure of an alternative to the traditional medical staff structure, including the legal implications.

Download lecture materials:

Reclaiming Quality Patient Care through Physician Leadership (June 2008)

CME credit is no longer available for this program.

Faculty

  • Molly Sandvig, JD
  • John R. Harvey, MD

Description

How we provide and how patients receive healthcare today is changing rapidly. Answers to the questions of who controls growth, how and to whom money is distributed, and most importantly who influences patient care are shifting – and rightly so. The small but influential physician owned and operated hospital industry is playing a dramatic role in that shift and will continue to do so no matter the format, with strong, independent physicians leading the charge.

Learning Objectives

  1. Describe the status of the physician hospital industry and projections for its future.
  2. Distinguish how physician hospitals in partnership with tax-exempt, general hospitals are creating an integrated approach to healthcare, allowing for better physician-hospital relations and long term success for all involved.
  3. Assess out how physicians in this industry are making a difference in patient care, hospital performance, and community and industry involvement.

Download lecture materials:

Principles for Strengthening the Physician-Hospital Relationship (June 2008)

CME credit is no longer available for this program.

Faculty

  • Stephen T. House, MD
  • James A. Goodyear, MD, FACS

Description

AMA's Principles for Strengthening the Physician–Hospital Relationship (AMA Policy H-225.957) were developed as recommendations for addressing the increasingly conflicted physician-hospital relationship. These principles also serve as a complement to the major revisions to The Joint Commission Medical (TJC) Staff Bylaws Standard MS. 1.20 that were recently adopted by the Joint Commission. Although the AMA has been an active participant in the formation of Standard MS.1.20, the revisions made to the standard do not address all of the necessary aspects of medical staff self governance and other guiding principles for strengthening the physician–hospital relationship. Attendees of this session will receive a copy of the AMA's Principles for Strengthening the Physician–Hospital Relationship to assist with implementation in your hospital.

Learning Objectives

  1. Inform Representatives, Delegates, Alternate Delegates and other Physician Leaders of the content and significance of the AMA Principles for Strengthening the Physician–Hospital Relationship as it relates to protecting medical staff self-governance, while successfully fulfilling the medical staff's responsibility for provision of quality and safe care.
  2. Implement principles in your own setting and serve as the catalyst to implement these principles in your hospital and as a part of your medical staff bylaws.
  3. Develop strategies to achieve a better working relationship between your Medical Staff, the hospital board and senior hospital management.

Download lecture materials