Governance
Practical Governance Skills
- The roles and responsibilities of boards of directors
- Governance vs. management: Leading on the macro level
- Common board structures for group practices
- Mastering the decision making process
- The art of consensus building
- Promoting organizational good over individual gain
- Strategic planning to avoid knee-jerk reactions
- Monitoring and evaluating the results of strategic decisions
- Enhancing the working relationship with administration
- Skills to produce more effective board meetings
Credentialing & Privileging
An effective credentialing process is crucial for attracting and maintaining the highest quality medical staff for your organization. The process must strike a balance between the rigorous and the rigid, while at the same time being thorough, efficient and legally sound.
- Principles of an effective credentialing and privileging program
- JCAHO and other credentialing and privileging regulatory requirements
- Resolving privileging "turf battles"
- Expedited credentialing and temporary privileges
- Legal issues in credentialing and privileging
- Privileging myths and realities
Medical Staff Leadership:
Moving from a competent physician to a competent leader
- Roles and responsibilities of the medical staff, medical staff leaders and the MEC
- The medical staff's sphere of interest, sphere of influence and sphere of control
- Clinical problem solving vs. management problem solving: Different skills/different satisfactions
- How to run a great meeting
- Leadership succession planning: Ensuring leadership continuity and building talent
Hospital-Physician Relations
Too often it seems that physicians and hospital administrators are locked in a lose-lose battle with no apparent way out. Traditional approaches for making them feel like "we're all in this together" have not succeeded in the long term. This program brings a non-intuitive approach for managing these relationships: to bring the groups together you must first strengthen them separately.
- Learn specific strategies for developing connections among fragmented physician groups
- Identify a commonality that both groups can feel passionate about, while paradoxically maintaining their own differences
- Gain tools for managing the balance between too much separateness and too much integration
Health Law (Half Day)
Help keep your organization out of the courtroom. This program provides a basic understanding of laws pertaining to health care organizations. Topics covered will be tailored to your organization and may include some but not all of the list below:
- Trends in Liability for Hospitals and Managed Care Organizations
- Fraud & Abuse, Stark II and More
- Emergency Medical Treatment and Active Labor Act
- Peer Review Protections
- HIPAA
- Managed Care
- Problem Practitioners
- Contracts
- Patients' Rights Issue
Legal Regulatory Issues
Nothing can cause a physician executive more anxiety than ensuring compliance with the many health care regulations that govern the practice of medicine. Physician leaders will learn to identify key legal issues and manage through the regulatory issues to achieve business success in their projects and enterprises.
- New changes in the Stark Law and physician anti-referral issues
- The Federal Anti-Kickback Law and how it relates to Contractual Joint Ventures
- New antitrust enforcement issues regarding physician, hospital, and managed care contracting
- Gainsharing programs
- On call pay and pay for performance issues
Peer Review Dilemmas
Historically, the role of a hospital’s medical leadership included medical staff credentialing and quality assurance. As health care matures, the medical staff peer review role has expanded to include economic credentialing, managed care issues, evidence based medicine, and dealing with more than only the disruptive or impaired physician. This course is designed to give an overview of these topics and incorporate case studies to emphasize the important legal aspects of the expanding role physician executives play in peer review matters.
- How to ensure the physician receives adequate due process
- How to keep conflicts of interests from negating peer review sanctions
- What to do when your peer review sanction goes to court
- Medical errors and how to keep these errors from affecting you in court
Advanced Risk Management
This program helps define the essential elements for managing risk - building good relationships and great records. Includes an overview of current quality issues, and influencing clinician behavior.
- The Connection Between Communication & Claims
- Measuring Quality: the Pay for Performance Initiative
- New Technologies Available to Health Care
- Standardization of medical practice: the realities
- Liability in a “Standardized” World
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