Building Bridges


Book Description

Provides a stimulating glimpse at promising future directions in physician engagement and physician health using case studies from the AdventHealth hospital system. Written by a medical doctor who is also a healthcare administrator. Foreword by Harold G. Koenig, MD




Managing Relationships with Industry


Book Description

Now more than ever, doctors are being targeted by government prosecutors and whistleblowers challenging the legality of their relationships with drug and device companies. With reputations at stake and the risk of civil and criminal liability, it is incumbent upon doctors to protect themselves. Managing Relationships with Industry: A Physician’s Compliance Manual is an indispensable resource for doctors, professional societies, academic medical centers, community hospitals, and group practices struggling to understand the ever changing law and ethical standards on interactions with pharmaceutical and device companies. It is the first comprehensive summary of the law and ethics on physician relationships with industry written for the physician. Authored by a former state Attorney General, Harvard Medical School Professor, health care lawyer and professor of ethics, Managing Relationships approaches the topic from a balanced and reasoned perspective adding to the on-going national dialogue and debate on the proper limits to medicine’s relationship with industry. The first complete and up-to-date summary and analysis of the law and ethics on physician-industry relationships Focuses on major enforcement actions and whistleblower lawsuits and the lessons learned for physicians Provides options and guidance for maintaining compliant relationships and avoiding traps for the unwary Covers both drug and device company relationships Summarizes the types of industry relationships that are necessary and productive and those that are harmful and abusive Details the law and ethics for each type of relationship including gifts, off-label uses and marketing, CME, speaker’s bureaus, free samples, grants, consulting arrangements, etc. Includes sample contracts for permissible consulting and CME speaker engagements




Clinical Ethics


Book Description

Clinical Ethics introduces the four-topics method of approaching ethical problems (i.e., medical indications, patient preferences, quality of life, and contextual features). Each of the four chapters represents one of the topics. In each chapter, the authors discuss cases and provide comments and recommendations. The four-topics method is an organizational process by which clinicians can begin to understand the complexities involved in ethical cases and can proceed to find a solution for each case.




Conflict of Interest in Medical Research, Education, and Practice


Book Description

Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.




Relationship-Based Care Field Guide


Book Description

This follow up title to the award winning Relationship-Based Care: A Model for Transforming Practice shows readers how Relationship-Based Care transforms the culture of care delivery. Written as a field guide, this book will inspire those who are working on the critical relationships that deliver superior care. The Relationship-Based Care Field Guide gives readers a sense of what It’s like to be part of an organization that never stops evolving. Long after Relationship-Based Care is alive and thriving in your organization, it will continue to grow and change. It is an essential resource, no matter where you are on your RBC journey!




The Medical Staff Leaders' Practical Guide


Book Description

You are a great clinician. But do you have the tools to become a great leader? Physicians who accept or are assigned leadership positions are too often left on their own to develop leadership skills and educate themselves on their responsibilities as medical staff leaders. These physicians may be great clinicians and enthusiastic about taking a leadership position, but neither of these characteristics automatically makes a great leader. Get practical answers for physicians in leadership. The Medical Staff Leaders' Practical Guide, Sixth Edition provides direction for physician leaders in hospitals--those who remain primarily clinicians, but who also accept positions of leadership in the hospital or medical staff organization. It gives an overview of physician leaders' roles and responsibilities in credentialing, privileging, bylaws development, performance improvement, physician management, and board/physician relations. Completely revamped and updated, this essential resource for medical staff leaders includes: - Tools and information needed to fulfill leadership responsibilities for all medical staff leaders, including directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, and committee and department chairs - Expanded analysis and strategies for overcoming current medical staff leadership challenges, including merger issues, medical staff development plans, physician practice evaluations, assessing and improving clinical competence, and more - Guidance and how-to advice on creating a positive medical staff culture, minimizing distrust or conflict, and improving policies - Tips and insights from experienced medical staff leaders currently working in hospitals How do you keep up with evolving roles? As relationships continue to evolve between hospitals and medical staff, it is especially important for physician leaders to be well-educated about credentialing, privileging, conflicts of interest, medical staff organization, the roles of various physician leaders and committees, performance improvement, and more. This practical guide includes in-depth reviews of the top five medical staff leadership responsibilities: - Medical staff structure and governance - Credentialing and privileging - Peer review and performance improvement - Hospital-medical staff collaboration - Medical staff culture Rise to the challenge of leadership! Written by experienced medical staff leaders currently working in hospitals, The Medical Staff Leaders' Practical Guide, Sixth Edition, gives physicians the tools they need to meet the challenges of a leadership role. The tools and advice in this guide will help you: - Overcome physician apathy, poor meeting attendance, lack of volunteers for leadership positions, and turf battles - Improve peer review, evaluation of physician competency, and physician/hospital relations - Deal with disruptive and impaired physicians, conflicts of interest, exclusive contract problems, accreditation challenges, and emergency department coverage challenges - Create a positive working environment - Gain a better understanding of the credentialing and privileging process Take a look at the table of contents: Introduction: Today's Effective Medical Staff Section I: Medical Staff Structure and Governance - Physician apathy - Poor meeting attendance - Poor medical staff communication - Unprepared leaders - Lack of volunteers for leadership positions - Conflict over member rights and responsibilities Section II: Credentialing and Privileging - Cumbersome and lengthy process - Turf battles - New technology privileges - AHP credentialing and supervision - Information and decision errors - Lack of reappointment data - Unnecessary, lengthy, or costly fair hearings - Lack of criteria for privileges Section III: Peer Review and Performance Improvement - Ineffective peer review - Disruptive conduct - Impaired physicians - Assessing and improving clinical competence - Excessive utilization - Medical records completion - Inappropriate physician practice evaluation Section IV: Hospital-Medical Staff Collaboration - Strained physician-hospital relations - EMTALA and ED coverage - Hospital-physician competition - Economic credentialing - Strained physician-nurse relationships - Costs exceeding reimbursement - Medical errors and patient safety - Ineffective medical staff influence with board and administration - Liability risk - Conflicts of interest - Exclusive contract problems - Corporate compliance challenges - Accreditation challenges - Merger challenges - Lack of effective medical staff development plan Who will benefit from this book? Directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, committee and department chairs




The Complete Guide to Physician Relationships


Book Description

The Complete Guide to Physician Relationships Kriss Barlow, RN, MBA What Physicians Want Research-based insights into the best physician communications strategies In the wake of healthcare reform and a growing emphasis on accountable care, healthcare organizations are looking for ways to align more closely with physicians. Given the highly competitive physician recruiting and referral market, having an effective physician communication strategy has never been more vital. Based on extensive research and an in-depth survey of nearly 200 physicians, The Complete Guide to Physician Relationships outlines exactly what information physicians want and how they want to receive it from healthcare leaders, peers, marketing executives, and physician relations representatives. Get the critical data that you need to succeed with your physician relations, referral, and communication efforts. Get powerful, researched strategies and insight to: Communicate the information physicians want in the manner they want to receive it Engage physicians in quality and patient satisfaction improvement efforts Determine the most effective way to promote services Strengthen your relationship with specialists, primary care doctors, and new recruits Improve the effectiveness of physician sales Take a look at the table of contentsIntroduction Chapter 1: What Do Physicians Want to Hear from Leadership? Medical staff support Beyond doing, communicating Business models Real involvement Summary Chapter 2: How Does Your Hospital Compete? Conversations about cost, technology Patient satisfaction Recruitment and retention Understand first Aligning for the future Summary Chapter 3: ACOs, PHOs: Industry Change and Physicians' Priorities in the Relationship ACO aware Shared savings and quality incentives Physician performance measurement Summary Chapter 4: What Do Physicians Want to Hear from Their Peers? Who gets picked? Demonstrating quality in a peer-to-peer setting Consistent communication Making it easy for patients Tangled twine of priorities Summary Chapter 5: Do Physicians on the Medical Staff Know Each Other? Knowing and referring Ease of referral Elements that impact referral decisions Summary Chapter 6: Communication When a Referral Is Sent Care delivery post-discharge Managing expectations Messages show value Summary Chapter 7: What Do Physicians Want to Hear from Marketing? How do physicians like to receive marketing information? What this means for you Opportunity for action Summary Chapter 8: Promoting Services Managing our "we know best" attitude Active support of physician-to-physician connections Social media and web innovations Summary Chapter 9: Supporting Specialists Talk is not cheap Avoid only one option Education beyond CME Summary Chapter 10: What Do Physicians Want to Hear from Physicians Relations? Measuring the value Resource role Managing concerns Helping them grow their practice Leveraging education On-boarding What's happening at the hospital Summary Chapter 11: Physician Relations Attributes That Matter The relationship is about physicians Personal development for this role What's in it for me Managing internal perception Summary Chapter 12: Physician Relations' Voice Expanding the role Gather data, use data, show your impact with data Listen to differentiate Knowledge is an obligation Internal coordination, collaboration, integration Summary Appendix Who will benefit from this book? VPs of advertising VPs of marketing VPs of communications VPs of public relations Chief marketing officers Advertising directors Directors of marketing Directors of communications Marketing managers Advertising managers Chief medical officers CEOs CNOs COOs Medical staff coordinators Practice administrators Physicians Physician relations representatives




The Efficient Physician


Book Description

Completely updated and expanded, this one-minute manager for medical groups helps users cope with the arrival of electronic health records. Written in an easy-to-read, conversational style, it includes Delios newest guiding principle: real-time work.




Hospital-Based Health Technology Assessment


Book Description

A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, ‘arms-length’ HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting. HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.