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Winner of the 2014 ACHE James A. Hamilton Book of the Year Award The changes coming from health reform legislation, cost reduction, work redesign, growth in physician employment, greater consumer involvement, the introduction of ACOs, and the emphasis on value-based purchasing are having a profound and long-term impact on healthcare. Clinical integration is a must, and inclusion of physician leaders is essential for successful clinical integration. For healthcare organizations to maximize their potential during this transition, effective physician leadership is needed more than ever. Unlike other physician leadership books, this is an intensified examination of the development of clinically integrated organizations and the significantly expanded physician leadership role within them. Together Dye and Sokolov evaluate multiple clinically integrated organizations, clinical models, business models, and techniques to involve physicians to a greater degree. They also offer insights and suggestions on the cutting-edge topic of clinical integration and explore in detail the role physician leadership will play in the future. Themes include: Making physicians key stakeholders in the clinical transformation, business modeling, and strategy development Identifying physicians who have a propensity for leadership Understanding the difference between management and leadership Addressing issues physicians face as they make the transition from clinical roles to leadership positions Embracing clinical integration--why this new entity calls for greater physician leadership and how to build a successful clinically integrated organization Learning from case studies and practical approaches Creating leadership development programs with an emphasis on the experiential side of leader development Examining on the significant impact of physician leadership derailment as compared with other leaders
Instructor Resources: PowerPoint slides, teaching tips, and discussion questions with answer guides. There are good leaders, then there are exceptional leaders. Exceptional leaders use competencies--a set of professional and personal skills, knowledge, values, and traits that guide a leader's performance. In an era of change and uncertainty in healthcare, it is crucial that leaders learn not only how to be exceptional, but also what makes an exceptional leader. In this second edition of their best-selling book, the authors detail 16 competencies grouped in four cornerstone categories: Well-Cultivated Self-Awareness, Compelling Vision, A Real Way With People, and Masterful Execution. Each of the 16 competencies is explored in its own chapter to define the competency, provide examples and advice, and explain the common skill deficits that prevent its mastery. New to this edition: A feature case study at the beginning of the book and a supportive vignette within each competency chapter to provide practical and real-world application to each competency Two minicases with discussion questions at the end of each competency chapter for further consideration and self-reflection Six new chapters that demonstrate how to apply the book's concepts at both the individual and organizational levels A new chapter on physician leadership that incorporates findings from interviews with industry leaders and provides a helpful road map for those transitioning into the physician executive role Through a clear and focused approach based on current research, this book provides a solid understanding of the tools needed by great leaders. Included in this book is a self-development plan and interview questions to apply the knowledge learned.
Healthcare leaders are facing major change in how healthcare is delivered as we move from fee-for-service payment models to pay for value. Physicians and hospitals are evolving from separate financial entities (with relationships varying from customers/workshops to competitors) to unified systems. Government policy maker, payers, and hordes of consultants advise hospitals to increase physician leadership in all parts of the system. However, few have proposed how this can be done when the gaps between hospitals and physicians are so wide. Physicians do not trust healthcare leaders, lack leadership and teamwork skills, and have little knowledge of how systems work. Some hospital leaders are working to overcome these gaps by setting up dyad leadership teams, consisting of a physician and an experienced manager/leader. The physician member of the team helps with the first gap; the nurse or other dyad partner is important to manage the other gaps. Until now, with the publication of Dyad Clinical Leadership, there has not been a source to help clinical dyad partners learn and understand how to work together in this emerging management model. Kathleen D. Sanford, DBA, RN, CENP, FACHE, Senior Vice President and Chief Nursing Officer at Catholic Health Initiatives (CHI), builds on CHI’s success with this unique playbook for the model.
Leadership in Healthcare opens up the world of leadership studies to all healthcare professionals. Physicians, nurses, and other healthcare professionals spend thousands of hours studying the science and technology of healthcare, and years or even decades putting into practice recent findings in molecular biology, clinical diagnostics, and therapeutics. By contrast, the topic of leadership and the traits of effective leaders tend to receive remarkably little attention. Yet no less vital than an understanding of how to interpret diagnostic tests and design care plans is a grasp of healthcare's organizational side, including the operation of multidisciplinary care teams, academic departments, and hospitals. If patient care, education, research, and professional service are to thrive in years to come, we must do a better job of preparing healthcare professionals to lead effectively. Composed of insightful and thought-provoking essays on the key facets of leadership, this book is designed to meet the needs of several important constituencies, including educators of health professionals who wish to incorporate leadership into their educational programs; health professional organizations seeking to enhance their members' leadership effectiveness, and individual health professionals who wish to embrace leadership in their personal and professional lives. This book represents a vital resource for health professionals who wish to enhance the quality of leadership in health professions education, practice, and professional development. In addition to regularly caring for patients, Richard Gunderman, MD PhD MPH brings to this discussion a wealth of personal experience in professional and organizational leadership.
Physicians are increasingly moving into leadership roles and possess enormous potential to advance health care. However, clinical training and practice does not provide the necessary skills for a transition from clinician into physician-leader. In fact, the very skills that make for an outstanding physician often compete, or interfere, with the skills required to be successful in wider leadership roles. The authors provide the aspiring physician-leader with the understanding of what is required to be a successful physician-leader and the tools necessary for the transition including: Understanding the business of health care; Recognizing physician-leader psychology; Establishing influence, the bedrock of leadership; Creating a compelling strategy; Developing high-performing teams; Delegating to maximize leadership impact; Communicating for effectiveness; Negotiating for maximum benefit. This book is practical and realistic with case studies and recommendations on how to make the changes necessary to transform into a successful and fulfilled physician-leader.
The Six P's of Physician Leadership is an executive and academically focused primer that identifies six essential issues for every current, up and coming, and potential physician leader that they can incorporate in their daily work and life. It brings a fresh understanding on the topics of people, presence, politics, process, perspective, and principles of business that are targeted to physician leaders but with universal application in leadership development. The authors explore each of the P's in unequal amounts and raise your awareness of their relevance to physician leadership. Written from experience gained as a physician executive and a business strategist who has worked to understand the essence of the dilemmas and challenges faced by physicians in the transition from the cottage industry of the twentieth-century to today's evolving clinically integrated care delivery environment. The book concludes with a glimpse of additional critical issues that include governance, career management and work-life balance. Becoming a leader and remaining a great leader is a personal journey of self-development. In the physician realm, there are minimal resources directed to their unique circumstances. With a global health care system that is rapidly evolving in the digital age more physician leaders will be required to champion organizational transformation across the global healthcare landscape. An industry level renaissance to support systemic challenges is occurring in healthcare and the need to cultivate leadership essentials has never been more important.
Integrated Care: A Guide for Effective Implementation provides a detailed, thoughtful, and experience-based guide to the complex and potentially overwhelming process of implementing an integrated care program. The advantages of integrated care from both the clinical and administrative perspectives are many, including better detection of illness, improvement in overall health outcomes, a better patient care experience, flexibility in responding to policy and financial changes, and an emphasis on return on investment. The book addresses the emerging framework of core principles for effective integrated care, reviews the most up-to-date research on implementation, and presents practice-based experience to serve as a guide. This information is useful in both traditional integration of behavioral health into general medical settings (often primary care) or integrating general medical care into a specialty mental health or substance use treatment setting. Because administrators, clinicians, policy makers, payers and others need guidance in determining what effective implementation looks like, the authors offer a three-part examination of the key components of an implementation strategy and explore the elements essential for success. The book is grounded in the authors' real-world expertise and offers readers practical, accessible information and support: Often efforts to implement an integrated care program fail because the model is more than just "plug and play." To address this misconception, the authors explore the successful implementation from every angle -- from leadership, primary care, therapist, psychiatric provider, and policy perspectives. As procedural and institutional hurdles are being overcome, codes for integrated care have been adopted. Accordingly, the book provides in-depth coverage of finance and funding models, challenges to billing, and emerging payment models. Each of the chapter authors were selected for their direct clinical experience in various integrated environments, their leadership in ushering teams through these initiatives, and/or their deep knowledge of payment and policy barriers. Impediments to the widespread implementation of evidence-based programs include payment and regulatory barriers, lack of a workforce trained in effective collaboration, and cultural differences between the worlds of primary care and behavioral health care. Integrated Care: A Guide for Effective Implementation helps health care leaders and providers overcome these obstacles to implement a successful, patient-centered integrated care program.
NEW GUIDE DECODES VALUE-BASED CARE AND PAYMENT MODELS As value-based care is coming of age, deciding how to start can be an overwhelming task. Risks are high and success with the new models is challenging and time consuming. This book fills an important need by providing concrete and proven strategies to aid in an organization's successful transformation. The book is filled with practical, no-nonsense advice on the shift to value-based care in both the private and public healthcare sectors. This is the time when healthcare stakeholders need to rethink their own added-value strategies in a manner that best serves patients and providers alike. In the complicated world of payment and delivery system reform, this book deconstructs the most challenging concepts for the novice yet provides sophisticated insights for even the most seasoned executive. BONUS! The authors also lay out high-value strategies for 20 different subspecialties with specialty-specific changes in the way medicine is practiced and paid for.
Globally, the health sector faces significant demands for reform and improvement to meet the needs of the 21st Century. To achieve that goal, highly sophisticated and capable leaders are required across all dimensions of the health system. This book describes the key challenges that demand reform, why better leadership is the source code for better system performance, and the issues that stand in the way of getting that leadership. It includes substantive treatment of the modern democratic challenges that healthcare leaders face; and the essence of what it means to be a leader in today’s world. The essence of leadership itself is described, and the case made for the need for people to use the workplace as the place to develop leadership rather than relying solely on formal programs. It will also outline a self-directed learning process that any individual leader—citizen, clinician, or senior executive—can use to develop their own leadership capability, and thus become more active as a leader of change. This book addresses the need for leaders to think on a system-wide scale. A second part of the book focuses primarily on the Canadian Health system and LEADS in a Caring Environment capabilities framework, and the link between LEADS and frameworks in Australia and the UK. LEADS was developed through a partnership between members of the Healthcare Leaders Association of British Columbia and the Canadian College of Health Leaders, the Canadian Health Leadership Network and Royal Roads University. Currently it is stewarded by a not-for-profit collaboration that has endorsed LEADS as an evidence-informed set of national expectations for Canadian health leaders. LEADS has been endorsed by many health organizations in almost all provinces in Canada as a foundation for their talent management programs in leadership (development and succession planning). The book will address the research foundations for the LEADS framework; how it was developed; the framework’s contents; its congruence with other national frameworks, and how LEADS can be used as a model to envisage and plan change.