Leading Beyond the COVID-19 Health Care Crisis

By Ted A James, MD, MHCM
May 5, 2020

The disruptive nature of the global pandemic has created a rapidly changing environment with long-lasting implications for health care far beyond the immediate crisis.

It is unlikely that we will simply revert back to normal; new ways of thinking will be required and the ability to adapt to new realities and prepare for an unknown future will mean the difference between success and failure. The challenge calls leaders to navigate uncertainty while restructuring care in an abruptly transformed health system.  Continue reading “Leading Beyond the COVID-19 Health Care Crisis”

Gaining Leadership Buy-in for Organizational Change in Health Care

By Ted A James, MD, MHCM
March 12, 2020

Do any of these situations sound familiar?

  • You desperately need additional personnel for your clinic but hear that there is a hiring freeze, as funds are not currently available in the budget for recruitment.
  • Your request for a medical device that is necessary for a new procedure is placed behind several others in the queue for planned capital equipment purchasing. After asking for updates, it appears that the wait will be indefinite.
  • You have an excellent idea for a quality improvement initiative that will improve clinical outcomes, patient experience, and clinician satisfaction. However, you cannot seem to obtain the necessary organizational resources to support your proposal.

Physicians involved in day-to-day patient care often come across opportunities to improve the health delivery system. However, funds may not be available to support their ideas. This situation can lead to frustration and discouragement. Worse still, we lose out on the advantages that these innovations would bring to our patients. Continue reading “Gaining Leadership Buy-in for Organizational Change in Health Care”

Engaging Physicians to Lead Change in Health Care

By Ted A James, MD, MHCM, FACS
January 9, 2020

Doctors must be central players in the sweeping changes transforming health care. Indeed, any change strategy they do not embrace is doomed.” Thomas Lee, MD

THE IMPORTANCE OF PHYSICIAN ENGAGEMENT

I was recently invited to participate in the National Academy of Medicine Emerging Leaders Forum, where the group explored the most pressing challenges in health care and sought to develop new ways of thinking that could lead to change. One takeaway from the meeting was that today’s ever-shifting landscape of patient needs, regulatory environment, and downward cost pressures requires physician leadership to meet the changing demands of health care. Continue reading “Engaging Physicians to Lead Change in Health Care”

The Role for Health Coaching in Primary Care

By Monique Tello, MD, MPH
July 25, 2019

It’s remarkable to me that while overweight and obesity are major epidemic medical problems resulting in many clinical complications, and we have solid scientific evidence showing us safe, effective interventions that actually help people to lose weight, we are not yet incorporating these methods into primary care. What’s our problem?

Want to know more about what works for weight loss? I’ll tell you: behavioral change support, in the form of a health coach. Continue reading “The Role for Health Coaching in Primary Care”

Emotional Intelligence for Physician Leaders

By Ted A James, MD, MHCM
June 13, 2019

“By teaching people to tune into their emotions with intelligence and expand their circles of caring, we can transform organizations from the inside out and make a positive difference in our world.”   –Daniel Goleman

The Hard Impact of Soft Skills

Have you ever regretted saying the wrong thing in the heat of the moment, or wished that you could quickly diffuse a tense situation, or could get a better sense of how others viewed you? Many of the challenges of health care stem from working in a highly complex, emotionally demanding environment. The ability to manage yourself and your relationships with others is an invaluable skill that physicians and other health care leaders must possess in order to be successful. Continue reading “Emotional Intelligence for Physician Leaders”

Primary Cares Initiative Tests Value-Based Pay—Will It Work for You?

By Krishnan Narasimhan M.D.
May 8, 2019

The road from fee-for-service payments to value-based care has been a bumpy one for the entire health system. Current models have not found the most effective way to pay and incentivize primary care.

At an April 22, 2019 event in Washington, DC, the US Department of Health and Human Services (HHS) and Centers for Medicare & Medicaid Services (CMS) announced new payment models that aim to transform primary care through value-based options. This Primary Cares Initiative 1 will also test financial risk and performance-based payments for primary care physicians. The voluntary initiative includes five new payment models under two paths—Primary Care First (PCF) and Direct Contracting (DC). These models will be rolled out in 20 states starting in 2020. Continue reading “Primary Cares Initiative Tests Value-Based Pay—Will It Work for You?”

Best Practices for Engaging Physicians in Health Technology

By Ted James, MD, MHCM
March 28, 2019

Advances in health technology allow health care professionals and organizations to meet ever-increasing demands for performance improvement—or at least that should be the case. The problem is that the adoption of technology in health care is a slow process with many hurdles. Wearables, predictive analytics, remote medicine, EHRs, digital health, AI, diagnostic algorithms, self-care apps, and next-generation clinical decision-support all have the potential to improve patient care; however, fundamental issues with usability and implementation need to be addressed for physicians to engage with these health innovations. Continue reading “Best Practices for Engaging Physicians in Health Technology”

The Physician Side of the Medicare-For-All Debate

By Krishnan Narasimhan M.D.
February 28, 2019

As the 2020 presidential campaign is getting into high gear with a host of candidates, health care continues to take center stage. Specifically, the Medicare-for-all proposals from Democratic candidates and members of Congress have become a key issue. These proposals could represent the biggest access change in health policy since the Affordable Care Act.

It pays for physicians to understand and be engaged in health policy as it will dictate their practice life, their patient’s health, and the future of health care. However, unraveling competing proposals is not always easy. Let’s take a deeper look. Continue reading “The Physician Side of the Medicare-For-All Debate”

Why Physician Leaders Can No Longer Ignore Health Policy

By John E. McDonough
January 24, 2019

For most physicians and physician leaders, health policy is an annoyance and distraction that happens “over there” in Washington DC, state capitals, and elsewhere.  The ways and means of politics and policy making are mysterious and not worth the bother.

In today’s U.S. health care system, that attitude makes less and less sense from institutional, professional, and personal points of view. Continue reading “Why Physician Leaders Can No Longer Ignore Health Policy”