1 / 15

Physician Leadership

Physician Leadership. Bud Chumbley, M.D., MBA President, Aspirus Clinics, Inc., System CCIO. MGMA – October 2013. Aspirus, Inc. Clinical Sites Single tertiary care hospital and five Critical Access hospitals 35 clinic sites. Aspirus, Inc. (cont.). Total revenue - $700 million

daxia
Download Presentation

Physician Leadership

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Physician Leadership Bud Chumbley, M.D., MBA President, Aspirus Clinics, Inc., System CCIO MGMA – October 2013

  2. Aspirus, Inc. • Clinical Sites • Single tertiary care hospital and five Critical Access hospitals • 35 clinic sites

  3. Aspirus, Inc. (cont.) • Total revenue - $700 million • Strong Balance Sheet • Structure • Federation of inpatient and post-acute care facilities • Large Board of Directors • Loosely integrated

  4. Aspirus, Inc. (cont.) • Clinic Culture • 260 employed physicians and associate providers • Purchased over time and assimilated but not integrated • Different benefits, compensation and contracts

  5. Aspirus, Inc. (cont.) • Aspirus Network – Physician Hospital Organization • Strong independent single specialty physician groups • Joint contracting – single signature • Not all Network members are part of the Aspirus system. • Traditional Payor Contracts • Competition

  6. Physician Leadership • Dyad Leadership in Clinics • Senior Medical Director • Five Regional Medical Directors • Site Medical Directors

  7. Physician Leadership (cont.) • Aspirus Physician Partnership Leadership Education – APPLE • UW – Madison • Executive MBA Template – Ten months • Capstone Projects • Twenty-five physicians and administrators per year

  8. Physician Leadership (cont.) • Aspirus Physician Partnership Council • Charter • Members: Physicians and Senior Leaders • Accomplishments • Aspirus Network, Inc. – PHO • Board • Medical Management Committee

  9. Physician Leadership (cont.) • Compact Initiative • Tertiary care hospital & medical staff • Clinics • System wide

  10. Physician Leadership (cont.) • Recruiting CMO, CMIO, Senior Medical Director Network Executive Director • Template for interaction/with independent physician groups • High performing physician leadership structure – (MEC, APPC, Boards, PHO)

  11. Ongoing Imperatives • Clinical Integration – alignment of goals and incentives • System wide Compact • Medical group culture • Restructuring of ANI - PHO • Clear “menu” of alignment options for independent physician groups • Standard physician contracts

  12. Ongoing Imperatives (cont.) • Revised physician compensation plan • Base salary • 30% variable compensation component • Panel size • Patient satisfaction • System financial performance • Quality metrics • 360 degree annual evaluation • Standard patient contact hours by specialty • Standard benefits

  13. Lessons Learned • Employment, Assimilation, Engagement – progressively more difficult • Once trust is lost it is difficult to regain (Just like a marriage) • Size/scale without alignment/engagement does not lead to a sustainable competitive advantage • Finance cannot be the sole drive of change

  14. Lessons Learned (cont.) • “Easy” on the front end leads to “pain” eventually • Dyad leadership structure on hospital side • Mixed model of employed and independent physicians is challenging • External drivers are helpful in change management • Involve allied health professionals

  15. Bud Chumbley Bud.Chumbley@aspirus.org

More Related