For CME Test - Class 6 - Click Here
PHYSICIAN EXECUTIVES
This class refers to physician executives as being medical directors of HMO’s and other such Managed Care Organizations. Some physicians might think that these medical directors are basically the judge and the jury when it comes to overseeing what physicians are doing with a specific patient. This class identifies characteristics of a physician executive as compared to clinical practice. Also, this class defines responsibilities of a HMO medical director and analyzes implementing medical practice guidelines from a physician executive’s perspective.
Class 6 Topics: PHYSICIAN EXECUTIVES
I. KEY SKILLS FOR PHYSICIAN EXECUTIVES
III. TECHNIQUES USED BY PHYSICIAN EXECUTIVES TO GET CONTRACTED PHYSICIANS TO FOLLOW RULES
IV. EXAMPLES OF WHAT HMO’S MIGHT LOOK FOR TO RECRUIT OR CONTRACT WITH PHYSICIANS AND HOSPITALS
V. ACCREDITATION ISSUES INCLUDING HEDIS/NCQA
VI. PHYSICIAN MANAGERS OF THE FUTURE
Key Objectives
1. Identify characteristics of a physician executive managing health care organizations.
2. Define responsibilities of a HMO medical director.
3. Analyze implementing medical practice guidelines from a physician executive’s perspective.
Review
1. Describe the typical combination of skills and personality characteristics for physician executives managing health care organizations.
See: John C. Peirce, M.D., "The Paradox of Physicians and Administrators in Health Care Organizations," Health Care Management Review (Winter, 2000): 7 -28. Ruth A. Anderson Ph.D. and Reuben R. McDaniel, Ed.D., "Managing Health Care Organizations: Where Professionalism Meets Complexity Science," Health Care Management Review (Winter, 2000): 83 - 92. D. Ted Lewers, M.D., "To Change or Not To Change? That is Not the Question," American Medical News (May 7, 2000). Timothy J. Hoff, "The Paradox of Legitimacy: Physician Executives and the Practice of Medicine," Health Care Management Review (September 22, 1999). Charles S. Lauer, "The Expanding World of Physician Executives," Medical Marketing & Media (October, 1998).
2. Analyze exposure to professional liability for HMO medical directors.
See: Donde P. Ashmos, Dennis Duchon and Reuben R. McDaniel, "Physicians and Decisions: A Simple Rule for Increasing Connections in Hospitals," Health Care Management Review (Winter, 2000): 109 - 114. David Azevedo, "Did an HMO Doctor’s Greed Kill Joyce Ching?," Medical Economics (Feb. 26, 1996): 43 - 56. Mark F. Berlin and Steven M. Cooper, "Efficiency and Effectiveness: Beyond Internal Practice Operations," MGM Journal (March/ April 2000): 24 - 27. Charles S. Lauer, "The Expanding World of Physician Executives," Medical Marketing & Media (October, 1998).
3. Examine responsibilities of physician executives.
See: Donde P. Ashmos, Dennis Duchon and Reuben R. McDaniel, "Physicians and Decisions: A Simple Rule for Increasing Connections in Hospitals," Health Care Management Review (Winter, 2000): 109 - 114. Douglas R. Wholey, Ph.D., Rema Padman, Ph.D., Richard Hamer, et al., "The Diffusion of Information Technology Among Health Maintenance Organizations," Health Care Management Review (Spring, 2000): 24 - 33. Steven D. Pearson, "My Ethical Beacons: Plat, Aristotle and Mr. Phillips," Medical Economics (April 10, 2000).