A Practical Guide to Preventing and Solving Disruptive Physician Behavior

You MUST implement a sound program that both prevents and solves disruptive physician behavior in your organization. Save time, money, and resources with step-by-step tools and proven solutions from The Greeley Company!

Sound familiar?

The annual medical staff meeting has been going on for more than an hour and only half of the agenda has been covered. One reason for the sluggish pace is the constant interruptions of Dr. Gravers who has repeatedly interrupted the proceedings to express his belief that hospital management is incompetent and antagonistic to doctors. Regardless of the issue under discussion, Dr. Gravers has used it as an occasion to make personal attacks on hospital and medical staff leaders.

The meeting is being chaired by the Chief of Staff, who is frustrated and has observed growing numbers of attendees slipping out of the back of the auditorium. As he broaches the next agenda item, Dr. Gravers again stands up and begins a diatribe. What should the Chief of Staff do?

Managing disruptive physicians is one of the top challenges your medical staff faces today

Disruptive physician behavior negatively affects the normal operations of your hospital and causes distress among your patients, staff, and colleagues. Unfortunately, simply passing a disruptive physician policy isn't enough. You MUST implement a sound program that both prevents and solves disruptive physician behavior.

Save time and resources with proven solutions from The Greeley Company

Richard A. Sheff, MD, and Todd Sagin, MD, JD, have worked with hundreds of hospitals that are dealing with the same disruptive physician behavior challenges your organization's leaders face. In A Practical Guide to Preventing and Solving Disruptive Physician Behavior, they provide you with proven solutions and tools that work (scroll down to view the Table of Contents that includes a sample tools and forms listing!). Their streamlined approach offers a practical guide to

• Assess how physician behavior can be disruptive
• Investigate whether it is problematic
• Prepare for the inevitable instances of disruptive conduct
• Create policies and procedures to prevent and solve disruptive behavior (you'll receive sample policies that you can modify)
• Intervene to correct offending behavior

Using an ongoing case study to illustrate each important principle in the process to manage disruptive physician behavior, Dr. Sheff and Dr. Sagin provide step-by-step implementation and training advice along with sample policies, and tools that make implementation quick and easy! You'll have all the tools you need to:

• Stop disruptive physician behavior at the door through good credentialing
• Set and communicate clear expectations of behavior
• Measure physician performance
• Provide feedback to physicians on their behavior
• Intervene with a physician to manage his or her persistent poor behavior
• Take corrective action-when necessary-that limits a physician's membership and privileges
• Get medical staff buy-in to your policies for preventing and dealing with disruptive behavior

Plus, your medical staff leaders will have the tools they need to:

• Speak with disruptive physicians
• Document physician's behavior and meetings discussing behavior
• Work through a series of escalating interactions

Your result?

Less friction among staff, increased retention, and a reduction in the frequency of fair hearings!

TABLE OF CONTENTS

1. Define the disruptive behavior epidemic
2. Power of the pyramid
3. Credentialing: Stopping disruptive physicians at the door
4. Setting and communicating behavior expectations
5. Measuring physician problem behavior
6. Provide feedback
7. Manage poor performance (Tools: Planning sheet for intervention: goals, who, where, likely reactions, planned counter responses, next steps; Criteria for pursuing an assessment)
8. Corrective action
9. What are the appropriate roles of the Board and CEO in dealing with disruptive physician behavior?
10. Special cases: Heavy admitters, split admitters, whistleblowers, diversity (cultural, race, gender), R/O impairment, R/O dyscompetence
11. Case scenarios:

• Disrupting meetings
• Refusal to comply with established policies
• Sexual harassment/creation of a hostile work place
• Breach of confidentiality
• Publicly undermining reputation of hospital or other physicians
• Laying down the law: Annotated legal cases of disruptive physician behavior cases

Appendix: Sample policies

• Physician conduct policy
• Sexual harassment policy
• Incident reporting policy
• Mandatory appearance policy
• Non-retaliation policy

• Books

• Other Medical Staff Products
• Other Special Discounts Products