Managing Disruptive Physicians: Strategies to Ensure a Culture of Safety

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Sponsored by the Greeley Medical Staff Institute

presented on October 27, 2009

Learn a constructive approach that can reduce behaviors that place both physicians and their patients at risk.

Listen to The Greeley Medical Staff Institute’s complimentary audio conference on-demand, Managing Disruptive Physicians: Strategies to Ensure a Culture of Safety, and receive a comprehensive package of tools and strategies to resolve disruptive behavior. During this program, you will learn how to:

• Address problem behavior in your credentialing and privileging process
• Set expectations for appropriate behavior
• Develop measurable indicators and benchmarks
• Use perception data to provide timely, constructive feedback
• Manage marginal or poor conduct, both long and short term
• Improve staff morale and support performance improvement efforts
• Reduce the risk of litigation and the cost of care

You will also receive specific, step-by-step code of conduct, disruptive physician, and impaired physician policies.

Learn a compassionate approach to help troubled colleagues.

During this complimentary program, our expert speakers will provide you with an approach that doesn’t just help patients; it helps physicians as well. You’ll learn how to address a disruptive physician in a non-threatening way that is constructive and ultimately beneficial for all parties. This approach can result in less friction among staff, increased retention, and a reduced risk of litigation. Most importantly, you'll protect patients from the direct and indirect impact of disruptive behavior.

AGENDA

1. Case study: The all too human face of disruption
2. Categorize physician behavior
3. Scope of the problem from a legal, regulatory, and interpersonal point of view
   1. Patient harm/safety issues
   2. The Joint Commission sentinel event and new standards
   3. Legal issues (Title VII of The Civil Rights Act)
4. A brief review of the pyramid approach to managing performance
   1. Credentialing/privileging: professional conduct as a criteria for membership
      1. Professional behavior as a core competency
   2. Expectations: Achieving buy-in and creating effective policies/procedures
      1. Communication
   3. Creating measurable indicators with the use of perception data
      1. Feedback mechanisms
      2. 360-degree evaluations
   4. Managing poor/marginal performance (A pyramid within a pyramid)
   5. Corrective action as a final step when all else fails
5. Impact on the individual physician and changing adult behaviors
   1. Overcoming challenges
6. Case study conclusion
7. Q&A

LEARNING OBJECTIVES

At the end of the program, participants will be able to:

• Identify behavior and conduct that may lead to patient harm
• Implement the pyramid model to proactively manage disruption
• Perform progressive interventions with acute and chronic offenders
• Evaluate disruptive providers’ possible impairment
• Recognize the importance of personal and group leadership to address disruptive behavior
• Recognize the hospital’s ethical and regulatory obligation to address maladaptive behavior
• Understand the impact maladaptive behavior has on medical risk, staff morale, patient safety, and the physician’s own life
• Draft and communicate clear expectations of appropriate behavior

BONUS TOOLS

With participation, you will also receive bonus materials, including:

• A disruptive physician policy
• An impaired physician policy
• A code of conduct policy
• Slides regarding managing poor or marginal performance
• The pyramid model

Get these valuable resources in addition to the expertise and advice that was presented during this audio conference. These materials are provided via PDF links.

WHO WILL BENEFIT?

Medical staff leaders, CMOs, VPMAs, hospital executives, human resources, recruiters, medical staff services professionals (MSP), nursing leaders, administrators, CEOs

MEET THE SPEAKERS

Jonathan H. Burroughs, MD, FACPE, CPE, FACEP, CMSL, is a senior consultant with The Greeley Company working with medical staffs and boards throughout the country. Dr. Burroughs is a past medical staff president, past president of the New Hampshire chapter of the American College of Emergency Physicians, and currently serves as emergency department medical director at Memorial Hospital in New Hampshire. As a member of the governing board at Memorial Hospital, he chairs the ethics, succession planning, and bylaws committees and sits on the joint conference, strategic planning, and medical executive committees.

Tracy Sanson, MD, FACEP, serves as an assistant professor, EM clerkship director, and education director at the University of South Florida College of Medicine.

THE GREELEY MEDICAL STAFF INSTITUTE

This complimentary offering is an example of the type of information that the Greeley Medical Staff Institute provides its members to keep them up to date on the latest news and industry standards. For more information, call Robin Flynn, Client Relations Manager, at 888/749-3054, ext. 3249, or e-mail rflynn@greeley.com.

Click here to sign up for your Complimentary Audio Conference On-Demand

Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player.

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