Read and complete the ISP on this topic for partnering with physician-
SKILLS PRACTICE - PARTNERING WITH PHYSICIANS
Close the loop between healthcare executives and physicians.
Practice interacting with physicians and to evaluate the encounter.
Increase awareness of your style of communicating with physicians.
Different situations will arise throughout your career that will involve conflict with physicians. The guidelines and key behaviors are important to remember when working with them. Refer to the table above. Provide a brief script for each situation that explains your approach, solution, and actions in closing the loop.
I. Executives Approaching Physicians
Situation 1
You are an administrator. One of your younger head nurses on a busy surgical unit comes to you, complaining about one of the surgeons who brings the most patients to her unit. She states that he is rude and hostile to her at times and, at others, treats her in a condescending, paternalistic manner. She is frustrated with trying to have a professional relationship with him. You must talk to the physician.
Situation 2
As the administrator, you are continuously looking at the data making sure that your hospital is competitive with others in the area. You notice a particular physicians numbers have dropped which is bad for the hospital. You decide that you need to talk with the physician in order to determine what is causing the drop in numbers and to let them know that they need to be improved.
II. Physicians Approaching Executives
Situation 1
One of your oncologists schedules a meeting with you about starting a breast cancer program that will require expensive equipment and additional labor. However, it will bring up costs and the volumes and growth rate for breast cancer patients are not high; but rather have decreased. As the administrator you are well aware of the passion and dedication they have for this cause. However, there is no evidence of it being profitable. Therefore, you cannot approve this program.
Situation 2
An internal medicine physician that has their practice down the street from the hospital meets with you to discuss a process issue. They complain about the inefficiency of the hospital's direct admission process. They give several examples of how difficult it has been for them to admit patients. However, this is the only physician that has ever complained about it. You must discuss this situation with the
physician and your staff involved in the matter.