Hospital-at-home units are proliferating under the Medicare waiver, issued during the public health emergency and extended into 2024, which allows hospitals to be paid the same for care delivered at a patient’s home as in an inpatient setting. Leaders in the hospital-at-home movement find the at-home units require significant resources, but they generate high satisfaction from clinicians and patients alike and reduce the need to build more inpatient facilities.
{"title":"Hospital-at-Home Units Coming On Strong: What Physician Leaders Need to Know","authors":"Lola Butcher","doi":"10.55834/plj.7467777345","DOIUrl":"https://doi.org/10.55834/plj.7467777345","url":null,"abstract":"Hospital-at-home units are proliferating under the Medicare waiver, issued during the public health emergency and extended into 2024, which allows hospitals to be paid the same for care delivered at a patient’s home as in an inpatient setting. Leaders in the hospital-at-home movement find the at-home units require significant resources, but they generate high satisfaction from clinicians and patients alike and reduce the need to build more inpatient facilities.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The access medical director role in the ambulatory setting is emerging in health systems. Characteristics of the role include collaborative, patient-centered, systems thinker, and technical proficiency in data and qualitative skills; however, training opportunities are limited. This study aimed to create an evidence-and expertise-informed framework to identify elements of the emerging clinician leadership role in ambulatory access in U.S. health systems and to identify the prevalence of clinician leaders assigned to the leadership role in ambulatory access in U.S. health systems.
{"title":"A Mixed-Methods Evaluation of the Emerging Role of Access Medical Director in U.S. Health Systems","authors":"Elizabeth Woodcock, Chris Profeta","doi":"10.55834/plj.7643819928","DOIUrl":"https://doi.org/10.55834/plj.7643819928","url":null,"abstract":"The access medical director role in the ambulatory setting is emerging in health systems. Characteristics of the role include collaborative, patient-centered, systems thinker, and technical proficiency in data and qualitative skills; however, training opportunities are limited. This study aimed to create an evidence-and expertise-informed framework to identify elements of the emerging clinician leadership role in ambulatory access in U.S. health systems and to identify the prevalence of clinician leaders assigned to the leadership role in ambulatory access in U.S. health systems.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"117 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mentorship is a professional relationship between two individuals where one individual has considerably more experience than the other and is willing to provide time, guidance, and feedback to improve the skills and experience of another. As physicians, we are fortunate throughout our clinical careers to have received graduated guidance from senior residents, fellows, attending physicians, and consultants that improved the way we deliver care. As physician leaders, we may find that identifying a mentor who is willing to take the time to improve our skills in leadership and management is more difficult.
{"title":"Memorable Lessons from My Mentors","authors":"Anthony Slonim","doi":"10.55834/plj.4792827600","DOIUrl":"https://doi.org/10.55834/plj.4792827600","url":null,"abstract":"Mentorship is a professional relationship between two individuals where one individual has considerably more experience than the other and is willing to provide time, guidance, and feedback to improve the skills and experience of another. As physicians, we are fortunate throughout our clinical careers to have received graduated guidance from senior residents, fellows, attending physicians, and consultants that improved the way we deliver care. As physician leaders, we may find that identifying a mentor who is willing to take the time to improve our skills in leadership and management is more difficult.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"103 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140089875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Doshi, Byron Fergerson, Julie Celebi, Rachna Subramony, Alicia Minns, Minh Tran, Linda Brubaker
What is the best method for eliciting physician input and feedback and establishing bidirectional communication to address factors contributing to burnout, enhance a sense of professional community, and provide mental health support? Trained physician facilitators conducted small-group, physician-only discussions (PODs) that led to organized, actionable items and directly informed directions of departmental initiatives to reduce burnout.
{"title":"Voices of Front-Line Physicians: Physician-Only Discussions","authors":"A. Doshi, Byron Fergerson, Julie Celebi, Rachna Subramony, Alicia Minns, Minh Tran, Linda Brubaker","doi":"10.55834/plj.9327504489","DOIUrl":"https://doi.org/10.55834/plj.9327504489","url":null,"abstract":"What is the best method for eliciting physician input and feedback and establishing bidirectional communication to address factors contributing to burnout, enhance a sense of professional community, and provide mental health support? Trained physician facilitators conducted small-group, physician-only discussions (PODs) that led to organized, actionable items and directly informed directions of departmental initiatives to reduce burnout.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140091313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The bandwagon effect — also known as the “contagion effect” — is a psychological phenomenon wherein individuals tend to adopt certain behaviors or beliefs because of the influence of others. This article explores the multifaceted dynamics of the bandwagon effect within the healthcare context, shedding light on its impact on panic behaviors, patient choices, medication compliance, and even healthcare policy.
{"title":"Panic Buying Pandemonium: The Bandwagon Effect and Healthcare Implications","authors":"Neil Baum, Brittney Bauer, Eric Powell","doi":"10.55834/plj.9548464681","DOIUrl":"https://doi.org/10.55834/plj.9548464681","url":null,"abstract":"The bandwagon effect — also known as the “contagion effect” — is a psychological phenomenon wherein individuals tend to adopt certain behaviors or beliefs because of the influence of others. This article explores the multifaceted dynamics of the bandwagon effect within the healthcare context, shedding light on its impact on panic behaviors, patient choices, medication compliance, and even healthcare policy.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"17 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140083020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
What are the most important things to look for when hiring a new financial advisor or reviewing your current one? Are they unbiased? Do they have the ability to meet your current and future needs? What is their specialization? From compensation structures to disciplinary history, these seven questions should be in your back pocket when interviewing your next advisor.
{"title":"Seven Things to Know Before Hiring a Financial Planner","authors":"Enpo Tu","doi":"10.55834/plj.3653288806","DOIUrl":"https://doi.org/10.55834/plj.3653288806","url":null,"abstract":"What are the most important things to look for when hiring a new financial advisor or reviewing your current one? Are they unbiased? Do they have the ability to meet your current and future needs? What is their specialization? From compensation structures to disciplinary history, these seven questions should be in your back pocket when interviewing your next advisor.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"118 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The industry progressively changes under a constellation of influences, and yet, the patient-physician relationship continues to be a pillar of the healthcare delivery system. Physicians at all levels can (and should) recognize the opportunity offered by this current focus on helping others retain confidence in physicians and their ability to provide leadership. What is relatively difficult, however, is being able to describe the value and ROI of physician leadership.
{"title":"Value and ROI for Physician Leadership","authors":"Peter Angood","doi":"10.55834/plj.5382079139","DOIUrl":"https://doi.org/10.55834/plj.5382079139","url":null,"abstract":"The industry progressively changes under a constellation of influences, and yet, the patient-physician relationship continues to be a pillar of the healthcare delivery system. Physicians at all levels can (and should) recognize the opportunity offered by this current focus on helping others retain confidence in physicians and their ability to provide leadership. What is relatively difficult, however, is being able to describe the value and ROI of physician leadership.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"120 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140090464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physicians’ knowledge about employment contracts should include the key issues that may affect their medical/surgical practice life and where to get assistance in negotiating these vexing issues before signing on the dotted line.
{"title":"Physician Beware: What to Know Before You Sign an Employment Contract","authors":"Timothy Paterick","doi":"10.55834/plj.1359527295","DOIUrl":"https://doi.org/10.55834/plj.1359527295","url":null,"abstract":"Physicians’ knowledge about employment contracts should include the key issues that may affect their medical/surgical practice life and where to get assistance in negotiating these vexing issues before signing on the dotted line.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"44 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139125557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Currently healthcare workers appear to have an increased focus on trust, asking: Has it been lost, does it need to be restored, what do we mean by trust? The patient-physician relationship continues to be a pillar of the healthcare delivery system, and it is predicated on trust. Should we trust that trust is an issue when others are telling us so? Physicians at all levels can and should recognize the opportunity of this current focus to help others retain confidence in physicians and their leadership.
{"title":"Trust, Trustworthiness, and TQ","authors":"Peter Angood","doi":"10.55834/plj.4290978704","DOIUrl":"https://doi.org/10.55834/plj.4290978704","url":null,"abstract":"Currently healthcare workers appear to have an increased focus on trust, asking: Has it been lost, does it need to be restored, what do we mean by trust? The patient-physician relationship continues to be a pillar of the healthcare delivery system, and it is predicated on trust. Should we trust that trust is an issue when others are telling us so? Physicians at all levels can and should recognize the opportunity of this current focus to help others retain confidence in physicians and their leadership.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"120 51","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139128576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Physician advisory positions are increasingly attractive for clinicians who aspire to leadership careers. Physician advisors, many of whom work in that capacity part-time while maintaining clinical duties, embrace the opportunity to help relieve some of the administrative burden from their colleagues while improving operational performance.
{"title":"Physician Advisory: A Promising Pathway to Leadership Advancement","authors":"Lola Butcher","doi":"10.55834/plj.2290385310","DOIUrl":"https://doi.org/10.55834/plj.2290385310","url":null,"abstract":"Physician advisory positions are increasingly attractive for clinicians who aspire to leadership careers. Physician advisors, many of whom work in that capacity part-time while maintaining clinical duties, embrace the opportunity to help relieve some of the administrative burden from their colleagues while improving operational performance.","PeriodicalId":91157,"journal":{"name":"Physician leadership journal","volume":"12 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139129662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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