physician compacts and the medical engagement framework...
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Physician Compacts and the
Medical Engagement Framework
Partnering with Doctors
Scott McLachlan, Chief Executive OfficerDr Peter Thomas, Director Medical Services
With a view to a better partnership
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Western NSW - Who we are
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Life expectancy at birth 2005-07
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Premature mortality (ages 0-74)
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Socio-economic status lower is more disadvantaged
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Figure 38. Medical-surgical hospitalisation rates per hundred
persons, WNSW 2011/12
10
15
20
25
30
35
40
Bathurst Orange Dubbo North West Remote
Med
-su
rg h
osp
per
10
0 p
erso
ns
WNSW = 28.9
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Living Well TogetherOur commitment to each other and the
people we serve
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Aligning frontline staff with direction and values of Western NSW LHD
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The Engagement Framework
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Studer & Living Well Together
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Person Centred Quality care
Having a high performing,
value based organisation
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Value Based Organisations
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• Personalise organisational values
• Simple values reinforcing purpose and behaviour
• Consistent messaging and “marketing”
• Work together, Respect all
• Own it and Care
• Putting Safety & Quality first
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Five Lessons
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• Set the goals and communicate them
• Hardwiring accountability
• Rounding Tools - Use them and be clear why
• Courageous conversation - elevating performance
• Leadership Development Training - build capacity
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Physicians & Compacts
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A Respectful Culture In Medicine
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Setting Expectations
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Lead by example:
• Drive the vision – engage colleagues and other clinicians
• Set the standards – above and below line behaviour
• Open and honest dialogue
• Manage below the line behavior early
• Accountability
• Leadership Training - Capacity
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Engaging Clinicians: The Dialogue
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Communicating the vision-
Regular meetings with physicians and executive:
• Medical Heads of Department
• Clinical Council
• Engagement Meetings
• Clinical Streams - Can be powerful
• Rounding – Informal/Formal
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Engaging Clinicians: The Dialogue
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• Define our purpose and realign our goals
• Define an overarching vision
• Strategies on how to execute the vision
• Allocation of resources and time
• Physicians need to be involved in strategic planning:
Recruitment/Services/Local & Regional
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What should we do for you?
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• Responsive to ideas & needs of the clinicians
• Ease of delivering care to your patients
• Position OHS to adapt and deal with changing needs
• Confidence in administration to carry out its duties
• Communication both ways – up and downstream
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The Compact: Orange Health Service
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A living document:
• Re-appointment of VMOs
• GP VMOs in District Hospitals
• Recruitment
• Medical Heads of Department
• Staff Specialists 2017
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The Compact
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The Medical Engagement Taskforce(MET)
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• Led by Executive Medical Director
• Review models of best practice of medical engagement
• Communication between the MET, Executive and Physicians in a timely manner
• Focus on physician well-being and models to help prevent clinician burn out.
• Providing a framework for early peer to peer conflict resolution
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The Compact
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R. C. A.
Respect
Communication
Accountability
Roslyn Crampton, Belinda Doherty, Stephen Hampton, Michael Hensley, Harvey Lander, George Rubin,Peter Thomas, Paul Young
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Where to now?
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The Compact
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The Compact
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Workshop -
Your Engagement Frameworks
What does this look like for you?
Barrier and enablers
What tools do you need?
Next steps?