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Organizational Professionalism
Friday October 19, 2012
Barry Egener, MD
External Forces
• Payers
• Policy makers
• Specialty Societies
• Consumer Orgs
Environment
• Uninsured
• Disparities
Evolu...
External Forces
• Payers
• Policy makers
• Specialty Societies
• Consumer Orgs
Environment
• Uninsured
• Disparities
Organ...
2 Examples
Coordinated Care Organizations
“Civic Professionalism”
Values Principles Actions
Beneficence (doing good, generosity,
kindness)
Service (to the patient and
community and the pro...
Today’s Topics
 Wellbeing
 Disruptive behavior
 Organizational transformation
Today’s Topics
 Wellbeing - Fulfillment
 Disruptive behavior
 Organizational transformation
Today’s Topics
 Wellbeing - Fulfillment
 Disruptive behavior –
Accountability for cultural preservation
 Organizational...
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Barry egener org profess friday

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Barry egener org profess friday

  1. 1. Organizational Professionalism Friday October 19, 2012 Barry Egener, MD
  2. 2. External Forces • Payers • Policy makers • Specialty Societies • Consumer Orgs Environment • Uninsured • Disparities Evolution of Professionalism Physician Professionalism Patient- Physician Interactions Practice Settings Training Environment Levers for Change Individual physician and patient competencies Organizational culture and physician leadership Advocacy, system reform Adapted from Gruen, Russell, et. al., “Physician-Citizens – Public Roles and Professional Obligations,” JAMA, 2004. External Environment • Payment • Policy • Socio-economic determinants of health
  3. 3. External Forces • Payers • Policy makers • Specialty Societies • Consumer Orgs Environment • Uninsured • Disparities Organizational Professionalism Intra- Organizational Professionalism Inter- Organizational Interactions National Healthcare Environment Levers for Change Individual physician and patient competencies Organizational culture and physician leadership Advocacy, system reform Adapted from Gruen, Russell, et. al., “Physician-Citizens – Public Roles and Professional Obligations,” JAMA, 2004. External Environment • Payment • Policy • Socio-economic determinants of health
  4. 4. 2 Examples Coordinated Care Organizations “Civic Professionalism”
  5. 5. Values Principles Actions Beneficence (doing good, generosity, kindness) Service (to the patient and community and the profession) Promotes population health Reduces harm Promotes wellbeing Dignity (self respect, worthy of esteem) Respect (for self, patients and employees) Incorporates voice of the patient and employee Provides access to care Supports teamwork Justice (fairness, upholds the laws, impartiality) Fairness Ethical stewardship of resources Incorporates voice of community Advocates equitable payment policy Honesty (moral uprightness, fair, truthful, candor, integrity) Transparency Accountability Discloses meaningful performance information Self-discipline Mindfulness Self-motivation Collective self reflection Closes the gap between current performance and the ideal state
  6. 6. Today’s Topics  Wellbeing  Disruptive behavior  Organizational transformation
  7. 7. Today’s Topics  Wellbeing - Fulfillment  Disruptive behavior  Organizational transformation
  8. 8. Today’s Topics  Wellbeing - Fulfillment  Disruptive behavior – Accountability for cultural preservation  Organizational transformation

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