Reimagining Physician ‘Privileges’
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Reimagining Physician ‘Privileges’
- 1. Reimagining Physician ‘Privileges’ Dr. David M. Kaplan MD, MSc, CCFP Assistant Professor, Family & Community Medicine, Joint Centre for Bioethics, University of Toronto Primary Care Physician LHIN Lead, Central LHIN Staff Physician, North York General
- 2. 2 “I have been impressed with the urgency of doing. Knowing is not enough; we must apply. Being willing is not enough; we must do.” Leonardo da Vinci (1452- 1519)
- 3. 3 2500xEach day in Ontario, there are over 2,500 times more primary care visits than there are hip and knee replacements
- 5. How can we help you look after your patients? 5 What does joining a Health Link translate into? Health Links Healthier Population Lower per capita cost Better patient and family experience ‣ Improved patient and provider satisfaction ‣ Improved patient outcomes ‣ Increased efficiencies (reduced waste) ‣ Improved Transitions in Care ‣ Increased Communication ‣ Collaborative Quality Improvement projects ‣ Activities can be directed by community and population needs
- 6. Extent of Central Control in Countries’ Approach to Connected Health Connected Health 6 Source: Connected Health: The Drive to Integrated Healthcare Delivery, accenture, 2012
- 7. 7 Healthcare IT Adoption Health Information Exchange IT Insight Driven Healthcare Connected Clinical Practice Connected to clinicians in other organizations Connected to Patients Connected to Analytics Clinical efficacy Shared Knowledge Care Transformation The Journey to Connected Health Source: Connected Health: The Drive to Integrated Healthcare Delivery, accenture, 2012
- 8. Prescription for Future Success 8 CONFLICT TRUE COLLABORATION ESCALATION GROUP THINK High Low Low High WillingnessandFreedomto Disagree Mutual Trust and Respect
- 9. 9 “Nothing truly valuable can be achieved except by the unselfish cooperation of many individuals.” Albert Einstein
- 10. Thank You David M. Kaplan MD, MSc, CCFP Assistant Professor, Family & Community Medicine, Joint Centre for Bioethics, University of Toronto Primary Care Physician LHIN Lead, Central LHIN Staff Physician, North York General david@davidkaplanmd.com
Notes de l'éditeur
- The confluence of forces threatens the long-standing assumption that physicians and hospitals share common interests. As succinctly captured by a hospital executive, “Doctors used to feel that in return for having the hospital as a place to care for their patients and earn income, they should contribute to the hospital, taking ED call, participating on committees, improving quality. Now they say to the hospital, screw you.... Many don’t even come to the hospital any more.”
- Or: What successful Health Links has taught me about true collaboration! Both ingredients are really hard for humans in groups. Start with mutual trust and respect: we’re all naturally suspicious of those we aren’t intimate with As for disagreement, it’s actually the willingness that is more challenging than the freedom. we humans usually want other people to like us The upside should be obvious: it really is possible for the whole to be greater than the sum of the parts. breakthroughs are collaborative and iterative, borne of thousands of disagreements. – we have to build that culture By reimagining the role of the hospital to the physician, hospitals can strengthen health care by providing support and increasing value to its physician members through shared resources, knowledge and information. Provide meso level support for the system
- first Board of Governors at my alma mater, the Hebrew University of Jerusalem