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Creating the Hospital Group Practice:
The Advantages of Employing or Affiliating with Physicians
Eric Lister, MD
Todd Sagin, MD, JD
ISBN 13: 978-1-56793-330-7
Softbound, 232 pp, 2009
Imprint: ACHE Management Series Book
Order code: 2135
Price: $80.00
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The authors of Creating the Hospital Group Practice believe physician employment is back for good—because they know how to make it work. Eric Lister and Todd Sagin provide expert advice and inspiration to help you tackle the challenges and realize the rewards of creating successful hospital-owned group practices.
This book identifies the factors driving hospital employment of doctors and explains why today’s trend differs from past integration efforts. It continues by translating the lessons learned from the first wave of integration into a roadmap for successful group practice formation. From garnering executive-team and physician buy-in to ensuring efficient clinical operations, this book guides you through all stages of group practice development.
The book answers these questions and more:
Why must hospitals go beyond simple physician employment and create multidisciplinary group practices?
How should compensation be determined? What do we reward? How should we measure productivity? Who should design the compensation methodology?
How do we navigate the minefield of regulatory and legal issues?
Should an employed group practice provide leadership for hospital service lines or departments?
How do the duties of a hospital group practice board differ from those of the medical staff executive committee?
How can physicians exercise autonomy in an employed group practice that is part of a hospital or health system?
How should conflicts between private practitioners and the employed physician group be handled?
Eric Lister, MD, is the managing director of Ki Associates, where his consulting work focuses on physician leadership and group practice success. He lectures and consults across the country and is an advisor for The Governance Institute. Prior to his consulting career, Dr. Lister taught at Harvard and Tufts Medical Schools and was a founding partner of a large group integrated behavioral health practice. |
Todd Sagin, MD, JD, is co-founder of HG Healthcare Consultants, LLC, and former national medical director of The Greeley Company, a division of HcPro. Dr. Sagin is an experienced physician executive who has served as vice president and chief medical officer at Temple University Health System. A popular speaker, he is a regular faculty member of The Governance Institute and a principal advisor and lecturer for its Medical Leadership Institute. |
| “This book's goals—explaining physician employment trends, sharing lessons learned from the past, and differentiating between 'ownership' and 'groupness'—are relevant for any healthcare executive in today's turbulent environment. The authors, both physicians, speak credibly about clinical and management issues with broad vision. Good management practices abound in this book, including strategies for communicating, defining expectations, and collaborating. It also discusses the critical importance of culture and fit. This book provides a terrific outline on how to make your organization an attractive option for physicians seeking an employment relationship.”
—Charles T. Frock, FACHE, CEO, FirstHealth of the Carolinas |
| “It’s been said that doing the same thing over and over and expecting a different outcome is lunacy. Most healthcare executives know that the current relationship between hospitals and physicians is unsustainable, but they may not know how to move toward a better model. Readers of this book will leap ahead in the development of truly aligned healthcare delivery systems because Lister and Sagin have distilled the essential components of success into a highly readable and forceful 'how to' manual. Congratulations are due!”
—Hugh Greeley, HG Healthcare Consultants |
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