You have accepted a new position as Medical Director for a medical subspecialty service line for 2 suburban hospitals. This is a new role for you and the position is newly created where there had been none before. While familiar with these 2 hospitals, you have had no primary role there before and will be moving into this region from another region within the same health system. There is currently a practice at each hospital each consisting of ~4 physicians that interact primarily in that they share call (some would say reluctantly). Additionally, while both practices are within the same health system and share some basic administration personnel, most of the administration/staff are specific to each office. Hospital A has approximately 200 beds and is considered a fully functional hospital. Hospital B has approximately 40 beds and does not offer a complete complement of services (some of which are critical supporting services that would enhance your service line at that hospital). The physicians are on a productivity model and tend to see and perform procedures on their own patients. You have been tasked with combining these 2 rather independent practices into a single functioning practice across 2 very different hospitals.
- This is a new leadership position for you. How do you start to gain the trust of the physicians in these practices, who did not elect you into this position nor are they excited about new, outside leadership?
- How do you start to integrate these 2 practices? Particularly, at the staff/administration level?
- How would you approach your first 30, 60 and 90 days?
- How would recommend starting to change the culture to a more team based approach for the physicians?