The Body of Knowledge for Medical Practice Management: A Key Resource for Balancing your Career and for Professional Development

Rebecca S. Dean, MA, FACMPE , Past ACMPE Chair

Heather McHugh, MBA – ACMPE Sr. Certification Manager

October 8, 2013

Learning Objectives

• Understand the structure of the Body of Knowledge for Medical Practice Executives and how to apply it to your own situation

• Apply tools based on the Body of Knowledge to enhance your professional development and career transitions

• Implement tools based on the Body of Knowledge to improve the performance of your medical practice

About MGMA-ACMPE

Our mission…

To continually improve the performance of medical group

practice professionals and the organizations they represent

• 22,500 members

• Manage and lead 13,200 organizations

• About 280,000 physicians

Panel Discussion

Rebecca S. Dean, MA, FACMPE

Heather McHugh, MBA

Deb Wiggs, FACMPE, Chair Elect, MGMA

It’s all about you!

• Statistics show Healthcare Executives are changing jobs 2 – 4 years.

• Secure your next step forward • Focus on your Professional Development

by utilizing knowledge and content from the Body of Knowledge

• When career advancement opportunities are narrowing, you must invest in training and development to remain competitive.

• Create the opportunities in the constantly evolving field of Healthcare Management

Learning Objective

• Understand the structure of the Body of Knowledge for Medical Practice Executives and how to apply it to your own situation

• Tap into a treasure trove of information• Apply the Knowledge base to transform

operational practice challenges to opportunities

What is the Body of Knowledge?

• Body of Knowledge is “Collective Wisdom” and Knowledge Assessment

• A Guide for Health Care Executives and Providers

• Valuable resource for professional development and practice improvement

• The Body of Knowledge is the defining, authoritative outline of the requirements required for success in the profession of medical practice management.

• The Body of Knowledge also serves as the foundation to the American College of Medical Practice Executives (ACMPE) certification and Fellowship program.

• The Body of Knowledge is a consolidated vault filing system for knowledge and assessment to Broker

How does the Body of Knowledge work for me?

PP Professional Asset

Reflection on Leadership

Being a leader in healthcare today is like continuously walking up a down escalator. If one stands still they go backwards.-Studer Group

What is the source?

• Experienced Medical Practice Executives:– A panel of practice management executives

identified key knowledge and skills necessary to be successful, i.e., “Collective Wisdom”

– 2,000 practice administrators confirmed the panel’s suggestions via survey

– The Body of Knowledge was then validated through a psychometric review of survey responses

– The Body of Knowledge was updated 2007– The Body of Knowledge is accessed for new

trends in the industry

Why do we need a Body of Knowledge?

• Position medical practice administrators as health care executives

• Self Appraisal Tool

• Personal Growth and Empowerment

• Gain recognition for and elevate the profession

• Distinguish the unique knowledge base for the profession

• Certification industry requirement to ensure a valid and reliable certification program

• Provide content for relevant and up-to-date publications, education programs and resources

• Provide the foundation for career transitions

• Meet the Challenges AND Survive the trends of Integration

Body of Knowledge Structure

Competencies

• Domains– Tasks

• Knowledge and skills

Four General Competencies

• Professionalism

• Leadership

• Communication skills

• Critical thinking skills

Eight Knowledge Domains

• Business operations

• Financial management

• Human resource management

• Information management

• Organizational governance

• Patient care systems

• Quality management

• Risk management

Utilizing the Body of Knowledge

How are medical practice executives using the Body of Knowledge for Medical Practice Management?

• Professional development

• Physician and staff development

• Practice improvement

• Problem-solving technique

• Transitioning to new health-care career markets

• Professional career assessment and decisions

Implementation of the Body of Knowledge Daily

• Manage Transition, Risk and Change• Advance your career• Manage your staff• Improve your practice• Grow internal Leadership

Learning Objective

• Apply tools based on the Body of Knowledge to enhance your professional development and career transitions

Advance your career and professional value

• The typical administrator may not get the opportunity to have periodic performance reviews

• And research shows that the average administrator has changed jobs every two to four years

• Focusing on evaluating your performance and implementing a professional development plan has never been more important

Professional Development

• Build a well-rounded skill set

• Engage in self-assessment

• Strengthen your job search efforts

• Boost your employment agreement negotiations

• Prepare for certification

Your Professional Development Plan

Self Assessment

– Evaluate your skills honestly and rigorously against the Body of Knowledge competencies, domains and tasks

– Create a profile of strengths– Develop a plan to address weak areas

360-degree evaluation– A solution to the performance evaluation

problem

Professional Meeting Agenda

My Documents Organization

Electronic Body of Knowledge File Management

Mobile Device File Organization with Body of Knowledge

Manage Your Staff

• Staff development

• Physician leadership development

• In-service training

• Curriculum development

• Mentoring

Staff Training Programs

Annual Boot Camp for Practice Managers– Three-day training sessions– Built on the Body of Knowledge– Emphasizes the breadth and depth of knowledge

and skills

Physician Leadership Institute– Physician leadership development– Helps understand the broad scope of

responsibilities– Day 1: Leadership– Day 2: Strategic knowledge

Recruiting

• The Body of Knowledge helps define the job description for a CEO of a medical group

• Allows a framework to educate physicians on what they should be looking for in an administrator

• CEO recruitment requirements include:– MBA– Certified Medical Practice Executive

(CMPE) or Fellow in the ACMPE (FACMPE)

Staff Performance Appraisal Tool

• The Body of Knowledge defines our success as administrators– Use it to define the success of your staff

• Extract tasks, knowledge and skills directly from the Body of Knowledge

• Build job descriptions

• Define and weight performance competencies

Staff Performance Appraisal Defining Competence

Novice– Limited experience; uses basic rules to make decisions

Advanced Beginner– More experience; applies rules to a broader scope of

situations

Competent– Applies systematic approach to situations; accepts more

risk

Proficient– Intuitive about problem-solving and decision-making

Expert– Strategic, innovative and visionary

Improve Your Practice

• Organizational assessment

• Staffing structure

• Quality management initiatives

• Project management

• Strategic planning

• Governance Decision Making Matrix

Learning Objective

• Implement tools based on the Body of Knowledge to improve the performance of your medical practice

Problem Solving Techniques

Use the Body of Knowledge to:– Solve complex problems– Manage large projects– Communicate risk and compliance to

Physicians

Use the domains to systematically analyze all aspects and components of a problem or project:

– Financial considerations– Human resource needs– Information management component– Risk management considerations– Etc.

RAC Audit Process

• Been there, done that

• Appeals process overview

• Redetermination by Carrier/Fiscal Intermediary

• Reconsideration by Qualified Independent Contractor (QIC)

• Administrative Law Judge Hearing (ALJ)

• Medicare Appeals Council (MAC) Review

• Federal Court (USDC)

• Using the Body of Knowledge domains as a pre-RAC audit assessment

Establishing Credibility with Business Associates

• Professional risk management associates

• Business liaisons

• Practice agents/consultants

• Practice counsel

• Educate the scope of practice for the medical group administrator

Mentoring and Educating

Saint Louis University• Executive Masters in Health Administration

Program, Sarah Holt, Phd• Medical Practice Administration/BOK is text

book

Connecting with Universities and StudentsIncluding International

• MGMA-ACMPE University Relations Program and Committee

• AUPHA – The Association of University Programs in Health Administration

• CAHME – Commission on Accreditation of Healthcare Management Education

Preparing for ACMPE Certification Exam

• Assess – learn – certify – excel • Assessment is the first step

• Personal Inventory • Knowledge Assessment

• Identify strengths and areas for further study

• Develop a realistic study plan• Just do it! – schedule your exam

session

Pursue Fellowship

The Pathway….

Board Certification

• CMPE Certified Medical Practice Executive

Fellowship

• FACMPE Fellow, American College Medical Practice Executive

• Highest Level of Distinction you can earn

Call to Action!

Make the Body of Knowledge work for you!

– Advance and Secure Your Career– Define and communicate your

expertise– Become an Empowered Leader– Manage your staff– Improve your practice

Questions?

Contact:

Rebecca S. Dean, MA, FACMPEPast Chair, ACMPE rsdean@att.net

Heather H. McHugh, hmchugh@mgma.com