what physicians bring to hospital leadership · michael j. zappa, md, facep, president...

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Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital Leadership Past, Present, & Future State

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Page 1: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Michael J. Zappa, MD, FACEP, President

Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health

What Physicians Bring to Hospital Leadership

Past, Present, & Future State

Page 2: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Common Question

Are you a Physician or an Administrator?

The answer is both always!

Page 3: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Can A Doctor Really Be Both?Yes, but not every doctor!

Page 4: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Doctors Are Different

Page 5: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

How Are They Wired?

Physician Executives

Decisiveness Based On Solid Priorities1. Patient Needs2. Mission of the Organization3. Personal Needs

Page 6: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Historical Perspective

Doctors and Hospitals

• 1751: Charter for first hospital in America

• Dr. Thomas Bond - founder, board manager, and practicing physician

• Serving the sick-poor and insane • Philadelphia - the most populous city

of the time

Page 7: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

The Evolution of the Physician Leader

• Dept Head/Division Chief

• President of Medical Staff

• Vice President of Medical Affairs

• Chief Medical Officer

• Chief Medical Information Officer

• Chief Clinical Officer

• Chief Innovation and Strategy Officer

• Chief Physician Executive

• Chief Executive Officer

Page 8: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Empowerment Curve

Historically

❖ Not a boss

❖ Support plans

❖ Execute plans

❖ Advocate for docs

Ideally

❖ Authority

❖ Strategic Planning

❖ Responsibility

❖ TimePhysician Leader

Page 9: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

The Data Shows

❖ Just 5% Hospitals Nationwide Have Physician CEOs

• Quality scores 25% higher

• No loss of financial performance

❖ Key Differences

• Endless sense of curiosity

• Firsthand knowledge of what high quality looks like

• Innovation

❖ Treatment of patients

❖ Logistics

❖ Finances

Page 10: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Physicians Are The Clinical Experts

Page 11: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Experienced Leaders

Page 12: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Leadership Strong Enough To Break With Tradition

Creative Disruption The Future of Healthcare

Page 13: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Physicians Are Innovators

Page 14: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Physicians Are Visionaries

Page 15: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Operational Efficiency Experts

Page 16: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

The Physician Work Ethic

Page 17: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Influence Interdisciplinary Teams

Page 18: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

It Comes Naturally

Caring StewardsPatientsFamilyFinancesCommunity

Page 19: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Business Savvy

Page 20: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Key Leadership Principle

❖ If your Boss could do your job you’re more likely to be happy at work

❖ Leader should be an expert in the core business of the organization

❖ Physician Leaders appear to be most effective precisely because they are physicians

Page 21: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Take Advantage of the Difference

Page 22: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

What To Look For

❖ Optimistic

❖ Motivated to Share Success

❖ Resilient

❖ Even Tempered

❖ Clinically Respected

Page 23: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

What To Watch Out For

❖ Docs who only advocate for a narrow interest

❖ Those who have no regard for the overall enterprise

❖ Unwilling to leave the past behind

❖ Curmudgeon

Page 24: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Key Skill SetsClinical Expertise

OperationalProwess

BusinessSavvy

ExecutiveLeadership

Page 25: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital
Page 26: What Physicians Bring to Hospital Leadership · Michael J. Zappa, MD, FACEP, President Highsmith-Rainey Specialty Hospital, Cape Fear Valley Health What Physicians Bring to Hospital

Michael J Zappa, MD, FACEP

The White Coat Just Might Be The Cape Hospital Leaders Are Looking For

Thanks For Caring!

[email protected]

www.MIKEZAPPA.com