Physician-Hospital Relations Audit

Physician-Hospital Relations Audit

Healthcarecollaboration.com

Physician-Hospital Readiness Assessment

To engage healthcare professionals in a discussion of how to improve physician-management communication and increase the likelihood of physicians, patients, and their families having outstanding care experiences, we need to acknowledge that facts that seem obvious to some people are not obvious to others.

Please spend the next 5 minutes sharing your experience, so that we can understand better from your perspective what factors contribute to an ideal work and patient care experience. We promise that your comments will remain anonymous.

I. Readiness Assessment: Overview

What are your organization’s:

Strengths

Weaknesses

Opportunities

Threats

What do you see as the top three concerns at your organization?

1)

2)

3)

How would you characterize your relations with physicians on a day-day basis?

Please circle the first category that comes to mind:

StormyIntermittently NeutralIntermittentlyOutstanding

StormyCollaborative

With what aspects of your relationship with physicians are you pleased? Please cite specific examples.

What aspects of your relationship with physicians would you like to improve?

II. Estimated costs of medical staff relationships

How many physicians split admissions between your organization and a competing:

  • Hospital ______; please list name ______; please estimate lost revenue ____
  • Ambulatory center ______; please list name; please estimate lost revenue ____
  • Other venture ______; please list name; please estimate lost revenue ____

How many physicians refer outside your organization for services that you offer; please summarize results to date and trends.

How many implant vendors:

  • Do your cardiologists use
  • Do your orthopedic surgeons use

Have you been able to consolidate vendors; please describe the process and results to date

What percentage of your discharge orders are written by 10 AM, weekdays?

What percentage of your discharge orders are written by 10 AM, weekends or holidays?

Please estimate how many physicians do not discharge patients for whom they are covering (ie weekends/holidays), preferring to wait until the attending of record returns.

Do you measure the variability of:

  • OR start time ; please summarize results
  • OR turnaround time; please summarize results

To what extent are surgeons of the same specialty willing to standardize:

  • Equipment
  • Supplies

Do you currently pay stipends for ED call coverage? Please quantify. What trends are you seeing?

Please describe your organization’s malpractice expenses and outcomes: settlements, verdicts, trends

Do you have disruptive physicians and surgeons with whom your staff does not like to work?

If so, please describe the impact on staff recruitment and retention.

III. Summary questions and responses

What are your basic expectations re: physician-hospital relations at your organization?

1)

2)

3)

What outcome(s) would so exceed your expectations that it (they) would delight you?

1)

2)

3)

Any additional information that I neglected to ask?

IV. Demographics

Name

Job title

Years in present position

Street address

CityStateZip

Email

TelephoneFax

What is your organization’s size?

  • Total number of physicians on active staff
  • Number of employed physicians currently
  • Trend in number of employed physicians over last three years
  • Average daily census

Please describe the names and dates of any awards that your organization has attained in the past 5 years.

Thank you very much for your input. All data will remain strictly confidential. Please e-mail your reply as an attachment to: with your preferred dates and times for a 15-minutefollow-up telephone discussion over the next 2-3 weeks.
If you encounter difficulties with e-mail, you may fax your reply to 508-655-8088

Sincerely,

Kenneth H. Cohn, M.D., MBA, FACS

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