A NEW COMPACT: Aligning Physician Organization Expectations to Transform Patient Care
A graduate of the Harvard University School of Dental Medicine, Jack Silversin holds a doctorate in public health from Harvard University and serves as a member of the faculty of medicine in the School of Dental Medicine. He is a nationally recognized speaker on physicians and change and a regular presenter at IHI conferences, faculty for Medical Group Management Association-sponsored executiveeducation programs, and content expert for Minneapolis-based ICSI’s collaborative on building a culture of quality.
Mary Jane Kornacki holds a master of science degree in public health from the University of Massachusetts, where she specialized in health education and health behavior. Her special interests include leadership, team dynamics and the professional satisfaction of women physicians in medical organizations. Her understanding of the principles of adult learning and behavior change are reflected in the models and tools that are fundamental to Amicus’ consulting work. Jack and Mary Jane have collaborated on numerous publications on physician cultures, physician morale, medical group dynamics, governance in physician organizations and service improvement in health care.
Jack Silversin offers presentations for executives, senior leaders, physician leaders and medical staff. His talks are bespoke and reflect client’s unique needs and situation.
He has spoken on a range of topics related to healthcare culture, physician leadership challenges and physician-organization engagement. He has given keynote talks to kick-off retreats and conducted workshops related to the physician-organization compact.
To learn more about topics and fees, contact Amicus at 617.354.7983 or write to Jack at jack@consultamicus.net
All members of an organization have implicit expectations of the deal they signed onto. These unwritten, but no less significant, expectations are a compact. As the pace of health care change has quickened, many physicians are feeling frustrated. Many are asked to innovate and adopt changes that feel outside of their original deal. Exploring the traditional compact and how it does and doesn’t fit with evolving organizational needs has proved to be a useful way to engage physicians toward the aim of improving professional satisfaction and alignment with strategic aims.
The process of developing an explicit compact is facilitated when the following conditions are in place:
Durham University (England)
Wednesday, February 15, 2017
London, England
Tuesday, April 25, 2017
Workshop: Engaging healthcare professionals to transform care
Gothenburg, Sweden
Thursday, April 14, 2016
Workshop: Engaging Clinicians for Transformational Change: Lessons from Virginia Mason Medical Center
Workshop: Aligning Management And Doctors To Transform Care Delivery: A New Model
March 22, 2016
Workshop: Tactics to Engage Physicians
Minicourse: Engaging Physician in Care Transformation IHI National Forum on Quality Improvement in Healthcare 2013, 2012, 2011, 2010, 2009
Physicians and Hospitals Together: Yes we can! Engaging Physicians in Care Improvement Executive Seminar for Dutch Healthcare Executives Zorgvisie Magazine Reed Business Media Houten, The Netherlands, January 2014, October 2012
How Do We Build Physician Leadership And Engagement to Support Patient Safety? Patient Safety Congress 2012 (UK): May 2012
Engaging Doctors in Care Improvement: Why and How International Forum on Quality and Safety in Healthcare [BMJ and IHI sponsored] Amsterdam 2011, Paris 2012, London 2013, Paris, 2014
Minicourse: Engaging Physicians in Transforming Care IHI International Summit on Improving Patient Care in the Office Practice & Community 2012, 2011 and 2010
Workshop: Engaging Physicians: Insights and Actions for Results IHI National Forum on Quality Improvement in Healthcare 2011, 2019, 2009
Workshop: Tactics to Strengthen Physician Engagement IHI International Summit on Improving Patient Care in the Office Practice & Community 2012, 2011 and 2010
VHA Upper Midwest Board and Executive Meeting: Engaging Physicians to Transform Care
VHA Upper Midwest Physician Preference Meeting: Engaging Physicians in Transforming Care
Northeast Purchasing Coalition Semiannual Meeting: Committing with Physicians for Mutual Benefit
VHA Supply Networks Executive Summit: Engage Physicians to Achieve Breakthrough Results
Hennepin County Medical Center
University of Kansas
UMass Memorial Medical Center Physician Leadership Development Program
Crystal Run Health Care (New York) Physician Leadership Development
Baystate Health Care (Springfield, MA) Physician Leadership Academy
“As the patient safety movement has matured, its focus has shifted from systems change to teamwork to culture. Healthcare organizations will be unable to create safe care for their patients without significant culture change. In A New Compact, Mary Jane Kornacki explains how the development of a compact aligns physicians and administrators behind the vision and the strategic plan necessary to bring about that culture change. A must-read guide for healthcare CEOs”
Lucian L. Leape, MD, Harvard School of Public Health
”Compact building is a tested path to constructive conversations and positive outcomes by turning implicit assumptions into explicit agreements. This book shares the experiences of organizations that successfully developed compacts and will help those early on this path benefit from the learning of others.”
David C. Herman, MD, CEO, Essentia Health
”Kornacki summarizes over a decade of experience across a variety of organizations applying organizational behavior and management theory to create a new relationship between physicians and organizations. Vivid examples show how attention to alignment, focus on the journey rather than the destination, sharing ownership, trust, and accountability can create a new environment for success.”
Gregg S. Meyer, MD, MSc, chief clinical officer, Partners HealthCare Systems, Inc.
“The UK National Health Service is challenged to radically re-design health care delivery to contain costs whilst improving quality. In this timely new edition, the authors have deepened and enriched their practical approach to helping organizations, and the physicians that work in them, to meet this challenge. The insights so clearly and eloquently described in this book make it an essential ‘operating manual’ for a successful, patient centred health care organisation anywhere in the world.”
Dr. Danny A. Ruta, MBBS, MSc, MFPH
Director of Public Health, NHS Lewisham, London
“Improving our health care system will not happen without real evolution of the role of doctors in the system. This is a clear and most useful account of the problem of doctor-administrator relations in the current system and spells out in practical detail how a better compact between doctors and health care organizations can be evolved.”
Edgar H. Schein, Professor Emeritus
MIT Sloan School of Management
“The methods and techniques that these authors have developed and taught in their distinguished professional lives are essential resources for a productive future at this time of immense and badly needed changes in care.”
Donald M. Berwick, MD, MPP
Former Administrator Centers for Medicare & Medicaid Services
“This is an indispensable guide to understanding and achieving a new paradigm of physician leadership in healthcare organizations. The new edition is a reliable roadmap for navigating the changing world of health care.”
James M. Blazar, Senior Vice President & Chief Strategy Officer
Hartford HealthCare
“We often say that the knowledge already exists and improving our health systems is not a matter of more research but of getting on and doing it. But between knowledge and action is clarity; an expression of the knowledge in clear and actionable terms that can be understood by someone trained in another discipline. And that is what this book has done; take knowledge from sociology, psychology, organizational behavior and management and make it available to those who need it most, the clinicians among us who want something better from our systems of care.”
Richard M.J. Bohmer, MBChB, MPH
Professor of Management Practice
Harvard Business School
NEJM Catalyst (December 2016)
ThedaCare Cardiovascular Care: Using a Compact Reboot as Fix for a Practice That Has “Merged, Not Integrated”
NEJM Catalyst (September 2016)
Three Starting Points for Physician Leadership
American Academy of Family Physicians (January 2003)
Implementing Change: From Ideas to Reality
National Center for Biotechnology Information (April 2002)
Unhappy doctors: what are the causes and what can be done?
Jack Silversin
Mary Jane Kornacki
103 Avon Hill Street
Cambridge, Massachusetts 02140
617.354.7983
Jack: Jack@consultamicus.net
Mary Jane: Maryjane@consultamicus.net
