Physician Engagement
Physician Engagement

Physician Engagement

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Strategic Alignment

The Physician Organization Compact
Leading Physicians Through Change

2012 Edition
Now Available

Purchase Now

Accelerating Change & Improvement in Healthcare

Amicus works with health care organizations to build change capacity through physician alignment and engagement. We believe care improvement requires trust and collaboration among doctors and between doctors and their organization. Strained or frayed relationships are impediments to moving forward together that need to be, and can be, addressed.

 

WHO WE ARE

Jack Silversin DMD, DrPH and Mary Jane Kornacki, MS
are the founding partners of Amicus.

Jack Silversin DMD, DrPH

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, MS

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.

How We Help

Consulting Services

  • Physician alignment and engagement through creation of a physician-organization compact
  • Effective mergers and affiliation from a cultural perspective
  • Mending and strengthening trust to support collaboration and care coordination across parts of an enterprise or across organizations
  • Leadership and governance development
  • Shared vision and translation into strategy
  • Implementation of large-scale change

Presentations

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

Compacts

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.

Compact Checklist

The process of developing an explicit compact is facilitated when the following conditions are in place:

  • Sufficient trust between doctors and administrators to be able to have candid conversations
  • Education for doctors about market and economic changes that are driving the need to change the way health care is delivered
  • Wide and deep ownership of a shared vision – a picture of where the organisation is heading – that resonates with all
  • A guiding coalition or committee that can champion a compact change process with the physician body
  • Sufficient patience to allow a process that touches every doctor – NOT a “roll out” from senior leaders
  • Ample time for doctors and administrators to engage in dialogue about what behaviors are needed
  • Will from the top to hold both administrators and physicians accountable for living the compact commitments once a document is created that is broadly supported
  • Top leaders demonstrate they are NOT exempt but are standard bearers for new behaviors and open themselves to feedback about how their behaviors are or are not consistent with the new compact

Presentations

Jack Silversin’s Upcoming Presentations

IHI National Forum on Quality Improvement in Healthcare

Orland, Florida
Monday, December 10, 2012
Full-day minicourse: Engaging Physician in Care Transformation(with Gary Kaplan, MD, Virginia Mason Medical Center)

Workshop: Engaging Physicians: Insights and Actions for Results

Tuesday, December 11, 2012

IHI International Summit on Improving Patient Care in the Office Practice & Community

Scottsdale, Arizona
Sunday, April 7, 2013
Full-day minicourse: Build Sustainable Physicians Engagement in Transformation (with Gregory Long, MD, ThedaCare)

Workshop: Tactics to Strengthen Physician Engagement

Monday, April 8, 2013

International Forum on Quality and Safety in Healthcare

London, England
Thursday, April 18, 2013
Half-day minicourse: Engaging Clinicians in Transformational Change (with Gary Kaplan, MD, Virginia Mason Medical Center)

Past Presentations

Jack Silversin with Gary Kaplan, MD CEO and Chair, Virginia Mason Medical Center, Seattle, WA

Minicourse: Engaging Physician in Care Transformation IHI National Forum on Quality Improvement in Healthcare 2011, 2019, 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, 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 and Paris 2012

Jack Silversin with Gregory Long, MD CMO ThedaCare

Minicourse: Engaging Physicians in Transforming Care IHI International Summit on Improving Patient Care in the Office Practice & Community 2012, 2011 and 2010

Other IHI presentations by Jack Silversin

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

For the VHA in 2012

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

Presentations to Medical Staffs, Chiefs, Leaders and Future Leaders

Hennepin County Medical Center

University of Kansas

UMass Memorial Medical Center Physician Leadership Development Program

Crystal Run Health Care (New York) Physician Leadership Development

Publications

Leading Physicians Through Change

2012 Edition Now Available

Purchase Now

“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

Contact

Jack Silversin
Mary Jane Kornacki

103 Avon Hill Street
Cambridge, Massachusetts 02140

Call

617.354.7983

Email

Jack: Jack@consultamicus.net
Mary Jane: Maryjane@consultamicus.net