The structure may vary from hospice to hospice, but most will arrive at the right structure by careful and thoughtful building of the medical staff. Here follows, from our study, the eight building blocks.
- Create full-time “blended” practice opportunities that attract and retain HPM physicians
- Develop bench strength to account for volume fluctuations, departures, back-up coverage
- Amass “intellectual capital” for an infrastructure that supports an effective and efficient medical staff
- Deploy hybrid compensation models to align physician and hospice incentives, and reassess at least annually
- Maintain relentless focus on capturing information on physician activity to provide timely and constructive feedback and aid performance management
- Clearly articulate expectations among medical staff practitioners, medical leadership, and hospice management
- Create virtual organizational structure to extend influence of medical staff into greater community to reduce fragmentation of late-life care
- Foster an unswerving commitment to performance improvement to minimize inappropriate practice variation, reduce regulatory risk, and win the confidence of referring sources.
We'll examine, over the coming months, each of these building blocks with a little more precision. As always, your comments are invited.