Leadership and Finance

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Dates: November 7, 2019 and April 9, 2020

Location: West Bank Office Building

The Family Medicine Leadership and Finance Course facilitates learning and reflection on the landscape of healthcare delivery in the United States, from a perspective both inside and outside the exam room. Participants will leave inspired and empowered to meet the challenge of shaping healthcare delivery systems while resiliently caring for patients. 

  • Topics
  • Registration
  • Learning Objectives
  • Topics

    • Physician leadership
    • Risk management and malpractice
    • Physician reimbursement
    • Healthcare legislation and reform
    • Negotiating contracts and practice plans
  • Registration

    Registration is for non-University of Minnesota family medicine residents, medical students, and community physicians or healthcare professionals. Fees include tuition, syllabus, parking, and lunch.

  • Learning Objectives

    Physician Leadership

    • Distinguish practice plan/clinical service options for family physicians
    • Identify trends in the economics of healthcare

    Risk Management & Malpractice

    • Summarize medical malpractice claim trends
    • Define common malpractice insurance structures and legal terms
    • Recall and list the steps of resolving a medical malpractice claim
    • Outline what you should and should not do after being served a complaint and summons
    • List and describe physician practice habits that are likely to reduce malpractice risk
    • Recognize the rules and exceptions for medical record confidentiality
    • Recognize the rules and exceptions for consent for and by minors
    • List the ways in which a physician-patient relationship can be legally terminated

    RVU-based Healthcare Purchasing & Physician Reimbursement

    • Differentiate the structures that determine payment to a healthcare organization in contrast to structures that determine payment to an individual physician
    • Explain the most common way physician services are paid
    • Discuss the influence of payer mix on primary care practices and patients
    • Describe the “anatomy” of an RVU and the medicare payment rates formula
    • Explain geographic differences in RVU payment
    • Outline the origin of the RVU-model
    • Discuss the consequences of the current “RUC” composition and process

    Motivation & Performance in Healthcare

    • Review social science data addressing effective incentives for professional work in the information age
    • Reflect on and respond to “the puzzle of motivation” by Dan Pink
    • Prepare to create and apply an organizational structure that effectively motivates healthcare professionals

    Healthcare Legislation & Reform

    • Review the highlights of the Patient Protection and Affordable Care Act and other recent health care reforms
    • Review trends in family physician practice and reimbursement related to the ACA
    • Explain how the ACA influences bundled payments, accountable care organization, quality measurement, pay-for-performance, cost-shifting, and “non-visit” patient management
    • Identify advocacy work of family physicians in addressing Minnesotans’ access to comprehensive primary care, and to quality and affordable medical education

    Primary Care Leadership & Strategic Planning

    • Engage learners and community primary care leaders in conversation around a healthcare leadership exercise
    • Develop a strategic plan for a group family medicine practice to adapt to changing patient expectations, practice financial challenges, and employee satisfaction; capitalizing on opportunities suggested by healthcare trends and durable components of the ACA
    • Practice communicating a vision effectively and persuasively in a workgroup and in a board-meeting environment to: fellow physicians, staff members, clinic level administrators, and organization executives

    Ethical Issues in Physician Reimbursement

    • List benefits and burdens associated with reimbursing physicians by fee-for-service, capitation, and salary
    • Describe how a pay-for-performance (P4P) model of physician reimbursement functions
    • Cite economic, clinical, social, and moral benefits and burdens likely to result from P4P reimbursement
    • Reconcile the burdens of P4P with the benefits in your practice

    Negotiating Contracts & Practice Plans

    • List key questions to consider when evaluating a practice
    • Evaluate employment contracts and understand basic contract terminology
    • Identify the various components of a physician compensation package and how to compare compensation components
    • Describe a covenant-not-to-compete and other potential contract components (terms of termination, hours/call, locations, scope of practice provisions)
    • Analyze signing bonus, loan forgiveness and moving-expense allowance structures and commitments
    • Introduce concepts in practice ownership structure and “buy-in”
    • Describe how to negotiate a physician employment contract

    Physician Leadership Cases & Post-course Competency Assesment

    • Discuss the exercise in strategic planning and communicating strategic vision to others
    • Reflect on the way you will align your inspiration with your future organization

Photo & Video Release

We may take photos and/or videos of instructors and learners at our programmatic courses, and these may appear in the department’s and/or University of Minnesota’s marketing and promotional materials (e.g., brochures, posters, social media, websites, etc.). Your attendance constitutes your permission and consent for photography and video subsequent usage. If you do not want to be photographed or filmed, please let us know by contacting Heidi Cerdas Monge, MBA, 612-625-0953, hcerdasm@umn.edu.