Leadership and Finance

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

Registration is for non-University of Minnesota family medicine residents, medical students, and community physicians or healthcare professionals. Fees include tuition, syllabus, and access to online course materials for one year.

• Contact:
  Heidi Cerdas Monge, MBA, hcerdasm@umn.edu

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