Thursday, June 13, 2019

The Executive Suite: Build employee trust through effective communicati...

The Executive Suite: Build employee trust through effective communicati...: Trust is foundational in any relationship, and leadership is merely another type of relationship. Often, trust is a feeling, a gut instinct...

Build employee trust through effective communication


communication, leadership, trust, teamwork, physician, team building, culture

Trust is foundational in any relationship, and leadership is merely another type of relationship. Often, trust is a feeling, a gut instinct, or something we know when we see it.


We don’t spend a lot of time trying describing trust, and, in my opinion, we don’t spend enough time building trust. Merriam-Webster defines trust as the “assured reliance on character, ability, strength or truth of someone and as a dependence on something future: hope.”

As you lead those in your organization, realize they will trust you based upon your character, ability, and vision of the future. One of the best methods you can employ to build that trust is through communication.

Communication is essential aspect for you as a leader. How you communicate information is a reflection of your character. Communicating shares more than information about your plans for the practice. It also reveals your management style and leadership ability and, perhaps most importantly, who you are as a person. Leaders who don’t find the right voice can have difficulty inspiring confidence, motivating employees, and connecting how their work directly helps move the practice toward a better and brighter future.

Consistent communication is perhaps the most effective way to help employees instill trust in you and ensure your practice’s success. When you communicate, be open and honest. Do not sugarcoat, spin or make light of something that requires serious attention. Your job as the leader is to identify and work on issues facing the organization. To downplay the seriousness of a situation weakens your leadership. The opposite is also true. Don’t exaggerate or embellish a situation, either.

How you communicate with those you lead also speaks volumes about your respect for your employees. Withholding information can breed distrust and disrespect. Withholding information can cause employee morale to drop as well as their esteem for your character. Honest and upfront communication will show that you value your employees.

Here are four ways to ensure your communication is effective and impactful. Your leadership will grow as you use it to build an open and ongoing dialog.


Be consistent


Consistency is one of the most important aspects of communication that build trust. Ask yourself:
  • Is your messaging the same all the time?
  • Is it regular and timely?
  • Is the tone similar in your messaging?
  • Are you sharing the information as soon as reasonably possible?


Be clear


Keep your communication simple and straightforward. Don’t complicate matters with unnecessary technical jargon. Your purpose for communicating is to share information and drive action, not show how smart you are. Ask yourself:
  • Is your messaging concise and to the point?
  • Is your message full of details that cloud the topic you’re talking about?
  • Do you know the purpose of your communication?


Be courteous


If you’re going to implement change, include everyone possible who might be affected. Treat them with respect so they help you bring about the desired change. Ask yourself:
  • Is your message respectful of all of those who might hear it?
  • Do you know how certain parties might receive and interpret the information?
  • Are you communicating to everyone in the department or organization?


Be honest


We learned in kindergarten that honesty is the best policy. All those years later, this simple maxim remains true. Ask yourself:
  • Is your message truthful?
  • Are there any half-truths in your message?
  • Are you sugarcoating or embellishing the situation?

Keep these guidelines in mind as you communicate with employees. These will become habits over time, and you will concurrently notice you are becoming a better communicator and a stronger leader. Remember that open communication builds trust and, in turn, that empowers employees, increases buy-in, bolsters initiative, and fosters ownership. Altogether, trust can help a physician leader create a practice that not only delivers exemplary patient care but thrives financially.

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Wednesday, June 12, 2019

3 ways to be more inclusive for LGBTQ+ patients

Making patients feel welcome and cared for — regardless of where they are, who they are and how they are — is the essential meaning of “healthcare.” But as physicians, we sometimes focus too little attention on “care” because we are so busy addressing pressing health conditions.


Approximately 4.5 percent of Americans identify as either lesbian, gay, transgender or bisexual, according to a 2018 Gallup poll. As the number of individuals identifying as LGBTQ+ increases, physicians need to revisit their communication and care strategies.

Historically, LGBTQ+ individuals have faced unique barriers to healthcare.

They still do.

Startlingly, a recent survey found that among lesbian, gay, bisexual and queer respondents who visited a healthcare provider in the prior year, 8 percent said a healthcare provider refused to see them because of their actual or perceived sexual orientation. In addition, 6 percent said a healthcare provider refused to provide care for the same reason.

The numbers were even higher for transgender patients: 29 percent said a healthcare provider refused to see them because of their actual or perceived gender identity, while 12 percent said they were refused care.

This is unacceptable and is antithetical to the practice of patient-centered medicine.

Healthcare providers and staff should ensure they create a non-judgmental, welcoming and inclusive environment for their patients. Here are three ways to advance LGBTQ+ care and improve sexual health:


Establish the right foundation for appropriate care.


Not everyone who identifies as LGBTQ+ is going to disclose their identify to their healthcare providers. Therefore, healthcare providers should use inclusive language and non-stereotyped communication to create an open space, conduct a thorough yet sensitive interview and deliver care in a way that allows patients to feel comfortable.

The care team can begin patient encounters by asking three routine questions of all new patients — and noting their preferences in the electronic health record:
  • What is your current gender?
  • What sex were you assigned at birth?
  • What pronouns do you prefer?

These questions will lay the groundwork to talk about patients’ sexual health.

In addition, healthcare providers need to be prepared for questions that have heightened sensitivity for LGBTQ+ patients. One area in particular is fertility services. The Ethics Committees of the American Society for Reproductive Medicine and the American College of Obstetricians and Gynecologists(ACOG) have affirmed the right of single or coupled gay and lesbian persons to have access to fertility services.

For patients who are biologically female, this opens the discussion about gynecologic and reproductive health issues along with fertility goals in the manner that feels most comfortable to them.


Make sure the first encounter is safe.


Providers can help recognize individuals needs and acknowledge their experiences.

Pediatricians, OB-GYNs and primary care physicians are the often the first healthcare providers to speak with an adolescent struggling with gender dysphoria or distress caused by the incongruence between one’s expressed or experienced (affirmed) gender and the gender assigned at birth. Making sure that first encounter is safe can be key to fostering continued engagement with the healthcare system and good healthcare outcomes. It’s also an opportunity to recommend medical and mental health resources or refer to specialists.


The National LGBT Health Education Center offers a toolkit to help facilitate conversations about LGBTQ sexual health in primary care. ACOG also has clinical guidance for lesbian and bisexual women, transgender individualsand transgender adolescents.

Studies have shown that LGBTQ+ persons report higher rates of and more severe instances sexual violence than heterosexual women. Because of these disparities, ACOG and other experts encourage clinicians to be sensitive to issues regarding confidentiality, sexual history and intimate partner violence. Physicians should also be attuned to signs of depression, anxiety or self-harming behaviors and prepared to counsel patients appropriately.


Ensure unbiased primary and sexual healthcare.


Medical care for LGBTQ+ individuals has historically been delivered through a cis-normative and hetero-normative framework. As a result of disparities, stigma and prior negative experiences, research has found LGBTQ+ persons often underutilize healthcare, present later in disease process than heterosexual individuals, and have fewer encounters for preventative healthcare.

But there is reason for optimism.

At a 2018 forum on LGBTQ+ health sponsored by the Harvard T.H. Chan School of Public Health, participants noted that physicians have “a learning attitude” and genuinely endeavor to provide better care for patients when they “become aware that there are differences in care needs and that ignoring them can do damage.”

Primary care is the most critical entry point to providing that unbiased, comprehensive preventive care and access to specialty care, including reproductive care. LGBTQ+ patients who are welcomed and cared for will not only experience better health but also safety and well-being.

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Tuesday, June 11, 2019

Sunday, June 9, 2019

5 steps to start your own independent medical practice

Physicians decide to strike out on their own for a multitude of reasons. Some find a desire to do it their own way after years of working as an employed physician in another provider’s practice. In other cases, a physician may be presented with an opportunity to take over a practice or fulfill an unmet healthcare need in a new town.


Whatever the impetus, the idea of opening and running an independent medical practice in the age of mergers and hospital buyouts can be daunting. Can an independent medical practice even survive in this environment?

In a word, yes.

Not only can independent practices survive, they can thrive. The key to launching a successful independent practice is proper planning.­ Knowing what steps to take and what mistakes to avoid is critical to ensuring a sustainable, profitable practice.


Follow these five steps to get started down the right path:


Establish your motivation and mission


Understand why you want to work as a solo provider. Is there a financialreason? A desire for better work-life balance? Or do you wish to provide a different type of patient care, perhaps with a more personalized touch?

An appreciation of your motivations will help define your mission, which sets the framework for the kind of practice you will build and map out the steps to launch it. Even more importantly, your mission will serve as a grounding point, an ideal upon which you can continually reference to measure whether your practice is fulfilling its purpose.


Envision the future


Once your mission is clearly defined, set long-term goals for your practice. You can’t get there in one step, but you can certainly strive for it from Day One. For example, do you desire to become a patient centered medical home? Do you want to grow your practice to include ancillary services, such as behavioral health services or a sports medicine clinic? Do you want to launch your own line of supplements?

The type of practice you want to build will impact the tasks involved in starting it, such as getting credentialed with insurance companies, locating an initial space with room for future expansion and hiring individuals with the necessary skills to make your practice successful.


Create your brand


The combination of your mission and your vision becomes your “brand” of medicine. The culture and environment that you are creating influences how you market to your targeted patient population.

Invest the time and money up front to develop a memorable name, a strong logo and a mission statement that communicates to potential patients what your practice is all about. And remember that rebranding costs significantly more than branding, so it’s best to take a “measure twice, cut once” approach for marketing materials.

Develop a project plan


The single best way to make sure that you don’t miss a step in your planning is to acquire or develop a project plan. This plan should include a checklist of the items that need to be completed before practice launch as well as a list of ongoing tasks. Some examples of ongoing tasks include state and federal registrations, compliance, credentialing and contracting, marketing, hiring and human resource management.


Don’t let the number and complexity of tasks scare you. You can successfully open your practice if you educate yourself on what needs to be done and then set timelines for each task’s completion.


Find an appropriate location and space


The old adage is true: location IS everything. Be sure to conduct a thorough assessment of your market to determine if a potential location has the patient population you need to sustain your practice for the long-term.

Review population trends, community growth and new construction permits along with existing or planned locations of other private practices and hospitals. Don’t choose a location based on nostalgia for a neighborhood or what appears to be a bustling location. Do your research and base your decision on facts.

Also spend time researching what kind of space will work best for your practice — and your wallet. Finding a walk-in ready medical space or one that only needs a few cosmetic upgrades is a great way to keep costs down, as a full build-out can be very costly, time-consuming and expensive.

However, from time to time, an opportunity to purchase a location may come along, and that can benefit you by adding a real estate asset to your portfolio. Of course, consult your lawyer to ensure the property will be protected if a malpractice suit arises.

The work of opening a practice can be overwhelming, especially as a solo provider with no one to help with decision-making and administrative work, so many providers engage with an experienced consultant for direction and assistance. By acknowledging knowledge gaps, you’re helping to ensure you make the best decision for you that also makes the most business sense.

During this time, consider reaching out to colleagues who have been through the process and can share what worked for them and what didn’t. Mistakes are expensive, so don’t be afraid to reach out for help, especially if you can avoid making those mistakes in the first place.

Transitioning from an employed provider to a solo practice owner is a journey — a long and challenging journey — but an exciting one that can lead to professional contentment and financial success.

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Saturday, June 8, 2019