Diss Week 7 Feedback DDHA 8600
Hi XXX,
Hospitals in physician-led hospital systems had higher quality ratings across all
specialties and more inpatient days per hospital bed than did non-physician-led hospitals
however, there were no differences in the total revenue or profit margins between the
groups. Physician leadership was independently associated with higher average quality
ratings and inpatient days per bed. Large hospital systems led by physicians in 2015
received higher USNWR ratings and bed usage rates than did hospitals led by
nonphysicians, with no differences in financial performance. This study suggests that
physician leaders may possess skills, qualities, or management approaches that positively
affect hospital quality and the value of care delivered (Tasi et al., 2019).
Reference
Tasi, M., Keswani, A., & Bozic, K. (2019). Does physician leadership affect hospital quality
operational efficiency, and financial performance?. Health Care Management
Review, 44(3), 256-262. https://doi.org/10.1097/hmr.0000000000000173
Hi XXX,
Literature on health system transformation highlights the importance of physician
engagement, suggesting that it is a critical factor for lowering costs while improving
efficiency, quality of care, patient safety, physician satisfaction and retention.
"Engagement" in health care is often defined as a positive, fulfilling work-related state of
mind, which is characterized by vigor, dedication and absorption. The aim of this scoping
review is to identify factors associated with, and tools used to measure physician
engagement. This scoping review provides a strong evidence-based platform to further
advance knowledge in the area of physician engagement. The identification of
environmental factors assists hospital administrative leaders in understanding how they
might intervene to affect engagement, while the identification of individual characteristics
enable identification of vulnerable physicians, permitting identification of the most
pertinent targeted areas for focus (Perreira et al., 2018).
Reference
Perreira, T., Perrier, L., & Prokopy, M. (2018). Hospital Physician Engagement. Medical
Care, 56(12), 969-975. https://doi.org/10.1097/mlr.0000000000000983
Hi XXX,
The first step is more of an educational initiative; however, it is a critical one. In
short, everyone needs to have a similar baseline understanding to ensure that "physician
engagement" as a concept has the same meaning for all. Secondly, a standardized tool
needs to be developed to quantify the concept. Key indicators of physician engagement,
although preliminary, are identified in this paper (Perreira et al., 2018). To improve health
care overall, it is critical to have physician engagement at all three levels: the patient,
to work performance measures will help to better comprehend how organizations may
enhance engagement and is critical for hospital administrators and physician leadership in
developing and utilizing the suitable skills to improve engagement levels (Perreira, et al.,
2019)
Reference
Perreira, T., Perrier, L., Prokopy, M., Neves-Mera, L., & Persaud, D. D. (2019). Physician
engagement: A concept analysis. Journal of Healthcare Leadership, Volume 11, 101-
113. doi:10.2147/jhl.s214765
Perreira, T., Perrier, L., Prokopy, M., & Jonker, A. (2018). Physician engagement in
hospitals: A scoping review protocol. BMJ Open, 8(1). doi:10.1136/bmjopen-2017-
01883