Be Prepared! Structuring Group Governance to Address Behavioral Issues Will Latham Latham Consulting Group

Why Do We Have Disruptive Behavior? Because We Tolerate It

Why Do We Tolerate It? Because We Are Conflict Avoiders

Conflict Style CompetingCollaborating AvoidingAccommodating Assertive Passive Uncooperative Cooperative

Whats The Real Problem Here? We Focus Here

Whats The Real Problem Here? We Should Focus Here

What Do We Do? Strengthen Our Ability to Deal With It

1.How will the group make decisions? 2.What is expected of each physician once the group has made a decision? 3.What are the options if a physician doesnt like a decision? Decision-Making

Disruptive Physicians x x x x x x x x x

x x x x x x x x x

x x x x x x x x x Code of Conduct

Questions: – What behaviors do we expect of each other? What is acceptable to us? What is inappropriate? – What are some of the unwritten rules that guide our behavior? – What are the rights and responsibilities of each physician? Set expectations for: – Interactions between physicians. – Interactions with employees. – Interactions with those outside the group. – Practice management responsibilities. – Support of group decisions, established goals and policies. Code of Conduct

Deal with Problem Physicians Prevention: – Code of Conduct – Recruitment process – Mentoring – Peer Evaluation Process Enforcement: – Disciplinary Enforcement Process