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Guidelines for Being a Successful Medical Staff Services Leader - Part I

This guest blog post by Vicki Searcy, Vice President, Client Success and Consulting, from Verity, A HealthStream Company, is the first of two examining the role of the Medical Staff Services Leader.

In most hospitals, the medical staff organization is supported by one or more medical staff professionals (MSPs). These individuals may be called by different titles, but their key responsibilities relate to supporting the work of the hospital and medical staff organization related to credentialing and privileging; which encompasses a lot of functions including development of practitioner profiles that provide information about competency of granted privileges, management of medical staff governance meetings, etc.

Although MSPs interact at some point with most of the members of the medical staff organization, individuals granted clinical privileges and many individuals who work for the organization; key relationships are with elected and appointed medical staff leaders. Since medical staff leaders are subject to periodic change (particularly in organizations where leaders are elected – which is still how the majority of medical staff leaders find themselves in a leadership position), MSPs are learning to work with a wide variety of personalities, as well as with leaders who may or may not be well-prepared for their new position. MSPs want all medical staff leaders to be successful – because the success of medical staff leadership contributes to their success and to the overall success of the entire healthcare organization. MSPs usually are quite passionate about the impact that the work of the medical staff organization has upon patient safety – they want to be part of your success.

What do MSPs have to say about what it takes to be a successful leader? Here is advice to medical staff leaders that I have gathered during my 30 years of work with healthcare organizations:

Understand your responsibilities

Many medical staff leaders attend various conferences to learn about their roles and responsibilities and how to be successful as a medical staff leader. Education about roles and responsibilities is critical – whether it means attending a seminar, having an internal orientation program, or reading material targeted towards medical staff leaders. All of these things can help a medical staff leader avoid being a mediocre or poor leader.

Set important, achievable goals

It is very sad when a Medical Staff President says that his/her goal for the year is to just get through the term of office without having a hearing or any “black marks” from the Joint Commissioner from CMS. I’m currently working with a medical staff organization where the legacy of the current leaders will be the design and implementation of a robust criteria-based privileging system. Which legacy is going to give a medical staff leader the most satisfaction and be most important to excellent patient care? You be the judge.

Take action when necessary

Hoping that a problem (such as a disruptive physician, a lack of performance data to be used for evaluation of competency of physicians, etc.) will just go away or will be solved without any intervention is not a viable solution. These problems never just go away.

Lead by example

As a medical staff leader, you need to complete your records on time, adhere to medical staff and hospital policies and procedures, etc. in order to be a credible leader. I remember the time when the Chief of Staff at my hospital talked to the medical staff (at the urging of hospital administration) about wearing professional attire while in the hospital. The Chief of Staff was wearing what could only be described as clothing appropriate for the beach –not in the hospital (where the meeting was being held, by the way). As he spoke, there were loud snickers from the physicians who were attending the meeting and the message was lost.

Develop a great working relationship with the MSPs

Have a standing weekly meeting with the director of the medical staff office. This should be rather obvious as most staff in the medical staff office want to provide support and services to make doing your job more manageable. Meet them halfway and they will almost always do what it takes to help make your term of office a success.

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