The Medical Executive Committee Manual

The Medical Executive Committee ManualMary J. Hoppa; William F. Mills

Your resource to build and support an effective medical executive committee
Physician leaders are pressed for time. Give them the knowledge and tools to confidently and effectively carry out their MEC responsibilities and comply with accreditors' standards.
This book will help MEC members understand their role in important medical staff functions, such as credentialing and privileging; competence assessment and peer review; physician contracts and alignment; and quality and patient safety. This book also helps MEC members understand their relationship to the medical staff, other committees, administrators, and the governing board.

Benefits
This book will serve as a guide and reference manual for how the MEC can effectively and efficiently carry out its duties, including:

• Methods for providing leadership that is fair, honest, and consistent
• Maximizing members' leadership skills and minimizing time spent in meetings
• The MEC's role in OPPE, FPPE, and peer review
• The MEC's role in physician contracting, physician-hospital alignment, and hospital strategies
• Communicating with the governing board and hospital administrators
  

View the Table of Contents
Chapter 1: Roles and Responsibilities of the Medical Staff, Management, and BoardQuality and Safety

• Board Responsibilities
• Organizational Charts
• Medical Staff Responsibilities
• Management Responsibilities
• Understanding Influence
  

Chapter 2: The Power of the Pyramid: How to Achieve Great Physician Performance

• Appoint Excellent Physicians
• Set, Communicate, and Achieve Buy-In to Expectations
• Measure Performance Against Expectations
• Provide Periodic Feedback
• Manage Poor Performance
• Take Corrective Action
  

Chapter 3: Appoint Excellent Physicians

• Guiding Principles
  

Chapter 4: Set, Communicate, and Achieve Buy-In to Expectations

• How to Develop Great Expectations
• Sample Performance Expectations
  

Chapter 5: Measure Performance Against Expectations

• Peer Review
• Special Circumstances in Peer Review

Chapter 6: Provide Periodic Feedback

• Ten-Step Process for Creating Physician Performance Reports
• Gaining Physician Buy-In to Reports
  

Chapter 7: Manage Poor Performance
Chapter 8: Take Corrective Action
Chapter 9: Medical Staff Bylaws and Rules and Regulations: The MEC's Role

• Composition of the MEC
• Attendance Requirements
• Code of Conduct
• Confidentiality
• Conflicts of Interest
• The "Minority Report"
• Implementing Change
• Bylaws, Rules and Regulations, Policies and Procedures
  

Chapter 10: Medical Staff Functions: The MEC's Role

• Regulatory Requirements
• Medical Staff Functions
• Information Flow
  

Chapter 11: Credentialing and Privileging: The MEC's Role

• Are Credentialing and Privileging the Same?
• Four-Step Process
• Expedited Credentialing
• Policy in Action
• Essential Credentialing and Privileging Policies
  

Chapter 12: Peer Review, Quality, and Patient Safety: The MEC's Role

• Terms to Know
• Peer Review
• Managing Loose vs. Managing Tight
• Managing System Performance
• Four Components of Patient Safety
• Organizational Performance Improvement
• What the MEC Can Do
  

Chapter 13: FPPE and OPPE: The MEC's Role

• What Is FPPE?
• What Is OPPE?
• The Six Core Competencies
• Performance Improvement Plan Oversight
  

Chapter 14: Managing Professional Conduct: The MEC's Role

• Protecting a Culture of Safety
• Medical Staff Code of Conduct Policy
• Legal and Regulatory Obligation to Address Conduct Issues
• Performance Pyramid to Address Conduct
  

Chapter 15: Physician Contracts: The MEC's Role

• Clinical Services Contracts
• Quality Oversight
• Annual Contract Review
  

Chapter 16: Strategic Collaboration With the Hospital: The MEC's Role

• The Right Number
• The Right Type of Physician
• The Right Quality
• The Right Relationship to the Hospital
• The Right Medical Staff Culture
• The Right Structure and Processes
• The Right Leadership
  

Chapter 17: Physician and Hospital Alignment: The MEC's Role

• What Is Alignment?
• Physician and Hospital Success
• Clinical Integration
• Economic Integration
• Cultural Integration
  

Chapter 18: Physician Leadership

• Identify Potential Leaders
• Recruit Leaders
• Develop and Educate Leaders
• Reward Leaders
• Apply the Pyramid
• Am I a Leader?
  

Chapter 19: Physician Leadership Tool Kit

• Communication
• Influence
• Managing Personalities
• Polarity Management
  

Chapter 20: Effective MEC Meetings

• Assess Physician Leaders' Management Style
• Planning Effective Meetings
• Developing the Agenda
• Running Effective Meetings
• Encouraging Cooperation of Meeting Participants
• Decision Making Guidelines for Physician Leaders
  

Chapter 21: Your Turn: Implement and Improve

• Final Thoughts
• Your Turn