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Physician Policies - A Practical Guide to Governance Issues

Includes 99 policies, procedures and sample forms!


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Each day, medical practice administrators face a variety of operational challenges regarding physician employment contracts, time off, going part-time, disruptions, seniority pay and more.

This best-selling manual has been revised to assist practice administrators in setting policies and procedures for managing physicians on a day-to-day basis – from recruitment, contracting, retention, discipline and retirement. This manual is applicable for nearly any size physician practice.

This book is your one-stop resource for addressing these pressing issues — helping you maintain succinct, comprehensive policies and procedures that identify your medical practice’s philosophy, while ensuring efficiency, consistency and quality in the services provided to your patients.

The MGMA-ACMPE physician policies manual provides you with time-tested policies on physician governance, including:

  • Employment, recruitment and relocation
  • Physician employment contracts
  • Buy-in/buy-out agreements
  • Part-time physicians
  • Call coverage
  • Governing boards
  • Stipends, CEUs, and loan repayment
  • Physician training and orientation
  • Clinical care
  • E-Prescribing
  • Clinical guidelines
  • Quality improvement
  • Risk management
  • PQRS
  • Patient relations and care coordination
  • Physician satisfaction surveys
  • Physician compacts
  • Peer review
  • Communicating test results

Published by MGMA-ACMPE, 2011,  336pp., ISBN 978-56829-386-8

Listen to author Marshall Baker as he explains what you’ll learn from

Physician Policies

PART I - EMPLOYMENT

Chapter 1 - Recruitment

  • 1.1 Recruitment Policy
  • 1.2 Relocation Policy
  • 1.3 Physician Employment Contracts and Agreements Policy
  • Sample: Physician Employment Agreement
  • Sample: Employment Contract
  • 1.4 Part-Time Physicians Policy
  • 1.5 Locum Tenens Policy
  • 1.6 Retention Programs Policy
  • 1.7 Orientation Policy
  • Sample: New Physician Checklist 1
  • Sample: New Physician Checklist 2
  • Sample: Employment Checklist for New Physicians
  • 1.8 Physicians without Board Certification Policy
  • 1.9 Credentialing Policy
  • 1.10 Provider ID Policy

Chapter 2 - Benefits  

  • 2.1 Benefits and Eligibility Policy
  • Sample: Summary of Physician Benefits
  • 2.2 Time Off Policy (Illness, Injury, Vacation, Professional Development)
  • Sample: Leave Request Form
  • 2.3 Leave without Pay Policy
  • 2.4 Holiday and Paid Time Off Policy
  • 2.5 Insurance Policy
  • 2.6 Disability Policy
  • 2.7 Professional Liability Insurance Policy
  • 2.8 Interruption of Service Policy
  • 2.9 Bereavement Leave Policy
  • 2.10 Military Leave Policy
  • 2.11 Phones and Pagers Policy
  • 2.12 Cars and Mileage Reimbursement Policy
  • 2.13 Retirement and Semi-Retirement Policy
  • 2.14 Retirement Planning Policy
  • Sample: Pre-Retirement/Slowdown Policy
  • 2.15 Succession Planning Policy
  • Sample Letter 1: Physician Retirement
  • Sample Letter 2: Physician Relocation
  • Sample Letter 3: Physician Relocation
  • Sample Letter 4: Practice Notification of Physician Relocation
  • Sample Letter 5: Physician Relocation
  • Sample Letter 6: Referring Physicians
  • 2.16 Professional Development/Education Policy

Chapter 3 - Compensation

  • 3.1 Compensation Policy
  • Sample: Physician Compensation Formula
  • Sample: Physician Compensation Methodology Plan
  • 3.2 Licensure Policy
  • 3.3 Board Certification and Registration Policy
  • 3.4 Medical Directorship Policy
  • 3.5 Loan Repayment/Education Debt Forgiveness Policy
  • 3.6 Professional Development Policy
  • Sample: CME Discretionary Budget
  • 3.7 Stipends Policy
  • 3.8 Governing Board Policy
  • 3.9 Call Coverage Policy
  • 3.10 Pay for Administrative Duties Policy
  • 3.11 Seniority Pay Policy

PART II - CLINICAL PRACTICE

Chapter 4 - Clinical Competency

  • 4.1 Physician Training Policy
  • 4.2 Physician Training and CME Reimbursement Policy
  • Sample: Request for Coverage of Education or Credentialing Expenses
  • 4.3 Documentation of Patient Care Policy
  • 4.4 Electronic Signatures Policy
  • Sample: Clinical Record Signature Attestation Statement
  • 4.5 E-Prescribing Policy
  • 4.6 Peer Review Policy
  • Sample: Peer Assessment Form
  • Sample: Peer Physician Review
  • 4.7 Referrals Policy
  • Sample: Referring Physician Survey
  • 4.8 Use of EHR System Policy
  • 4.9 Clinical Guidelines Policy

Chapter 5 - Quality

  • 5.1 Quality Improvement/Risk Management Policy
  • Sample: Performance Improvement Program
  • 5.2 Electronic Health Records Policy
  • 5.3 NPP Supervision Policy
  • 5.4 Virtual Consultations/E-mailing Patients Policy
  • Sample: Internet and E-mail Use Policy
  • Sample: User Consent to Use Practice Internet
  • 5.5 Communicating Test Results Policy
  • 5.6 Coordination of Care Policy
  • 5.7 Charge Capture Policy
  • 5.8 Physician Quality Reporting System Policy

Chapter 6 - Patient Relations

  • 6.1 Patient Relations Policy
  • Sample: Top 10 Customer Service Standards of Excellence
  • Sample: Customer Service Code of Conduct
  • Sample: If Disney Managed Your Practice
  • 6.2 Patient Satisfaction Survey Policy
  • Sample: Patient Satisfaction Survey
  • 6.3 Physician—Patient Communication Policy
  • 6.4 Patient Discharge and Practice Restriction Policy
  • Sample: Patient Discharge Letter
  • 6.5 Patient Rights/Responsibilities Policy

PART III - PROFESSIONALISM

Chapter 7 - Behavior and Performance

  • 7.1 Position Descriptions Policy
  • Sample: Job Description Form for Clinic Physician
  • 7.2 Code of Conduct Policy
  • 7.3 Code of Ethics Policy
  • 7.4 Mission, Vision, Values, and Expectations Policy
  • 7.5 Call Schedule Policy
  • Sample: Anesthesiology Call Coverage Policy
  • 7.6 Performance Appraisal/Evaluation Policy
  • 7.7 Problem Resolution/Grievance Process Policy
  • 7.8 Substance Abuse/Impairment Policy
  • 7.9 Workplace Harassment Policy
  • 7.10 Personal Appearance and Dress Code Policy
  • 7.11 Satisfaction Surveys Policy
  • 7.12 Unions Policy
  • 7.13 Probation/Termination Policy
  • 7.14 Disruptive Physician Policy
  • 7.15 Disruptive Behavior Reporting Policy
  • 7.16 Privacy Policy
  • 7.17 Confidentiality Policy
  • 7.18 Burnout Avoidance Policy

Chapter 8 - Citizenship

  • 8.1 Shareholder/Ownership Track Policy
  • 8.2 Buy-In and Buy-Out Agreement Policy
  • Sample: Buy-In and Buy-Out Agreement
  • 8.3 Physician Compacts Policy
  • Sample: Physician Compact
  • 8.4 Board Meeting Schedule Policy
  • 8.5 Effective Meetings Policy
  • Sample: Meeting Agenda Template
  • 8.6 Committee Participation Policy
  • 8.7 Executive Committee Policy

Chapter 9 - External Relations

  • 9.1 Professional Courtesy Policy
  • 9.2 Gifts Policy
  • 9.3 Noncompete Policy
  • 9.4 Outside Activities Policy
  • 9.5 Patents and Royalties Policy
  • 9.6 Risk Management Policy
  • Sample: Pharmaceutical Rep Interaction
  • 9.7 Business Ethics Policy
  • Sample: Code of Ethics for Professional Staff
  • 9.8 Expert Witness Policy
  • 9.9 Consulting and Speaker Roles Policy
  • Sample: Educational Presentation Policy
  • 9.10 Samples to Patients Policy
  • 9.11 Whistleblower Policy
  • 9.12 Internet Usage Policy
  • Sample: Internet Security Policy
  • Sample: Information Security and Confidentiality Agreement
    Appendix

Marshall M. Baker, FACMPE

Baker is an experienced healthcare executive, administrator, educator and consultant. He has provided assistance to individuals and organizations addressing all aspects of healthcare management and planning.

His areas of focus include strategic positioning, group practice governance, operations assessment/process improvement and group practice organizational structure.

With more than 35 years in medical group practice – he has served as the executive for both single specialty and multi-specialty medical group practices as well as a consultant to hospitals, health systems and physician groups. Baker is the current president Accreditation Association for Ambulatory Health Care and a judge for the HealthLeaders Top Leadership Teams competition.

He is a past president of the American College of Medical Practice Executives, the Ambulatory Surgery Center Assembly of MGMA, Ohio MGMA and New Mexico MGMA. He has served as chair of numerous MGMA committees and task forces.

Kenneth M. Hekman, MBA, FACMPE

Hekman established The Hekman Group as a healthcare consulting firm in 1990, guided by his passion and intuition to help physicians make wise business decisions.

He is also the president of Health Development International, a non-profit organization dedicated to bringing sustainable healthcare to developing countries, and has personally served over 400 healthcare organizations on five continents with a distinctive blend of organizational development insights and visionary leadership.

He helps physicians and healthcare leaders discern their business opportunities and develop sustainable strategies through technical analysis, honest reflection and consensus building. He functions as an organizational anthropologist, dissecting and building a culture of performance.

Hekman is the author of six healthcare management books. A continuous learner, Ken holds an MBA in marketing and business strategy, and is a Fellow in the American College of Medical Practice Executives.

Excerpt

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