Working with Hospital Administration: Strategies for Success

Abstract

Organizational structure has evolved over the past several decades, with physicians assuming more or fewer leadership positions over time. Regardless of the role of physicians in health care organizational leadership, constant meaningful communication with the hospital, radiology group, or greater physician group administrative leadership is vital for any group of IR physicians to be successful. Understanding what is considered important to hospital administration and, in particular, being closely aligned with the C-suite leadership, is paramount to having successful communication with these stakeholders. Although each situation will obligatorily be unique, certain themes can be followed to optimize the working relationship between an interventional radiology service and organizational administration. This article provides guidelines and suggestions specifically in communicating with health care system leadership.

Keywords

interventional radiology - organizational management - strategy - communication - alignment

Publication History

Article published online:
02 November 2023

• References

• 1 Ray Jr CE. The relationship between IR and administration: the importance of alignment. Semin Intervent Radiol 2022; 39 (06) 545-546
• 2 Hawkins CM, Duszak Jr R, Hughes DR. et al. Defining the value of interventional radiology to healthcare stakeholders: proceedings from a Society of Interventional Radiology Research Consensus Panel. J Vasc Interv Radiol 2021; 32 (07) 1088.e1-1088.e8
• 3 CMS. Accessed July 2, 2023 at: https://www.cms.gov/medicare/fraud-and-abuse/physicianselfreferral/downloads/section_6001_of_the_aca.pdf
• 4 Harvin A, Griffith N, Weber RJ. Physicians as executives: opportunities and strategies for health-system pharmacy leaders. Hosp Pharm 2014; 49 (10) 985-991
• 5 American Hospital Association and American Medical Association Joint Position Statement. 2015 (online). Accessed May 30, 2023 at: https://www.ama-assn.org/press-center/press-releases/aha-and-ama-offer-new-guiding-principles-integrated-leadership#:~:text=CHICAGO%20%E2%80%94%20To%20provide%20guidance%20on%20best%20practices,and%20cohesive%20decision-making%20at%20hospitals%20and%20health%20systems
• 6 Sarto F, Veronesi G. Clinical leadership and hospital performance: assessing the evidence base. BMC Health Serv Res 2016; ;16 Suppl 2(Suppl (Suppl. 02) 169
• 7 Hospital Review. Accessed July 2, 2023 at: https://www.beckershospitalreview.com/rankings-and-ratings/the-7-highest-paid-health-system-ceos.html
• 8 American Hospital Association. Accessed July 2, 2023 at: https://www.aha.org/costsofcaring
• 9 American Hospital Association. Accessed July 2, 2023 at: https://www.aha.org/2022-09-07-rural-hospital-closures-threaten-access
• 10 Medical and Health Services Managers. Accessed July 2, 2023 at: https://www.bls.gov/ooh/management/medical-and-health-services-managers.htm
• 11 Drabkin MJ, Donaldson J, Fogel J. et al. Radiology and political advocacy: characterizing radiology political action committee donors. Curr Probl Diagn Radiol 2019; 48 (05) 448-451
• 12 Sweeney AM, Wadhwa V, Farrell JJ, Makary MS. Interventional radiology education for improving primary care provider awareness. Curr Probl Diagn Radiol 2022; 51 (03) 308-312
• 13 Rodgers B, Rodgers KA, Chick JFB, Makary MS. Public awareness of interventional radiology: population-based analysis of the current state of and pathways for improvement. J Vasc Interv Radiol 2023; 34 (06) 960-967.e6
• 14 Finance and Business Strategy. Accessed July 2, 2023 at: https://www.hfma.org/topic/finance-and-business-strategy/
• 15 Land T. Service lines: an organizing framework for a value-based world. Front Health Serv Manage 2021; 37 (03) 1-3
• 16 AHA-AONE-AAPL-AHAPA issue Brief. A model for clinical partnering: how nurse and physician executives use synergy as strategy. Accessed May 21, 2923 at: https://www.aha.org/system/files/2018-08/plf-issue-brief-clinical-partnering.pdf
• 17 AMA Journal of Ethics. Accessed July 2, 2023 at: https://journalofethics.ama-assn.org/article/evolving-roles-health-care-organizations-community-development/2019-03
• 18 Singh SR, Young GJ, Daniel Lee SY, Song PH, Alexander JA. Analysis of hospital community benefit expenditures' alignment with community health needs: evidence from a national investigation of tax-exempt hospitals. Am J Public Health 2015; 105 (05) 914-921
• 19 Cronin CE, Singh SR, Turner JS, Evashwick CJ. Hospitals' contributions to their communities: Should they be regulated?. Front Public Health 2022; 10: 1064210
• 20 U.S. Bureau of Labor Statistics. Accessed July 2, 2023 at: https://www.bls.gov/opub/ted/2020/number-of-hospitals-and-hospital-employment-in-each-state-in-2019.htm
• 21 Fels. Accessed July 2, 2023 at: https://www.fels.upenn.edu/recap/posts/1071
• 22 DeChant P. Building bridges between practicing physicians and administrators. American Medical Association. 2021 (online). Accessed June 2, 2023 at: https://www.ama-assn.org/practice-management/reducing-administrative-burden/building-bridges-between-practicing-physicians
• 23 Rose MR, Colones RL, MacDonald K. How health systems can improve relationships with their doctors. Harvard Business Review. Accessed May 20, 2023 at: https://hbr.org/2022/10/how-health-systems-can-improve-relationships-with-their-doctors