Effective Recruitment in a Challenging Environment Paul Kuo, MD, MS, MBA Chair, Department of Surgery Timothy O’Hern, MHA, CMPE Director, Physician Compensation October 26, 2014

In Crisis There is Opportunity

First Steps Demonstrate efficacy Success comes one step at a time. Partner and engage Try to be more positive (51%) than negative Present (your?) solutions Be comprehensive Better to be inclusive than exclusive Aim for the high ground Make things better Facilitate the success of others Try never to mention your previous institution Never speak glowingly about your last girlfriend with your spouse.

Exception Unless your previous institution has won the NCAAs …again!

Plan Create multi-disciplinary clinical programs to deliver cutting edge clinical care and distinction Create teams within the Dept. Invest limited resources in high value and high return projects Partner with health system Clinical strengths Big data, informatics and predictive analytics Expand our clinical and academic footprint Hub-and-spoke models and PSAs Research is academic marketing Operational efficiency

Effective Recruitment in a Challenging Environment Loyola’s Experience/History FY09 Loyola University Physician Foundation (LUPF) Loyola University Medical Center (LUMC) Loyola University Chicago (LUC), Stritch School of Medicine (SSOM) FY10 Loyola Univ. Physician Foundation votes to dissolve and Physicians integrates with Loyola University Medical Center Loyola University Chicago, Stritch School of Medicine FY12 Parent LUC sells LUMC to Trinity Health FY13 Trinity Health & Catholic Health East merge

Effective Recruitment in a Challenging Environment: Loyola’s Experience Loyola Surgery by the Numbers Fiscal Year Total FTE Total CFTE 06 30 23.20 07 33 24.45 08 32 24.75 09 29 22.48 10 24.72 11 24.24 12 39 27.31 13 41 29.39 14 44 33.17 LUMC/LUPF Integration LUMC Purchased by Trinity Health

Effective Recruitment in a Challenging Environment External Competition Kane: 5 Hospitals Cook: 46 Hospitals / 5 Academic DuPage: 6 Hospitals Will 3 Hospitals McHenry: 3 Hospitals Lake: 6 Hospitals LUMC Rush & UIC U of C NWMH Competition for Physicians in the Chicago area by county.

Effective Recruitment in a Challenging Environment External Competition: In a highly competitive physician market with multiple Hospitals/AMC’s we are often competing for the same physician resource. Competing based on compensation Resources for physicians and programs Often it’s not the salary that drives the discussion, but what can you provide to make them successful High degree of physician movement Established physicians within your practice leave for increased compensation, better resources or a perceived greater sense of value No need to pull up “roots” means change is a less painful to the physician, no need to pull the children from their school Physicians follow valued colleagues

Effective Recruitment in a Challenging Environment Internal Competition Academic Medical Centers often allow competing services making recruitment difficult when physicians want a carve out of services Surgery Ortho ENT Radiology Other CV Cardiology

Effective Recruitment in a Challenging Environment Integrated Systems, “A Double Edged Sword” Positive Recruitment not tied to department P/L allowing for faster growth Can help reduce internal competition and incentivize across departments View of recruitment as the big picture Negative Increased bureaucracy Slower Response to Opportunities Less flexibility once plans are in place Often expect faster results

Effective Recruitment in a Challenging Environment From a High Level, Challenges to Effective Recruitment Include: Having the Vision “It All Starts Here” Making the Business Case “No Margin No Mission” Knowing the Market Physician Availability Compensation Competition Internal External Always pushing forward “No Path is Always Smooth”

Always use this as the final slide in your presentation.