Creating the Best Administrative Team – And Then Working Together…

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Presentation transcript:

Creating the Best Administrative Team – And Then Working Together… Association of Academic Surgical Administrators Annual Meeting San Diego, CA Keith D. Lillemoe, M.D. Chief of Surgery Massachusetts General Hospital

Personal Experience

The Way it Was in the Past

MGH Department of Surgery – Structure within the System Partners HealthCare Harvard Medical School MGH/MGPO and “family” Institutions Department of Surgery MGH Centers

MGH Department of Surgery Clinical Divisions – 12 Research Centers - 4 Total Revenue - $130,000,000 Total Research Expenditures - $60,000,000

MGH Department of Surgery Total Clinical Faculty - 136 Total Research Faculty - 104 Clinical Residents and Fellows - 124 Research Post-Docs and Fellows - 149 All Other Employees - 461

MGH Department of Surgery Executive Administrative Group (“EAG”) Department Central Administration Chair Senior Vice President Executive Director Finance Director Administrative Director for Research Senior Administrative Director Executive Assistant Ad Hoc Attendees

MGH Department of Surgery Administration (cont.) Central Departmental Support Quality & Safety Program Director (1) Managers (10) Data Managers (1) Grant/Research Managers (8) Residency Manager (1) Finance/Project Specialist Cross-coverage of Director/Managers: Education Mission Community/Global Health Division Administrators Senior Administrative Directors (2) Transplant Surgery/Transplant Center General Surgery/Surgical Oncology/Community Surgery Administrative Directors (4) Cardiac Surgery/Heart Center Pediatric/Burn/Plastic Vascular/Thoracic/Laryngeal Trauma/ACS/Surg Crit Care/OMFS Managers (12) Administrative/Practice Managers (12)

MGH/MGPO Resources Strong Partnership with Hospital/PO Resources Network Development Philanthropy Marketing Quality & Safety Education Community/Global Health Research Management

Keys to Creating “The Team” Comfort/Fit. Balance Personalities with “Institutional Memory”. Recruit the Best Athlete Available – then retain. Positions with Autonomy, Responsibility and Resources. Understanding the “Surgeon Mentality”. Diverse set of skills and talents.

Keys to Working Together Communication: Regularly Scheduled Agenda-Driven Meetings Listen: “You are not always the brightest bulb on the tree” Trust and Transparency Commitment to the Job: Prioritize Engagement of Other Departmental Leaders and Faculty Manage People Hold Everyone Accountable