1. 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

2. In Crisis There is Opportunity

3. 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.

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

5. 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

7. 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

8. 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

9. 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.

10. 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

11. 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

12. 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

13. 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”

14. Always use this as the final slide in your presentation.