Presentation is loading. Please wait.

Presentation is loading. Please wait.

IAMSS 36th Annual Education Conference May 18, 2017

Published byErika Scott Modified over 6 years ago

Similar presentations

Presentation on theme: "IAMSS 36th Annual Education Conference May 18, 2017"— Presentation transcript:

1 IAMSS 36th Annual Education Conference May 18, 2017
WHO ME? Understanding and Managing the Disruptive Practitioner James L. Nevin, MD, VPMM

2

3 UNDERSTANDING DISRUPTIVE BEHAVIOR
Captain-of-the-Ship Doctrine

4 INDIVIDUAL FACTORS Dealing with High Stakes / Emotional Situations
Fatigue Self-Centeredness / Immaturity / Defensiveness

5 SYSTEMIC FACTORS Increased productivity demands
Cost containment requirements Embedded hierarchies Fear of litigation

6 MORE SYSTEMIC FACTORS Roles/values of professional on the health care team Daily flux in shifts/rotations/staff Communication challenges

7

8 UNREPORTED DISRUPTIVE BEHAVIOR ENABLES THE BEHAVIOR
Normalized deviance Fear of retaliation Perceived consequences of reporting high revenue generating physicians

9 THE CONSEQUENCES OF DISRUPTIVE BEHAVIOR
Increases medical errors Increases preventable errors Increases cost of care

10 STILL MORE CONSEQUENCES
Increases turnover of qualified personnel Decreases patient safety and satisfaction

11

12 DISRUPTIVE BEHAVIOR INCLUDES:
Intimidation Verbal outbursts Physical threats

13 BUT WAIT – THERE’S MORE... Uncooperative attitudes
Reluctance / refusal to answer questions Failure to return phone calls / pages

14 AND MORE….. Condescending language Impatience with questions

15 INTIMIDATING AND DISRUPTIVE CANNOT BE TOLERATED
Threatens patient safety Creates unhealthy / hostile work environments Creates unnecessary risk

16 DISRUPTIVE BEHAVIOR MUST NOT BE TOLERATED
Team effectiveness is undermined Impedes reporting of events Destroys trust

17

18 MANAGING DISRUPTIVE BEHAVIOR
Medical staff bylaws Hospital code of conduct Clearly communicate to physicians staff expectations regarding behavior to the entire healthcare team

19 IMPLEMENT POLICIES AND PROCEDURES THAT ADDRESS DISRUPTIVE BEHAVIOR
Reduce fear of intimidation and retaliation Hold all team members accountable for behavior Be consistent and fair

20 EDUCATION AND COACHING FOR PHYSICIANS/NON-PHYSICIAN LEADERS
Provide skills-based training Reinforce appropriate behavior Communicate, communicate, communicate

21 CREATE A CULTURE OF RESPECT, TRANSPARENCY AND JUSTICE
Changing a culture takes time It comes from the top It’s a journey, not a destination

22 Thanks for letting me disrupt your day. Any questions?

23

Download ppt "IAMSS 36th Annual Education Conference May 18, 2017"

Similar presentations

When Good Doctors Go Bad

When Good Doctors Go Bad
Mongolia Sub-national situation of patient safety D. Doljin, Director, Regional Diagnostic and Treatment Center for Eastern provinces (Dornod, Sukhbaatar.

Mongolia Sub-national situation of patient safety D. Doljin, Director, Regional Diagnostic and Treatment Center for Eastern provinces (Dornod, Sukhbaatar.
Just Culture www.justculture.org. Just Culture is about: Creating an open, fair, and just culture Creating an open, fair, and just culture Creating a.

Just Culture Just Culture is about: Creating an open, fair, and just culture Creating an open, fair, and just culture Creating a.
Promoting a Culture of Quality, Safety and Respect: Addressing Inappropriate & Disruptive Behavior Continuous Quality Improvement Brown Bag July 21, 2009.

Promoting a Culture of Quality, Safety and Respect: Addressing Inappropriate & Disruptive Behavior Continuous Quality Improvement Brown Bag July 21, 2009.
Unprofessional or Disruptive Behavior Impact on Patient Care, Medical Errors, Working and Learning Environments American Association of Veterinary Clinicians.

Unprofessional or Disruptive Behavior Impact on Patient Care, Medical Errors, Working and Learning Environments American Association of Veterinary Clinicians.
1 Behaviors that Undermine a Culture of Safety. 2 Presence Health’s Commitment Consistent with its Mission, Vision, Values and Ethical and Religious Directives.

1 Behaviors that Undermine a Culture of Safety. 2 Presence Health’s Commitment Consistent with its Mission, Vision, Values and Ethical and Religious Directives.
2011 Areas for Improvement 20092011 53%60% 20092011 49%52%

2011 Areas for Improvement %60% %52%
© Copyright, The Joint Commission Joint Commission Update National Credentialing Forum San Diego, California February 5, 2015 Paul Ziaya MD Field Director.

© Copyright, The Joint Commission Joint Commission Update National Credentialing Forum San Diego, California February 5, 2015 Paul Ziaya MD Field Director.
Bullying Prevention and Intervention in Needham Public Schools ALL COACHES’ MEETING AUGUST 30, 2010 Tom Denton Director of Guidance.

Bullying Prevention and Intervention in Needham Public Schools ALL COACHES’ MEETING AUGUST 30, 2010 Tom Denton Director of Guidance.
Just Culture Assessing Readiness – Focus on Process Jill Hanson Certified Just Culture™ Champion WHA 1.

Just Culture Assessing Readiness – Focus on Process Jill Hanson Certified Just Culture™ Champion WHA 1.
What do patients and families need to know when errors occur? Susan Moffatt-Bruce MD, PhD, FACS, FRCS(C) Chief Quality and Patient Safety Officer Associate.

What do patients and families need to know when errors occur? Susan Moffatt-Bruce MD, PhD, FACS, FRCS(C) Chief Quality and Patient Safety Officer Associate.
NYSHOEA Fall Conference Consistency in the Workplace Terry McSweeney NYSUT Research and Educational Services October 24, 2014.

NYSHOEA Fall Conference Consistency in the Workplace Terry McSweeney NYSUT Research and Educational Services October 24, 2014.
HORIZONTAL VIOLENCE in the Workplace BY Mary Jo Whitacre RN MSN.

HORIZONTAL VIOLENCE in the Workplace BY Mary Jo Whitacre RN MSN.
Customer ServiceMaking it Personal Lets work together to cut it out………….. Speaker Name & Title Supporting “Leading the Way”

Customer ServiceMaking it Personal Lets work together to cut it out………….. Speaker Name & Title Supporting “Leading the Way”
Interprofessional Education M. David Stockton, MD, MPH Professor Department of Family Medicine UT Graduate School of Medicine Sept. 4, 2013.

Interprofessional Education M. David Stockton, MD, MPH Professor Department of Family Medicine UT Graduate School of Medicine Sept. 4, 2013.
© 2009 On the CUSP: STOP BSI Nurse Empowerment.

© 2009 On the CUSP: STOP BSI Nurse Empowerment.
1 Disability Behaviors Kathleen Furneaux Director of Operations Pupil Transportation Safety Institute Syracuse, New York.

1 Disability Behaviors Kathleen Furneaux Director of Operations Pupil Transportation Safety Institute Syracuse, New York.
Four Actions The Hospitalist’s Role in Patient Safety Mark B. Reid, MD Division of Hospital Medicine Denver Health Medical Center University of Colorado:

Four Actions The Hospitalist’s Role in Patient Safety Mark B. Reid, MD Division of Hospital Medicine Denver Health Medical Center University of Colorado:
CSTS Staff Empowerment Christine A. Goeschel ScD MPA MPS RN.

CSTS Staff Empowerment Christine A. Goeschel ScD MPA MPS RN.
The Disruptive Physician Federation of State Physician Health Programs 2010 Annual Meeting Doris C. Gundersen, MD Medical Director Colorado Physician Health.

The Disruptive Physician Federation of State Physician Health Programs 2010 Annual Meeting Doris C. Gundersen, MD Medical Director Colorado Physician Health.

Similar presentations

Ads by Google