1. 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

2. Personal Experience

3. The Way it Was in the Past

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

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

6. MGH Department of Surgery
Total Clinical Faculty Total Research Faculty Clinical Residents and Fellows Research Post-Docs and Fellows All Other Employees - 461

7. 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

8. 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)

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

10. 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.

12. 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