1. Be Prepared! Structuring Group Governance to Address Behavioral Issues Will Latham Latham Consulting Group

2. Why Do We Have Disruptive Behavior? Because We Tolerate It

4. Why Do We Tolerate It? Because We Are Conflict Avoiders

5. Conflict Style CompetingCollaborating AvoidingAccommodating Assertive Passive Uncooperative Cooperative

6. Whats The Real Problem Here? We Focus Here

7. Whats The Real Problem Here? We Should Focus Here

8. What Do We Do? Strengthen Our Ability to Deal With It

9. 1.How will the group make decisions? 2.What is expected of each physician once the group has made a decision? 3.What are the options if a physician doesnt like a decision? Decision-Making

10. Disruptive Physicians x x x x x x x x x

11. x x x x x x x x x

12. x x x x x x x x x Code of Conduct

13. Questions: – What behaviors do we expect of each other? What is acceptable to us? What is inappropriate? – What are some of the unwritten rules that guide our behavior? – What are the rights and responsibilities of each physician? Set expectations for: – Interactions between physicians. – Interactions with employees. – Interactions with those outside the group. – Practice management responsibilities. – Support of group decisions, established goals and policies. Code of Conduct

14. Deal with Problem Physicians Prevention: – Code of Conduct – Recruitment process – Mentoring – Peer Evaluation Process Enforcement: – Disciplinary Enforcement Process