ACMPE Professional Paper Topic and Outline American College of Medical Practice Executives Professional Paper Topic and Outline EXPLORATORY Title “Medical Practice Leadership and an Integrated Body of Knowledge” Introduction An interesting thing happens when you accept the leadership of a complex medical practice. You discover, very quickly, that you need to know stuff! This is precisely why every medical practice leader needs two things: 1. A clear and rational thinking process, and 2. A professional and robust body of knowledge. Objectives This proposed, exploratory paper will focus on four issues directly related to leadership thinking and knowing in contemporary medical practices: What is the theory underlying contemporary leadership thinking? How does leadership thinking apply to complex organizations? How does leadership thinking apply to a medical practice? What does a medical practice leader need to know? Research Methodology The research methodology of the proposed paper will be a comprehensive literature review of leadership thinking in medical practices. Additionally, the proposed paper will develop and present a heuristic model of medical practice leadership thinking [based on a general systems paradigm] that provides structure for the identification and evaluation of a specific body of knowledge. Background There is no uniform standard to apply to the method, process, skills, content, or evaluation of leadership thinking in medical practices. Contemporary literature does not identify a standard theory of understanding a complex organization like a medical practice. ACMPE has identified a Body of Knowledge [BOK] that addresses the issue of professional knowledge for a medical practice leader. The inductive approach of ACMPE can be complemented by a deductive approach that is grounded in contemporary general systems thinking. The combination of a systems mental model of complex medical practices and an integrated body of knowledge seems appropriate for use in contemporary medical practices. 1 ACMPE Professional Paper Topic and Outline Key Points The identification of a leadership thinking heuristic is essential to rationalizing the leadership process in contemporary medical practices. A leadership thinking heuristic will be identified that covers aspects of the theory, application, and practice of medical practice leadership. Five steps of a leadership thinking process will be identified and discussed in detail. The theory of general systems will provide the conceptual model for a discussion of how complex organizations actually work. The leadership thinking heuristic will subsequently be applied to management of medical group practices. The application process will give rise to a discussion of ACMPE’s Body of Knowledge [BOK] and its place in the leadership thinking process. A Systems body of knowledge will be identified that complements the contents of the ACMPE BOK. An integration of the two BOKs will be made and the benefits of the newly integrated BOK will be described. A Strategic Planning Worksheet will be provided that operationalizes all aspects of the leadership thinking heuristic and the integrated body of knowledge. Numerous graphic depictions of concepts presented in the paper will be provided within the text of the paper. Relevance to Medical Practice Management: The systems approach [mental model] presented in this exploratory paper could be used immediately by any medical practice leader to identify the components of the organization and respond with appropriate strategic and tactical skills. Additionally, the integrated BOK presented in the proposed paper provides a comprehensive and detailed picture of what a medical practice leader actually needs to know on the job. Expected Findings The intended outcomes of the proposed, exploratory paper are two: 1. The identification of a leadership thinking process applicable to management within contemporary medical practices, and 2. The presentation of an integrated approach to a professional body of knowledge for medical practice leadership. 2 ACMPE Professional Paper Topic and Outline American College of Medical Practice Executives Professional Paper Topic and Outline OUTLINE “Medical Practice Leadership and an Integrated Body of Knowledge” 1. Introduction 1.1. Contemporary leadership 1.2. Complex organizations 1.3. Medical practices 1.4. Body of knowledge 1.5. Leadership thinking heuristic 1.6. Theory, application, and practice 2. Body 2.1. What is the theory underlying contemporary leadership thinking? 2.1.1. Theory 2.1.1.1. Order 2.1.1.2. Understanding 2.1.1.3. Purpose 2.1.1.4. Behavior 2.1.1.5. Reflection 2.1.1.6. Environment 2.1.1.7. Input 2.1.1.8. Thruput 2.1.1.9. Output 2.1.1.10. Feedback 2.2. How does leadership thinking apply to complex organizations? 2.2.1. Application 2.2.1.1. Model 2.2.1.2. Expectations 2.2.1.3. Mission 2.2.1.4. Responses 2.2.1.5. Evaluation 2.2.1.6. Market 2.2.1.7. Resources 2.2.1.8. Processes 2.2.1.9. Products 2.2.1.10. Information 2.3. How does leadership thinking apply to a medical practice? 2.3.1. Practice 2.3.1.1. Market Expectations 2.3.1.1.1. Regulation 2.3.1.1.2. Technology 2.3.1.1.3. Consumerism 2.3.1.1.4. Competition 3 ACMPE Professional Paper Topic and Outline 2.3.1.2. Resource Expectations 2.3.1.2.1. People 2.3.1.2.2. Places 2.3.1.2.3. Things 2.3.1.2.4. Themes 2.3.1.3. Process Expectations 2.3.1.3.1. Planning 2.3.1.3.2. Organizing 2.3.1.3.3. Leading 2.3.1.3.4. Controlling 2.3.1.4. Products Expectations 2.3.1.4.1. Product 2.3.1.4.2. Price 2.3.1.4.3. Place 2.3.1.4.4. Promotion 2.3.1.5. Information Expectations 2.3.1.5.1. Impact 2.3.1.5.2. Accountability 2.3.1.5.3. Performance 2.3.1.5.4. Satisfaction 2.3.1.6. “Why?” of the practice 2.3.1.7. “With?” of the practice 2.3.1.8. “How?” of the practice 2.3.1.9. “What?” of the practice 2.3.1.10. “So?” of the practice 2.3.1.11. Market Action Responses 2.3.1.12. Resources Action Responses 2.3.1.13. Processes Action Responses 2.3.1.14. Products Action Responses 2.3.1.15. Information Action Responses 2.3.1.16. Market Responses Evaluation 2.3.1.17. Resources Responses Evaluation 2.3.1.18. Processes Responses Evaluation 2.3.1.19. Products Responses Evaluation 2.3.1.20. Information Responses Evaluation 2.4. What does a medical practice leader need to know? 2.4.1. ACMPE Body of Knowledge 2.4.2. Systems Body of Knowledge 2.4.3. Integrating the BOKs 2.4.3.1. ACMPE Competencies become Systems Themes 2.4.3.2. ACMPE Domains become Systems Expectations 2.4.3.2.1. Market 2.4.3.2.1.1. Organizational Governance 2.4.3.2.2. Resources 2.4.3.2.2.1. Financial Management 2.4.3.2.2.2. HR Management 4 ACMPE Professional Paper Topic and Outline 2.4.3.2.3. Processes 2.4.3.2.3.1. Business Operation 2.4.3.2.3.2. Patient Care Systems 2.4.3.2.4. Services 2.4.3.2.4.1. Quality Management 2.4.3.2.4.2. Risk Management 2.4.3.2.5. Information 2.4.3.2.5.1. Information Management 2.4.3.3. ACMPE Tasks become Goals within Systems Responses 3. Conclusion 3.1. Leadership thinking heuristic 3.2. Using the integrated BOK 3.3. Strategic Planning Worksheet 3.4. Future research 3.5. Future publications 3.6. Future education 4. Appendices 5. List of Graphics 6. Bibliography and Endnotes 5