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CAPC Palliative Care Discussion Forum
Leadership and Team Dynamics
physician to physician consultsAuthor: Akroos
Date: Jun 11, 2009 4:41 pm
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--Keep in mind the culture of your institution and how they react to change and how new information is presented.
--Attend physician staff meetings and meet with physicians individually to tell them about what you will be doing for THEM.
--Identify a group of physicians who will be your champions for the program. You may also want to convene a "Physician Advisory Board" that will meet with you and help move the PC agenda forward.
--Establish the value of your service with the medical staff officers in your system.
--Give them an easy way to make a consult to your service.
--A physician order would be required if your physician or APN would want to bill for the service--which is recommended.
--Be clear in defining your program and services provided. ie. hours availability, on-call
--Have routine and predictable processes and visibility. Being present for curbside conversations is a wise use of time.
--As you start out with the physician you will need to do some internal marketing and identify for them the "value added" with your physician seeing the patients. Time is one of the most precious commodities of a physician and when they know the service/physician are off-loading some of the time consuming care planning and family meetings they start to appreciate what you are offering.
--Frame the physicians consult consistent with medical staff guidelines for other consultants such as cardiologists, pulmonologists, etc.
--Develop some marketing tools for the physicians and spend some time identifying for them your target patient population.
--Presence is absolutely key and remember that often you are palliating the physicians as well, not just the patient and family.
Physicians are your customers!!
Hope this is helpful and that you are able to move forward with your good work. Sharol Herr, RN, BSN, MSEd, CHPN; Palliative Nurse Clinician and Education coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.