Managing Problem Practitioners

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Managing Problem Practitioners - eBook

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Managing Problem Practitioners: A Leadership Guide to Dealing With Impaired, Disruptive, Aging, and Burned-Out Clinicians

Address fitness-to-practice concerns with confidence!

Managing Problem Practitioners: A Leadership Guide to Dealing With Impaired, Disruptive, Aging, and Burned-Out Clinicians is the medical staff’s answer for developing policies and procedures that address physician impairment, disruptive behavior, and problems associated with aging. Expert Todd Sagin, MD, JD, provides the guidance the medical staff office needs to develop and implement a process for assessing and resolving legally compromising situations. Don’t get caught unprepared—reduce your lawsuit risk and keep your patients and clinicians out of harm’s way. 

This book will help you:

  • Develop an aging physician policy that protects physicians and the organization
  • Train medical staff leaders on how to deal with a disruptive physician
  • Take the proper steps when  physicians fail to correct their behavior
  • Design a physician wellness committee that is supportive of the medical staff
  • Set and communicate clear expectations of physician behavior and competency


Table of Contents

Section I: Addressing Practitioners Who Engage in Unprofessional Conduct

The Parameters of the Problem

  • Professionalism: We Know It When We See It
  • What Constitutes “Unprofessional Conduct” or “Disruptive Behavior”?
  • Unprofessional Conduct: The Elephant in the Room
  • The Prevalence of Unprofessional Conduct
  • Why Is Unprofessional Conduct So Prevalent?
  • Changing Expectations: The Move to Zero Tolerance
  • Connection Between Disruptive Behavior, Patient Safety, and Quality Healthcare
  • Setting Expectations for Professional Behavior
  • Communicating the Code of Conduct and/or Behavioral Expectations
  • Medical Staff and Group Practice Credentialing: Holding the Gates Against Disruptive Practitioners
  • Medical Staff Bylaws and Disruptive Physicians: Issues to Be Addressed


Confronting Unprofessional Behavior and Disruptive Conduct

  • Preparing Leaders to Manage Disruptive Practitioners
  • Gathering Data on Misconduct Incidents
  • Intervening With Disruptive Practitioners: Who, When, Where?
  • Holding the Conversation With Disruptive Practitioners
  • Utilizing Progressive Steps to Address Unprofessional Behavior
  • Managing Disruptive Conduct: A Series of Escalating Interventions
  • Establishing a Plan of Action: Options to Assist in the Remediation of Disruptive Practitioners
  • Sharing Information About Unprofessional Conduct With Third Parties
  • Managing Disruptive Conduct Performed by Employed Physicians or Practitioners
  • Legal Challenges Brought From Disruptive Practitioners


Section II: Managing the Impaired Practitioner

  • Managing Practitioners Whose Delivery of Care Is Impacted by Issues of Health, Aging, or Substance Abuse


Managing Practitioners With Substance Abuse Problems

  • Identification and Reporting of Physicians With Addictions
  • Confronting Practitioners Who Are Abusing Substances
  • Treatment and Monitoring of Physicians Who Are Substance Abusers
  • Additional Issues Relating to Substance Abuse by Physicians: Drug Testing, Responding to Third-Party Inquiries, and Covering the Expense of Treatment


Physicians Impaired by Health Concerns

  • Reporting Suspected Physical and Mental Impairments
  • Physician Health and Wellness Committees
  • The Assessment of Physically and/or Mentally Impaired Physicians      
  • The Use of a Leave of Absence When Evaluating or Treating Impaired Practitioners
  • The Americans With Disabilities Act (ADA) and the Impaired Physician


The Aging Physician: A Growing Healthcare Challenge

  • Connection Between Experience and Competence
  • Aging Physicians With Cognitive Deficits
  • Aging Physicians and Physical Conditions That Cause Impairment
  • Identifying and Managing Declining Competence in the Older Practitioner
  • Adopting Credentialing Policies Regarding Aging Practitioners
  • Impact of the Federal Age Discrimination in Employment Act (ADEA)


Addressing Physician Stress and Burnout: A Growing Problem

Selected Resources

Selected Legal Cases


Meet the Author:

Todd Sagin, MD, JD, is a physician executive recognized across the nation for his work with hospital boards, medical staffs, and physician organizations. He is the national medical director of Sagin Healthcare Consulting, LLC, and HG Healthcare Consultants, LLC, which provide guidance on a wide range of healthcare issues. He served for over half a decade as the vice president and national medical director of The Greeley Company, Inc., in Danvers, Massachusetts. 

Published: March 2015

Page count: 180
Dimensions: 8.5x11
ISBN: 978-1-55645-335-9

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