Change Management: Historically, physicians have had a great deal of difficulty in managing change effectively. Often they resist compelling reasons to change while, paradoxically, they often make hasty decisions without getting effective buy in and cooperation. Either by moving too slowly, or moving too quickly, the net result is the same- ineffective and inefficient progress. What are the imperative issues facing your organization they require effective change management? What are the barriers to effective change? Having worked with physician organizations for the past twenty-five years often in cutting edge and controversial issues, Bob Eidus can work with your organization to improve both the pace and the effectiveness of changing how you practice and how you do business.

Group Practice Management: It has been said often that managing physicians is like herding cats. Physicians are often united in a common legal and financial entity, but that is different than functioning as a group practice. From sharing medical information, coordinating care effectively, aligning priorities and incentives or finding ways to practice more efficiently, opportunities abound. In addition, few group practice have applied principles of operations management or CQI to reduce overhead, improve scheduling, and improve patient satisfaction. How effective is your organization in practicing as a true group? How happy are you with your decision making mechanisms? Are you satisfied that you have hit the optimum level of practice overhead? Are you applying innovative systems? We can bring practical solutions that can be implemented quickly and effectively.

Compensation and Incentive Systems: A familiar quote is that “democracy is the worst form of government... except for all the rest.” The same can be said of physician compensation systems. Whether is it salary, fee-for-service, or capitation, each has merits and inherent problems. How does one keep a physician incentivized to be productive who was in private practice but is now salaried? How does one balance the incentives for productivity with quality and patient satisfaction. How does one align all employees in a practice? How does one balance the issues of physician retention with the need to have affordable compensation systems? Are you satisfied that the physician’s compensation systems are properly aligned with your short term and long term priorities. Do your physicians feel that they have enough control to be productive. Have you thought through the issues of retention incentives? We can help.

Disease Management: Do you have have disease management programs in place? Are they effective? Is the design and strength of interventions sufficient to produce desired outcomes? Do you have economic models that you are comfortable with to assess the return on investment. Should you seek accreditation status? If so, are you ready? Bob Eidus has consulted with some of the most prestigious organizations in the US to provide these and other answers.

Evidence-based health care: Evidence-based health care, disease management, expert consensus, and systems are all related. Although evidence-based health care is the latest trend, few physicians and physician organization have systematically integrated this into there practice. Are you comfortable that the clinical guidelines you are using are evidence-based? Have you implemented systems within your practice to assist patients and doctors in this effort. Do you have disease specific protocols and reminder systems that are linked to evidence-based rules? Is your web-site promoting of evidence based health care? Are you using evidence based strategies to deal with thorny issues such as the appropriate use of antibiotics and other areas where utilization may be partially related to patient demand and patient expectations. Eidus Health Solutions has been studying and developing implementable strategies to deal with these issues.