Set the Tone for
Improved Practice Productivity
Your staff will follow your positive lead.
By Helen B. Hanley, FACMPE, COE
Have you recently incorporated a staff member's suggestion into your practice's regular routine?
Have you recently celebrated or acknowledged a staff member's outstanding performance?
Do your staff members share your values and your vision for the future of the practice? Are they participating in planning for that future?
If you can answer "yes" to these questions, you're already well on your way to providing the positive leadership that leads to an efficiently operated and highly productive ophthalmology practice. If your answer to one or more of the questions is "no," it's time for you to evaluate your own management style to see if you can do more to develop your staff into a cohesive, enthusiastic and forward-looking team. In this article, I'll explain how your everyday behavior can have either a positive or negative effect on how your staff performs, and I'll provide a checklist that will enable you to assess your own performance as a manager and leader.
The staff responds to your cues
Having worked with physicians for the past 22 years as an administrator and consultant, I have firsthand knowledge of how your behaviors and values can impact a practice. I have seen practices rise or fall based on the leadership tone set by one or more of the physician partners. You must remember that your management style affects everyone on the staff, every day.
In many ways, leading a medical practice is much like directing a stage show. If you show up every day displaying enthusiasm, a sense of purpose, and a desire to enable all your "cast members" to excel, your staff will feed off your energy. If you adopt a management style that's uncommunicative, authoritarian and unpredictable, your staff will be confused, unsure of their roles and unhappy.
Despite years of professional training, not all physicians are natural managers. Many physicians become so wrapped up in developing their clinical skills that they run the risk of acting aloof, detached and overly demanding of their staff. As a practice leader, it's important for you to develop people skills along with your professional skills. The good news is that leadership and managerial skills can be learned. I've known many physicians who were naturally shy and reticent, but who made the effort to go beyond their own personal comfort zones to become excellent practice leaders. If you're a sincere and ethical individual, you possess the most important fundamental traits for becoming an effective and respected leader.
Below, I've provided a checklist of 24 positive and negative physician behaviors that can have a major impact on staff productivity. Test yourself. While the checklist is certainly not all-inclusive, it can help you identify where you -- as a leader -- need to concentrate your personal improvement efforts. And if you really want to know how you come across to your employees, ask your staff to anonymously identify the personality traits in this checklist that apply to you:
How did you do?
If you're like most managers, you're probably satisfied with your behaviors in some areas but see room for improvement in others. One way to improve is to mentally put yourself in a staff member's shoes. Looking at a situation from someone else's standpoint can be helpful in changing your own behavior. Your employees aren't expecting you to be perfect. They basically want you to be honest, fair, and a good communicator.
In employee surveys, most workers say that being part of an organization that embodies corporate and personal integrity is at the top of their "wish lists." As a leader, you must demonstrate by your own actions, words and values the behaviors you want to see in your employees. It's important to strive to eliminate pettiness in your own actions and in the work environment. The most productive and rewarding win/win relationships are established through understanding and communication. (See "Ten Ways to a More Productive Practice," on page 54.)
If you're willing to adapt your own thoughts and actions to be a more understanding, open and team-oriented manager, the benefits that you, your practice, your staff and your patients will receive will be well worth it.
Sources:
Behaviors and Values Training Materials, TTI Performance Systems, Ltd., 16020 N. 77th Street, Scottsdale, Ariz., 85260, (480) 443-1077, www.ttidisc.com
Guiding Principles and Debate Ground Rules, Donald J. Lloyd, FACMPE, president, The StarLight Group, 1090 Overlook Lane, Monroe, Ga. 30656, (770) 266-7791, www.starlight-group.com
Listen Up, Leader!, David Cottrell, Performance Systems Corporation, 2925 LBJ Freeway, Suite 201, Dallas, Texas, 75234, www.walkthetalk.com
Acknowledgements:
I acknowledge the valuable contribution to this article from the members of the Florida Society of Ophthalmic Administrators, and the American Society of Ophthalmic Administrators Practice Listserve members and peer consultants.
Helen B. Hanley, FACMPE, COE, is president of Bradford-Hanley Consulting in Hudson, Fla. Her consulting business focuses on teaching executives, managers and employees to improve their communication, leadership, customer service, sales and team-building skills. She can be reached at (727) 863-2177 or via e-mail at hanley4fl@cs.com.
Positive Behaviors |
Negative Behaviors: |
Gains consensus from others Strives to understand others, sees their viewpoint and seeks win/win outcomes Defines (in writing and for distribution to all colleagues and associates) the corporate culture, vision and mission of the practice Develops "Guiding Principles" for the practice (acceptable physician and associate behaviors) Commits to the core values and principles that form the foundation of the group Provides positive leadership -- always treats patients, staff, business partners and others with dignity and respect Endeavors to provide the highest quality of care and service to patients, with a responsiveness that exceeds their expectations Has fun while carrying out the mission to serve; celebrates and rewards achievements Forward looking and thinking; conscientiously plans for the future Tenacious about responsibilities Sense of urgency; first things first; proactive problem solver Change agent; values and accepts needed change Analytical; fact finder Inspiring, exacting Quick decision maker Strives for excellence Defines and clarifies expectations Logical; step-wise thinker Independent; free thinker Good verbal skills; listens as much as talks Very well organized Motivates others toward goals Collaborative manager; involves others to solve problems Commits to administrative team to carry out roles and responsibilities with full authority and support
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Makes unilateral decisions; dictates action without authority and/or consensus of other physicians Sees no reason to go beyond own comfort zone to enhance communication Vision and mission of the practice are only known to the individual physician(s); corporate culture undefined Fails to live the "Guiding Principles;" rules only apply to others Talks the talk, but doesn't walk the walk. Displays negative controlling leadership; "What's in it for me?" mentality. Shouts at staff; has temper tantrums; immature Burnt out; not happy treating and serving patients Fails to recognize contributions of others and/or share the fruits of labor; creates negative environment Doesn't value planning (Ready, Fire, Aim) Wants to do what he wants to do; not necessarily what needs to be done Takes on too much; acts slowly with no sense of urgency Changes without planning; resists change or clings to status quo Suspicious; fears being taken advantage of Nitpicks; never satisfied Avoids making decisions Sets standards for others so high they can't be achieved Doesn't provide adequate information or expectations Gets bogged down in details Defensive when questioned or criticized Verbose; talks too much/listens too little Very disorganized; leads to lost productivity Lacks creativity or credible influence Crisis manager; has difficulty establishing priorities; everything's a high priority; has multiple people solving same problem without communication Micro-manages and/or makes changes if lobbied by staff or other physicians |
1. Display character and integrity. Build trust by exhibiting positive behaviors. Results improve in proportion to the level of trust earned by the leaders. Provide a great work environment or culture. 2. Hire smart. Hire and develop talented people. Determine the desired positive behaviors for each job in the practice; develop job roles and responsibilities around the desired behaviors. Establish an orientation process for new hires. 3. Promote teamwork. Encourage and develop the concept of teamwork and shared responsibility. Recognize the value of each individual's contribution to the team. Encourage and support a diversity of skills, talents and viewpoints. 4. Communicate. Meet regularly with your management and staff. Promote an atmosphere of openness and trust through simple, direct communication, always remembering to praise in public, critique in private. Give written instructions on policy matters and practice changes. 5. Provide education and training. Don't expect unlimited knowledge and perfection from your staff. Provide opportunities for personal and professional growth; train to correct deficiencies and facilitate advancement. Promote participation in continuing education, additional course work and/or attendance at meetings. 6. Delegate authority and responsibility. Give authority along with responsibility to your management team. Failing to support the authority of your managers, or allowing staff to come to you for an appeal once a management decision has been made, will undermine your management team's effectiveness as leaders. 7. Measure and reward. Expect achievement and acknowledge superior performance. Set specific performance goals for individuals and teams, and reward/recognize staff members when these goals are achieved or exceeded. 8. Incorporate business principles. Treat your medical practice as a business and allow your managers to lead it as a business. Plan, strategize, budget and monitor progress. Utilize other specialists when necessary, including CPAs, attorneys, consultants, coders and others. 9. Share goals. Develop the vision and mission of the practice; share it with everyone. 10. Have fun. Celebrate accomplishments. People thrive and excel in a positive environment. -- Helen B. Hanley, FACMPE, COE |