From Professional to Managing Professional

1. From Professional to Managing Professional The start of a research project

2. Professional Service Firms (PSF) • David Maister (1993) • Law Firms, Accountancy Firms, Consultancy Firms, Hospitals, Universities, etc. • Knowledge intensive, autonomous professionals, deliver services • Ownership, management and production combined • Career mobility: up-or-out, levels of seniority, partnerships

3. Facts & figures Hospital sector • 243 employers • 324.200 employees • 4,3% of total number of employees in The Netherlands • Approximately 16.000 physicians • 75% self employed / 25% employment • Expenditures on national health care 9,2% (2004)

4. Health organizations (1) • Hospitals • Power of organized occupational groups • Separation between professional and administrative zones of control • Lay control over professional discretion inappropriate (professional staff to police the performance of its members)

5. Health organizations (2) • Nonetheless - …. Change & Overlap: • Market reform: insurer-provider relationships led to common goal professional and administrative management • Board of directors and medical staff responsible for quality and reputation hospital • Need for physician involvement in managerial decisions • Physicians become managing professionals

6. Quotes

7. From Professional to Managing Professional • Residents • Basisarts • AIOS/ANIOS: assistent (niet) in opleiding tot specialist • Physician/Consultant • Medisch specialist • Managing Physician or consultant (Chief of Staff, Director of a clinic, chairman of the department) • Medisch manager

8. From Professional to Managing Professional • From Physician to Managing Physician • Usually they become a manager without: • Any managerial experience • Any learning or management development • Knowing whether they have what it takes • Mainly because: … It was my turn … & somebody has to do it …

9. Competency profile physician Royal Dutch Medical Association Royal College of Physicians and Surgeons of Canada

10. Managing Professional (House M.D.)

11. ASSIGNMENTDesign the research project

12. Assignment: From Professional to Managing Professional Assignment: work in subgroups (6 or 7 each), take 30 min. to discuss, present (each 5 minutes) 1. Designing the problem and research questions • What would you say is the problem that we are seeking to improve? • Problem definition, using different perspectives / each other • What are the research questions? 2. Theory • “Nothing is as good as a practical theory” (Kurt Lewin) • Relevant theories and suggestions for variables to include in the study

13. Who’s interested? • Several hospitals: Canisius Wilhelmina Ziekenhuis, St. Antonius Ziekenhuis, Alysis Zorggroep, Medisch Centrum Haaglanden • How about you?