Copyright ©The Author(s) 2015.
World J Clin Cases. Nov 16, 2015; 3(11): 930-934
Published online Nov 16, 2015. doi: 10.12998/wjcc.v3.i11.930
Table 1 Barriers
Organizational responsiveness (code of silence)
Reluctance to act (financial/hierarchy)
Structure and process (policy/reporting)
Process review (bias/conflicts of interest)
Intervention (skill sets)
Recommended action
Physician liabilities (personality)
Table 2 Risks of non-action
Organizational morale
Recruitment and retention
Staff/patient satisfaction (HCAHPS)
Community reputation
Patient complaints/malpractice
Care efficiency (process flow/delays/utilization/productivity)
Poor compliance (documentation/metric based performance)
Communication gaps/medical errors/adverse events
Table 3 Recommendations
Awareness and responsiveness
Address organizational culture
Solicit project champions
Develop policies and procedures
Implement a consistent reporting and review process
Follow established process
Document all interactions
Intervention with trained personnel
Provide physician/staff education (recognition/accountability)
Provide physician training (diversity/conflict management/communication skills)
Offer physician assistance and support (coaching/counseling/behavioral intervention)
Enhance physician engagement (input/motivation/alignment/satisfaction)
Recognize efforts