| About the Authors | p. vi |
| Introduction | p. viii |
| Do We Need a New Medical Staff Model? | p. 1 |
| Today's Medical Staff Challenges | p. 2 |
| Medical Staff Structure and Governance | p. 3 |
| Physician Performance and Accountability | p. 5 |
| Hospital-Medical Staff Collaboration | p. 8 |
| Medical Staff Culture | p. 11 |
| From Self-Governed Medical Staff to a Broken Social Contract: How Did We Get Here? | p. 17 |
| The Advent of the Medical Staff | p. 17 |
| The Organized Medical Staff, The Joint Commission, and Medicare | p. 18 |
| The Medical Staff as a Club | p. 20 |
| New Medical Staff Responsibilities | p. 22 |
| Managed Care Takes its Toll | p. 24 |
| Hard Times for Private Practice | p. 25 |
| Physician-Hospital Competition Rewrites the Rules | p. 26 |
| A Broken Social Contract | p. 27 |
| Placing the Blame | p. 28 |
| Scars on the Medical Community | p. 29 |
| Withdrawal from the Public Sphere | p. 31 |
| The Context for New Medical Staff Models | p. 32 |
| Candidates for the New Medical Staff Model | p. 35 |
| Self-Governed Medical Staff Accountable to the Board | p. 35 |
| Medical Staff as an Advocacy Organization | p. 44 |
| Service Line Management | p. 47 |
| Physician Executive Management | p. 51 |
| Physician Employment | p. 54 |
| Physician Contracts | p. 61 |
| Joint Ventures | p. 67 |
| Physician-Hospital Organization | p. 70 |
| Management Services Organization | p. 72 |
| Intended Practice Plan | p. 73 |
| Physician-Hospital Compact | p. 77 |
| Physician Councils | p. 79 |
| Group Practices | p. 82 |
| Gainsharing | p. 83 |
| Membership by Invitation Only | p. 85 |
| Physician Equity | p. 87 |
| Physician Management of Allied Health Practitioners | p. 88 |
| Academic Medical Centers | p. 89 |
| Which Medical Staff Models are Right for You? | p. 95 |
| Don't Abandon the Self-Governed Medical Staff with Broad Membership Too Soon | p. 96 |
| Physician Executives Help Make All Models More Effective | p. 96 |
| Medical Staff Structure and Governance | p. 98 |
| Physician Performance and Accountability | p. 103 |
| Hospital-Medical Staff Collaboration | p. 113 |
| Medical Staff Culture | p. 120 |
| Managing Multiple Medical Staff Models Simultaneously | p. 126 |
| Strategic Medical Staff Development Planning: The "Seven Rs" | p. 129 |
| Is Your Medical Staff an Important Hospital Asset? | p. 129 |
| Factors Affecting Medical Staff Development Planning Today | p. 130 |
| Forces Affecting Physicians | p. 131 |
| The "Seven Rs" of Strategic Medical Staff Development Planning | p. 134 |
| The Right Number | p. 135 |
| The Right Type | p. 137 |
| The Right Quality | p. 139 |
| The Right Relationship | p. 141 |
| The Right Culture | p. 149 |
| The Right Medical Staff Structure and Processes | p. 156 |
| The Right Leadership | p. 158 |
| Implementing the "Seven Rs" | p. 160 |
| The Epidemic of Physician Apathy: Is the Medical Staff Still Relevant to Physicians Today? | p. 161 |
| Why Physicians Don't Care About the Medical Staff | p. 161 |
| Generational Changes: What Happens When Baby Boomers, Gen Xers, and Gen Yers Meet on Your Medical Staff? | p. 164 |
| Why Should Physicians Care About the Medical Staff? | p. 169 |
| Is Investing in Medical Staff Leadership Development the Answer? | p. 170 |
| Strategies to Engage Physicians | p. 172 |
| A Step-by-Step Road Map for Improving Physician-Hospital Relations Today | p. 175 |
| Introduction to the 10 Steps to Better Physician-Hospital Relationships | p. 175 |
| Acknowledge that Physicians are Customers, Partners, Suppliers, and Competitors | p. 177 |
| Heal the Past | p. 179 |
| Create a Shared Vision of Mutual Success | p. 180 |
| Develop Mutual Expectations for Physicians and the Hospital | p. 182 |
| Invest in Medical Staff Leadership | p. 182 |
| Invest in Social Capital | p. 184 |
| Hold Regular Meetings and Retreats | p. 185 |
| Establish a Written Conflict Resolution Mechanism | p. 187 |
| Maintain Excellent Communication | p. 189 |
| Celebrate the Successes | p. 191 |
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