Medical Directorship: Governance with Formal and Informal Structures-Governance with Formal and Informal Structures

Video Transcription

Video Summary

Dr. David Steinberg and Greg Warsiewicz present an in-depth conversation on the role of a medical director within the context of the AAPMNR Medical Director Course, focusing on governance through formal and informal organizational structures. The session is divided into three parts: formal structures, informal structures, and handling misalignments in leadership.<br /><br />Greg Warsiewicz begins by detailing his extensive background in various medical and administrative roles, highlighting the importance of understanding the organizational structure, rules, and regulations specific to different medical settings. He emphasizes the necessity for a medical director to be well-versed in Medicare and CMS regulations specific to inpatient rehabilitation facilities (IRFs), especially in terms of documentation and compliance to ensure appropriate patient care and organizational efficiency. He advises medical directors to familiarize themselves with resources like the Federal Register for regulatory updates and the MedPAC website for financial and operational insights. <br /><br />David Steinberg expands on the distinction between management and leadership, underscoring the importance of not just managing processes but also leading with vision. He discusses the significance of informal networks within organizations, which play a critical role in navigating complex, dynamic environments. Steinberg illustrates this with examples of advice, trust, and communication networks, stressing the importance of relationships and trust within the organization.<br /><br />Both presenters highlight the challenges of alignment between different organizational entities and the crucial role of building and maintaining trust, effective communication, and collaborative relationships. They share personal experiences and illustrate how leveraging both formal and informal structures can lead to successful medical director leadership. Overall, the conversation is geared towards educating future leaders in physical medicine and rehabilitation, emphasizing professional development and strategic organizational management.

Keywords

Medical Director

AAPMNR

Governance

Organizational Structures

Medicare

CMS Regulations

Inpatient Rehabilitation Facilities

Leadership

Trust Networks

Communication

Professional Development