Sometimes, the most difficult part of a physician practice leader’s job is not facility relationships, compliance, or even billing and reimbursement. It’s medical group governance. In other words, managing their colleagues.
To be sure, bad payer behaviors, staffing shortages, and other industry headwinds are putting tremendous pressure on facility-based physician groups. However, at the center of addressing these complex challenges is often a democratically elected board of managers who is charged not only with steering the ship but also with maintaining morale, avoiding mutiny, and ensuring progress on the journey.
The principles of effective group governance provide a framework for medical practice governing bodies, establishing a clear structure for decision-making, accountability, and long-term strategic planning. The most constructive medical groups have a well-defined, well-documented system of governance that dictates how the group will make management decisions, address challenges, adapt to unforeseen circumstances, and ensure the group is optimizing its future.
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More to Explore in Group Governance Mistakes
Dr. Greenberg and Shena Scott also joined TopMedTalk for a live podcast on the ANESTHESIOLOGY® 2025 showroom floor discussing common governance mistakes in anesthesiology groups, the importance of effective governance structures, and strategies for improvement. They shared insights on managing democratic decision-making in larger groups, the need for emotional intelligence in leadership, and the value of continued professional development through resources like the ASA’s ADVANCE meeting. Listen to the podcast and visit TopMedTalk for more great conversations from ANESTHESIOLOGY® 2025.
Listen to the Group Governance Podcast
