B6 - Creating and Implementing the Markham Family Health Team Lead Physician Performance Review: An Exercise in Accountability and Transparency

Theme 6. Leadership and governance for accountable care

Presentation Materials (members only)

Presentation Slides: Creating and Implementing the Markham Family Health Team Lead Physician Performance Review

Supporting Materials (members only)

• Markham FHT Lead Physician Review cover letter
• Markham FHT Lead MD 360 Review
• Markham FHT Individual Development Plan
• Markham FHT Accountability Framework - Performance Appraisal
• Markham FHT 360 Degree Feedback Policy
• Markham FHT Board Assessment Template for Survey

Learning Objectives

1. To outline the steps required in creating a performance review with a focus on the FHT Lead Physician role.
2. To explore the function of the Governance Committee and the FHT Board of Directors with respect to implementing the LP performance review.
3. To discuss the importance of a transparent process when designing a performance review and its influence on accountability.

Summary

The MOHLTC, a key “shareholder” of FHT Boards of Directors, expects accountability to be linked to performance. In order for FHTs to succeed in this regard, strong leadership is required. Therefore, evaluating the performance of individuals holding leadership positions within FHTs is crucial. Furthermore, from a professional standpoint, advice from peers and colleagues creates the opportunity for leadership growth and in turn organizational maturity. Constructive feedback also holds a leader accountable by determining if s/he meets their stated deliverables. In this regard, the Markham FHT recently designed a performance review process for their Lead Physician. This presentation will outline the various steps taken by the Governance Committee including updating the LP job description, developing an evaluation survey, selecting FHT members of various roles to partake in the survey, choosing an on-line method to gather and analyze feedback, and communicating the results to the FHT Board and members of the organization. Perspectives from the Chair of the Markham FHT Governance Committee, Executive Director and Lead Physician will be shared. It will also provide a step-by-step practical outline of how to initiate a process to measure the performance of the Lead Physician, and other staff, for FHTs who have not yet participated in this exercise. Furthermore, this presentation falls within the AFHTO theme of “Leadership and governance for accountable care” by focusing on tools to support leaders in good governance and supporting the development of leadership within the team.

Presenters

• Markham FHT:
  • Dr. Allan Grill, MD, CCFP, MPH, Lead Physician
  • Dr. Parm Singh, MD, CCFP, Family Physician & Chair, Governance Committee
  • David Marriott, B.A., Executive Director

Authors and Contributors

• Lisa Ruddy, RN, Clinical Program Manager, Markham FHT