Building Physician Leadership Capabilities Through a Physician Advisory Council
Physician Advisory Council.pdf
Physician Advisory Council
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HSG partnered with a Florida health system to develop a Physician Advisory Council, with the goal of getting providers involved in the leadership of its 200+ employed provider network.


  • Based in Florida
  • 435-bed acute care hospital
  • 250+ employed providers
  • $460M net revenue
  • Client since: 2006

…working with HSG allowed us to work beyond the anticipated challenges of ‘management’ trying to create a  leadership structure for the physicians. They were able to  help us and our medical group physicians clarify and codify our understanding of our physician culture and the positive relationship administration already has with our physicians, to help us move ahead with a plan for greater physician  involvement in medical group leadership. A cohesive medical group should make us substantially more responsive and unified in approach.

– Health System Vice President & Chief Financial Officer


The Florida health system had built a large collection of employed practices, with a focus on specialty and hospital-based practices that  helped support the hospitals Trauma Designation. The practices were  historically managed by hospital service line leaders and as a result, disconnected from each other operationally and culturally. As work began to move to a centralized management structure, the lack of physician engagement in the employed network became a barrier, highlighting the  need to create a group of engaged physician leaders in the network.


A Physician Advisory Council (PAC) was created, comprised of five physicians, network leadership and the hospital Chief Medical Officer. 20+ other physicians were designated as at-large members to staff subcommittees of the PAC, which encompassed Operations, Quality, Information Technology, Strategy, Finance and Compensation. HSG facilitated all meetings of the PAC over a 24-month period, guiding the PAC through its development, helping the PAC develop a Shared Vision and strategic priorities, as well as review and prioritize initiatives defined at the subcommittee-level (examples include: brand  development, EMR implementation, compensation model redesign, etc.).


The Physician Advisory Council has been extremely successful in promoting provider engagement and developing physician leaders for the employed practice network. The group has overseen several large strategic and operational initiatives within the network, and has provided valuable input to the health system strategy, particularly in regard to value-based care initiatives and relationships with other physician groups.


HSG was able to help us and our medical group physicians move ahead with a plan for greater physician involvement in medical group leadership.

Terrence R. McWilliams, MD, FAAFP

Chief Clinical Officer and Managing Director, Employed Provider Networks

David W. Miller

Founder and Chairman