Building Trust & Alignment

The Challenge Facing Healthcare Organizations

Provider dissatisfaction and organizational misalignment are creating unprecedented challenges in healthcare delivery. The shift from independent practice to employment-based models has created a vastly different environment for physicians.

Many feel increasingly frustrated by decisions made at distant organizational levels, disconnected from their daily realities. This dissatisfaction is amplified by financial pressures, understaffing, and mounting performance demands.

81% of Providers Feel They Lack Influence in Organizational Decision-Making

That frustration doesn't stem from indifference — it stems from a broken compact. Physicians entered their careers under an implicit agreement: clinical autonomy, professional respect, and a meaningful voice. As healthcare organizations have shifted toward standardization and system-level decision-making, those expectations have collided with a new reality, creating friction, resentment, and disengagement.

The answer isn't better messaging from leadership, it's a structured, co-created agreement that resets expectations from both sides. A ProPact gives providers a genuine seat at the table while giving organizations the aligned, accountable workforce they need to perform.

What is a ProPact?

A ProPact (Provider-Organization Compact) is a written document developed collaboratively by providers and their organization's leaders that delineates responsibilities and reciprocal expectations.

Unlike top-down directives, a compact reflects true collaboration. It restores the providers' voice and sets clear expectations for both physicians and leaders, creating a foundation for trust and alignment.

Collaborative development process ensures buy-in
Clear reciprocal commitments from both parties
Living document that evolves with your organization
Proven framework used by leading healthcare organizations

OUR MUTUAL COMMITMENT COMPACT

Building trusting, collaborative partnerships

PROVIDER GIVES

Patient-Centered Care: Exceptional service anticipating patient needs

Collaboration: Work toward common vision with team members

Leadership: Demonstrate leadership through active involvement

ORGANIZATION GIVES

World Class Resources: Invest in resources and skills necessary

Leadership: Demonstrate leadership by setting a vision

Recognition: Provide compensation and benefits that reflect accomplishments

Six Elements of a Successful ProPact

1: Shared Vision

Establish and communicate a unifying vision that resonates with all stakeholders. The compact sets out how providers contribute to progress and how administration supports their commitments.

2: Inclusive Dialogue

Not a top-down rollout, but a collaborative effort ensuring every voice is considered. Change requires different behaviors from both parties to the compact.

3: Education

Provide providers with clear understanding of market and economic realities driving change. Education minimizes misconceptions and builds trust in leadership decisions.

4: Clear Reciprocal Commitments

Outline specific commitments from both administrators and providers, creating mutual accountability and shared responsibility for organizational success.

5: Accountability

Build in mechanisms for frank feedback from both parties. Accountability means constructive dialogue, not punitive measures.

6: Living Document

A compact evolves as the organization changes. Regular review and discussion ensure it remains relevant and supports strategic vision.

Meet Your ProPact Experts

Mary Jane Kornacki
Senior Advisor
Author of "A New Compact: Aligning Physician–Organization Expectations to Transform Patient Care." Brings extensive experience in organizational development and physician engagement.

Jack Silversin, DrPH
Senior Advisor
Co-developer of the compact methodology with proven success at leading healthcare organizations. Specialist in physician leadership and organizational transformation.

Jill Powelson, DrPH, MPH, MBA, RN, CPC, CPPM
Vice President, Provider-Organization Compacts
Leads AMGA Consulting's ProPact services with decades of expertise in medical group leadership as well as helping healthcare organizations improve their performance.