tag:blogger.com,1999:blog-32053362.post4267282252207630384..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: What they say versus what they doPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-75569827227428978742011-12-18T08:06:18.876-05:002011-12-18T08:06:18.876-05:00Thanks for the kind words, anon 12:47, but when I ...Thanks for the kind words, anon 12:47, but when I said "I've never run an enterprise" I wasn't talking about difficulty, I was just noting that I've never walked in those shoes.<br /><br />It's analogous to how many people in policy meetings say "We don't need to bring patients in - we're all patients someday, right?" Well, no; I can say first-hand, until you've been in Great Big Crisis, life-changing with major potential to go either way, you do NOT know what "the patient perspective" really is.<br /><br />Point taken, anyway. Yes, it's a tradeoff - which is why vision and leadership really are important. If all people hear about is finance, it colors the decisions. <br /><br />Finance needs to be manage or you end up in a situation like BIDMC in 2000.e-Patient Davehttps://www.blogger.com/profile/16381434866099596466noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-20855166519947029452011-12-18T00:47:34.677-05:002011-12-18T00:47:34.677-05:00e-Patient Dave, you are too modest. Running a bus...e-Patient Dave, you are too modest. Running a business, as my father would say, is the easy part. Numbers. Just numbers. Ideas, movement: that is another thing.<br /><br />Each time that I step on a plane, in a store, or a hospital - and the seat is closer, the line is longer, the doctor more distracted, the employee more defeated, I think that the numbers might just be a little up that day. The FINANCE in caps is fuller, someone's vacation more exotic. But most of us just feel crowded and used. <br /><br />And mission statements? Well, they start to look like the same billboards we've passed for the last three hours since we hit the desert (if you know, you know). Quality and safety, is that the rest stop we just passed, or the town next ahead? Who knows?<br /><br />If you say you care, but everything after you enter the door is ambivalent - you've already said it all. It is called a tradeoff. And there is no marketing that can help you to avoid it. People, yes, are easily fooled. But they can also walk. Trust is the most difficult capital to gain, or to replace.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-28514849620003816382011-12-17T13:56:46.079-05:002011-12-17T13:56:46.079-05:00I had the same thoughts as cslmt - that one's ...I had the same thoughts as cslmt - that one's mission is not always what one must spend one's time <i>doing</i>. But then this struck me: isn't a strong leader supposed to have people "doing the doing," so the leader can remind people of the mission?<br /><br />And if what the leader talks about is not the mission, then that would indeed be a disconnect.<br /><br />(That's a question - I've never run an enterprise.)e-Patient Davehttps://www.blogger.com/profile/16381434866099596466noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-45094441804284554722011-12-17T09:32:53.732-05:002011-12-17T09:32:53.732-05:00It's the sadness of the whole country vs those...It's the sadness of the whole country vs those who are leading or, should I say, making decisions.<br />One is about money. One is about caring.Nancynoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-50462563750496717642011-12-16T14:46:27.128-05:002011-12-16T14:46:27.128-05:00Actually, not so. If you look at the experience w...Actually, not so. If you look at the experience with financial incentives and penalties, I think you will find very mixed results. For example, wrong-site surgeries have been classified as "never" events, with payments not permitted. Yet, the rate of such wrong-site surgeries has remained quite constant.<br /><br />Incentives and penalties are essentially meaningless to those actually involved in the delivery of services on the hospital floors and in the units. The way to achieve excellent financial results is by reorganizing the work of hospitals to reduce waste and inefficiency and improve the quality and safety of care.Paul Levyhttps://www.blogger.com/profile/17065446378970179507noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-33615481910510518142011-12-16T12:32:20.313-05:002011-12-16T12:32:20.313-05:00I think there's a difference between one's...I think there's a difference between one's challenges and one's goals. The size of the word finance in the first wordle is the reason why financial incentives and penalties are so powerful.clsmtnoreply@blogger.com