tag:blogger.com,1999:blog-32053362.post5704017008551655226..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Negotiating on PurposePaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-32053362.post-36284998455031078602015-08-16T21:51:33.681-04:002015-08-16T21:51:33.681-04:00I'd say Barry Carol has it on the head. I am t...I'd say Barry Carol has it on the head. I am thinking of the "monopoly" in the area that they let keep on trucking, when patients from that group have had problems they know about in writing and refuse to address the issue. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-8320117606324264692015-08-13T07:52:10.795-04:002015-08-13T07:52:10.795-04:00It’s great for a hospital CEO to try to drive the ...It’s great for a hospital CEO to try to drive the behavior of each employee and doctor with practice privileges in the direction you suggest. The real test, though, would be how the CEO reacts in the case of a high profile doctor, especially a surgeon, who generates a lot of revenue for the hospital but is arrogant, treats lower ranking (lower paid) employees badly and doesn’t countenance being questioned by nurses or techs. If the CEO is prepared to fire the rainmaker surgeon or withdraw his practice privileges, others will get the message that the expectation of a collegial and collaborative culture is for real. If he isn’t willing to, they won’t. At the same time, the CEO also needs to ensure that the hospital continues to survive and hopefully thrive financially. It’s a tough balancing act, especially for hospitals in a precarious financial condition.Barry Carolnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-31099249656963884852015-08-13T07:29:14.758-04:002015-08-13T07:29:14.758-04:00Thanks, you make some great points. I would also n...Thanks, you make some great points. I would also note that this applies to any healthcare organization. For example, I work in the large Hospice space, and although much is different from a hospital, much is also the same in terms of leadership and negotiation. Will be sharing. -NevilleNeville Sarkari MD, FACPhttps://www.blogger.com/profile/01096155690678788954noreply@blogger.com