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« A Culture Of Hiding Mistakes? | Main | Professional Fees: Entitlement Versus Accountability »

May 10, 2009


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Jeff Long

Great overview of the challenges hospital leaders are facing. It is amazing how quickly the economy affected hospitals, do you think they will rebound as quickly when the economy recovers?

Dr. Davon Jacobson, M.D.

This is really a well laid out website. I like how you have presented your information with excellent detail. Even with my private medical practice, it is a great deal of work. I couldn't imagine a CEO's position anytime soon. Keep up the great work here and please visit by my blog sometime. The url is

Michael P. Meier

While I would agree that the job of any CEO is a tough one, my experience with two radically different health care organizations tells me that the hospital CEO (in which group I include continuum of care organizations) have failed to step up to half of their fiduciary responsibilities.

They may do a great job on the revenue side but I have yet to see anyone step up on the cost side. This is about way more than dollars and cents. The technology has the focus at the moment and for good reason. Technology holds many benefits in terms of medicine, but it can't carry its weight on the healthcare (business) side because of the lack of good governance.

Leadership and even management in healthcare are relatively plentiful. Governance is almost non-existent. It takes organizational discipline to make technology productive. Without that, introducing technology merely adds to the workload as staff attempt to work with poor quality, outdated, misleading data from their technology. The technology performs relatively well for a given patient, but vast gaps appear when they attempt to get a picture across any part of the business or over time. There is plenty of blame to go around, but the root cause (if anyone is looking) is the lack of consistency in basic processes. That means organizational discipline and that come directly from good governance.

I wouldn't hold the CEO responsible for governance--they probably don't have the mindset or the detailed knowledge of operations to be able to produce governance--but I would hold them responsible for the LACK of governance.

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