Physicians and surgeons, if they were allowed
to run hospitals (as opposed to CCP, DNC, and F)
would deliver fast good care. and Truth.
BUT thanks to Romney and Obama,
it is gone ..... forever.
Surgeons know how to operate. Aside from that, most of them couldn’t figure out how to get out of the parking lot. Seriously, we installed a new parking lot system and many of them had to be trained a few times.
Doctors make horrible administrators. Most doctors are not open to “new” ways of doing anything. While they are usually smart in clincal terms, they are not always the smartest guys in the room when it comes to how stuff should work—and they don’t like when that is evident.
That said, accountants make horrible administrators as well. There needs to be a Senior Leadership team that is focused on the success of the organization: A combination of high quality and high efficiency.
Anyone who thinks that Medicare reimbursement tables are not responsible for the way hospitals are run need to rethink their assumptions. We HAVE nationalized healthcare already—all of our insurance reimbursement rates are based on Medicare rates. EVERYTHING is managed to those rates.
The key to lowering hospital costs is to do away with the need for well-paid hospital administrators by making hospital service units small enough to be run by the doctors and nurses themselves.