The new urology medical director says, “The trend to fewer prostatectomies is hurting some of our doctors’ income. Can we do anything about that?” You reply, “Maybe. We can use our planning model to forecast the number of urology procedures each year, by procedure.” You continue:

Considering the continuum of care for the US healthcare system, acute care hospitals primarily provide long-term specialty care medical services to patients.

Your aunt Sarah, who lives in another city, is selecting a care provider. She says, “I’ve looked up two cardiologists in my insurance panel. Each is privileged at a different hospital. Does the hospital make any difference?” You reply: “It might make a difference. I’ll look up the record of each on WhyNotTheBest.org…”

As fellow, you take your regular rotation on call for senior leadership. One evening, a trustee calls, very upset. He’s in your emergency department. His elderly mother has been in the ED for two hours, and nothing seems to be happening. He’d like your help to get her admitted. You go to ED, where the physician managing her case reports that she’s been examined and diagnosed, and will be admitted. She’s waiting for an appropriate inpatient bed. You thank the emergency physician, and together you explain to the trustee. You call the CEO to alert her. What else should you do?

The board is considering changing from an excellence-in-care mission to a population health mission. One member says, “Why should we do this? We will be jack of all trades, master of none.” The CEO should say: “Our scorecard shows we are masters of acute care…”

You’re recruiting a physician to join your HCO. She says, “The story you tell, of what you call empowerment and continuous improvement, sounds good, and I contacted some people I know on your clinical staff. They say very complimentary things, that your HCO delivers, and they like practicing there. My concern is this: I’m making basically a lifetime commitment. How do I know the HCO will continue to be cutting-edge?” You begin, “Well, nobody can foresee the future, but…” What’s the best way to complete the sentence?

A new board member asks, “How do we know that the board is doing a good job?” You reply, “Good question! The answer isn’t easy, but there are several important indicators…”

Ch 4/5 Test Password: friction

How does Woolman view the treatment of Indigenous people?

What role does religion play in Marrant’s survival?