The saying "If you build it, they will come," applies to baseball fields and malls, but not CPOE. Getting these systems up and running involves a host of challenges, including cost and IT infrastructure, but the most formidable of those challenges is getting the docs on board...
The medical staff model change initiative at Better Times Hospital has hit the wall. The medical staff is in an uproar over the administration's assault on their cherished structures and processes. Department chairs grouse that the rug is being pulled out from under them. The...
At Better Times Hospital's medical staff redesign retreat, the guiding coalition emerged with a model called "3-6-9." The model calls for three key medical staff committees: the medical executive committee (MEC), credentials committee, and a single multispecialty peer review...
Good things come from hospitalist programs. Well-run hospitalist programs produce shorter lengths of stay, better core measure compliance, and more rapid adoption of order sets and protocols. Primary care physicians (PCP) experience an increase in productivity and income after turning over...
The day of the medical staff strategic planning retreat for Better Times Hospital has arrived. The retreat is a direct result of the change management process initiated by Joe, the medical staff president, based on the eight-step process outlined by John Kotter in his book...
Better Times Hospital is in crisis. The medical staff is deeply rooted in a departmental structure that relies heavily on committees, and few physicians want to serve on them. Joe, the medical staff president, has just finished reading Leading Change by John Kotter and has...
