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Andrew Dahlke started the topic LEAD BY EXAMPLE in the forum The Business of Leadership Discussion Forum 7 years, 10 months ago
TALKING THE TALK IS GENX.
WALKING THE WALK IS LEADERSHIP.
IT IS NOT THE SPIN AND THE VERBIAGE OF THE DISCOURSE, IT IS THE ACTIONS TAKEN IN YOUR DAILY ROUTINES THAT MATTER. THE WORKERS MUST RELY ON YOU AND NEITHER FEAR YOU NOR NOT WANT TO APPROACH YOU. YOU MUST BE APPROACHABLE IN THE WORST OF TIMES, RESPECTFUL AND HELPFUL AT ALL TIMES, AND HAVE…[Read more]
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Andrew Dahlke started the topic Pendulum swings- Independent physicians and employed physicians- in the forum Practice settings and Employment Contracts Discussion Forum 8 years, 2 months ago
Employment of doctors by large hospitals is pointed to as a success (i.e. Mayo, Geisinger, Cleveland Clinic).
Employment of doctors in other settings can poison the doctor patient relationship. The interests of the hospital are to maximize revenue, not necessarily to maximize patient health. Instead of putting the patient first, the employed…[Read more]
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Andrew Dahlke replied to the topic Financial Statements and your practice in the forum Practical Tools of Leadership Discussion Forum 8 years, 2 months ago
I have trouble with the accrual accounting in medicine given the lengthy billing cycles. The cash accounting is reality and the accrual accounting is based upon expectations. My business is in Lewes, Delaware. There is a yearly cycle with snowbirds leaving for Florida from Thanksgiving to Easter, and tourists using emergency room services and then…[Read more]
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Andrew Dahlke started the topic cost accounting in medicine is not easy in the forum Practical Tools of Leadership Discussion Forum 8 years, 2 months ago
The absence of cost accounting in hospitals means that true costs are not known.
I hear that our hospital loses $1,000 a day on every medicare inpatient.
They make the money up on outpatient radiology, lab services, and radiation oncology.
There is a rob Peter to pay Paul system that leads to high costs.
The medical system will not be fixed…[Read more]
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Andrew Dahlke replied to the topic Financial Statements and your practice in the forum Practical Tools of Leadership Discussion Forum 8 years, 2 months ago
We do monthly billing statements that include days in accounts receivable. Eventually (typically 90 days), the bills in AR are given to a collection agency. That data is not available.
Also the terms adjustments and collectible are not defined and should be.
Typically collections are 25% to 30% of charges when there is a lack of private…[Read more]
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Andrew Dahlke started the topic How to refocus a group when their is a disruptive member in the forum 8 years, 3 months ago
I would like 5 methods to reorient meeting members that go on rants and hijack meetings. They are usually well intentioned ideas that do not belong at a meeting and do not follow an agenda and can be brought up in the process of brainstorming.
If you let the person go on and on, the meeting runs over.
If you cut the person off abruptly, they…[Read more]
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Andrew Dahlke replied to the topic Discussion Question in the forum Quality Leadership Discussion Forum 8 years, 4 months ago
The goal of most hospital mangers is to keep their job and their income. This means maximizing hospital revenues.
The goal of the patient is to get as healthy as possible as soon as possible.
These two goals are rarely aligned.
As a physician, my duty is to the patient first and to the hospital second.
How do I lead a dysfunctional…[Read more]
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Andrew Dahlke replied to the topic Reply To: Welcome to the Discussion Forum in the forum Discussion Question 8 years, 4 months ago
The goal of most hospital mangers is to keep their job and their income. This means maximizing hospital revenues.
The goal of the patient is to get as healthy as possible as soon as possible.
These two goals are rarely aligned.
As a physician, my duty is to the patient first and to the hospital second.
How do I lead a dysfunctional…[Read more]
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Andrew Dahlke started the topic Reply To: Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum 8 years, 4 months ago
The goal of most hospital mangers is to keep their job and their income. This means maximizing hospital revenues.
The goal of the patient is to get as healthy as possible as soon as possible.
These two goals are rarely aligned.
As a physician, my duty is to the patient first and to the hospital second.
How do I lead a dysfunctional…[Read more]
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Andrew Dahlke replied to the topic Discussion Question in the forum Quality Leadership Discussion Forum 8 years, 4 months ago
Radiology at Beebe was theory X for my first 10 years. Techs and support staff did what they were told and did not deviate from protocol.
The last 8 years have progressed to theory Y. They collect data on employees and sometimes use it for improvement and usually use it to deny or minimize raises at annual evaluations.
Ouichi’s Theory Z with…[Read more]
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Andrew Dahlke became a registered member 8 years, 4 months ago