Medical Society of Delaware | Andrew Dahlke | Activity https://meded-stat.com/msd/members/adahlke/activity/ Activity feed for Andrew Dahlke. Fri, 10 Apr 2026 09:03:59 -0400 https://buddypress.org/?v= en-US 30 hourly 2 4f86c46926727625ea6b4fe2d4f6d94d Andrew Dahlke started the topic LEAD BY EXAMPLE in the forum The Business of Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/lead-by-example/ Wed, 26 Jul 2017 02:03:18 -0400 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]

]]> 0 9f015006fa6a2b68b0fa8a41b3ef9406 Andrew Dahlke started the topic Pendulum swings- Independent physicians and employed physicians- in the forum Practice settings and Employment Contracts Discussion Forum http://www.es4p.com/msd/forums/topic/pendulum-swings-independent-physicians-and-employed-physicians/ Mon, 17 Apr 2017 02:35:07 -0400 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]

]]> 0 757c8ab99eff62b810147f9b70bba2a1 Andrew Dahlke replied to the topic Financial Statements and your practice in the forum Practical Tools of Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/financial-statements-and-your-practice/#post-7556 Thu, 06 Apr 2017 02:01:32 -0400 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]

]]> 0 945cc9211cf6e796de8ea3ade4060e68 Andrew Dahlke started the topic cost accounting in medicine is not easy in the forum Practical Tools of Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/cost-accounting-in-medicine-is-not-easy/ Sun, 02 Apr 2017 02:53:40 -0400 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]

]]> 0 f1dd9e0bc1614b78918d00df5ae6cb3d Andrew Dahlke replied to the topic Financial Statements and your practice in the forum Practical Tools of Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/financial-statements-and-your-practice/#post-7486 Sun, 02 Apr 2017 01:50:54 -0400 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]

]]> 0 496c47d1ecb58d9924f3639ab6e8dc90 Andrew Dahlke started the topic How to refocus a group when their is a disruptive member in the forum http://www.es4p.com/msd/forums/topic/how-to-refocus-a-group-when-their-is-a-disruptive-member/ Mon, 27 Feb 2017 01:19:43 -0500 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]

]]> 0 48b31c739378f3b9d52f03cc4d16444a Andrew Dahlke replied to the topic Discussion Question in the forum Quality Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/welcome-to-the-discussion-forum-18/#post-7187 Wed, 15 Feb 2017 04:04:49 -0500 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]

]]> 0 48b31c739378f3b9d52f03cc4d16444a Andrew Dahlke replied to the topic Reply To: Welcome to the Discussion Forum in the forum Discussion Question http://www.es4p.com/msd/forums/reply/reply-to-welcome-to-the-discussion-forum/#post-7187 Wed, 15 Feb 2017 04:04:49 -0500 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]

]]> 0 48b31c739378f3b9d52f03cc4d16444a Andrew Dahlke started the topic Reply To: Welcome to the Discussion Forum in the forum Quality Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/hospital-goals-and-patient-goals-are-often-not-aligned/ Wed, 15 Feb 2017 04:04:49 -0500 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]

]]> 0 31c73dc9031cdb42e8506b7d4fc6dc27 Andrew Dahlke replied to the topic Discussion Question in the forum Quality Leadership Discussion Forum http://www.es4p.com/msd/forums/topic/welcome-to-the-discussion-forum-18/#post-7186 Wed, 15 Feb 2017 03:45:34 -0500 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]

]]> 0 621854d02cc0e13cf6fbaf02e21e0560 Andrew Dahlke became a registered member https://meded-stat.com/msd/activity/p/280/ Mon, 13 Feb 2017 00:15:37 -0500 0