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Re: Joint VenturesFrom: Cheri Van Hoover (cherivh@xdcr.com)Fri Oct 10 00:13:02 2003
Terrence.Jones@kp.org wrote: > Well, I think Cheri might have some insight, tho not sure how much > logistic familiarity, regarding Institutions that "DID" this. Yes, as a matter of fact, I was at Stanford when the joint venture convened and started at UCSF soon after it ended. It was not a happy marriage, and not exactly long-lived, though it did last longer than many celebrity marriages. Heck, it lasted a lot longer than some of my relatives' marriages. Neither institution seemed to have a clear vision of what exactly they hoped to accomplish by their union. This lack of clarity increased the anxiety and dissatisfaction of the people at every level in these institutions. Also, I can say from having been inside both systems that these are very different institutions, with very different cultures. On top of that, the geographical distance made any real unity difficult if not impossible. The two hospitals are about 45 miles apart in driving distance and inhabit quite different worlds (urban vs. suburban, wealthy vs. middle class, private vs. public, foggy vs. sunny, etc.). It was just too difficult to make the systems mesh, especially without a single powerful leader who was respected by both institutions.
> As a bystander, would make one Very wise advice, I think. It might also be helpful to sell the public on the virtue of the joint venture. For example, if this made VBAC available in a community where that opportunity had ended because of inadequate in-house anesthesia and/or OB coverage. Good luck!
-- Cheri Van Hoover, CNM, MS Faculty OB/GYN Group University of California, San Francisco
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