Re: disruptive docs
From: art fougner, md (evsono@pipeline.com)
Wed Aug 24 15:37:36 2005
The Golden Rule: He who has the gold rules."
art
At Wed, 24 Aug 2005, Henry Gregor wrote:
>
>Oh, of course, the paying instituiton gets the benefit of the doubt, as does the medical staff being evaluated. Its just that the same management mafia that can finesse the issues within its own board and committee meetings can finesse the presentations given outside review authorities.... The situations wherein management seems willing to invest dozens of man and woman hours justifying why there isn't a problem, as opposed to accepting there is, rolling up its sleeves and working on a real solution...for example, as one colleague pointed out, it was easier to get an out of cycle budget allottment for a lithotripsy machine, multiple radial keratoplasy knife blades (I know, getting into ancient hx here) or a new scanner for radiology than to get a ten cent an hour pay differential for nighttime L&D staff....far easier for the hospital to alledge nurses didn't quit over lousy pay or inflexible shift requirements or inflexible recognition of child care requirements, as opposed to
> overbearing and insensitive docs. Far easier to alledge ob and perinatal guidelines for unit staffing are being met by citing "backup" L&D personnel are continuously available, though the fifteen miles of iced over, twistin, narrow nighttime back country roads really preclude that as a realistic scenario, than to cut one administrative staffer per shift or, even, per day.
>
>I know, I know, I descend into disruptive paranoia.
>
>Hank
>
>DoctorJoe@aol.com wrote:
>
>In a message dated 8/24/05 8:42:06 AM, henrygregor@yahoo.com writes:
>
>BTW..beware of any assumption that outside ACOG peer review teams dispatched to your local hospital will be objective or accurate, GIGO (garbage in, garbage out) still applies. As one businessman hospital board member (with an ax to grind re the entire medical establishment) once told me...its like my comptroller department, let me present the input data and I can control the outcome report.
>
>Well, don't be so sure the GIGO concept holds COMPLETELY for ACOG. Remember who pays their thousands of dollars of fee for a "review" - it's the INSTITUTION. So of course the institution gets the benefit of the doubt, etc., etc.
>
>Joe P.
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
