Comments on: Three Things the President Won’t Talk About Tonight http://www.seefirstblog.com/2009/09/09/three-things-the-president-wont-talk-about-tonight/?utm_source=rss&utm_medium=rss&utm_campaign=three-things-the-president-wont-talk-about-tonight Insights into the uncertain world of healthcare Tue, 29 Nov 2011 22:02:00 +0000 hourly 1 http://wordpress.org/?v=3.1.3 By: Eight Quick Reactions to the President’s Speech « See First Blog http://www.seefirstblog.com/2009/09/09/three-things-the-president-wont-talk-about-tonight/comment-page-1/#comment-366 Eight Quick Reactions to the President’s Speech « See First Blog Thu, 10 Sep 2009 15:04:27 +0000 http://www.seefirstblog.com/?p=1182#comment-366 [...] I was right: the President didn’t talk about the three things I said he wouldn’t talk about.  In fact, he said almost nothing about the delivery of care- it was all about how to pay for [...] [...] I was right: the President didn’t talk about the three things I said he wouldn’t talk about.  In fact, he said almost nothing about the delivery of care- it was all about how to pay for [...]

]]> By: Gregg Masters http://www.seefirstblog.com/2009/09/09/three-things-the-president-wont-talk-about-tonight/comment-page-1/#comment-360 Gregg Masters Wed, 09 Sep 2009 20:49:44 +0000 http://www.seefirstblog.com/?p=1182#comment-360 Evan: Nice piece, may I add 3 more? 1. Failed prevailing (i.e., non IDS) hospital governance models. The 'three legged wobbly stool' (volunteer Board, lay general management and medical staff organization nexus), is inadequate to care-take, let alone, steward the required structural transformation. 2. 'Medical staff organizations, aka 'clubs', are inefficient, ineffective and not viable partner business entities capable of accepting, and honoring the broad clinical, legal and administrative obligations delegated to them via the board (i.e., The Joint Commission, znd State Department of Health Licensing Boards, etc.). 3. Mayo v. McAllen frames the real debate, aka so-called 'elephant in the room' issue, since it drives the discussion on 'integration' both financial and clinical; the very issues the above governance configurations are incapable or remedying! Just sayin', over and over again, with little traction in the marketplace of ideas! Evan:

Nice piece, may I add 3 more?

1. Failed prevailing (i.e., non IDS) hospital governance models. The ‘three legged wobbly stool’ (volunteer Board, lay general management and medical staff organization nexus), is inadequate to care-take, let alone, steward the required structural transformation.

2. ‘Medical staff organizations, aka ‘clubs’, are inefficient, ineffective and not viable partner business entities capable of accepting, and honoring the broad clinical, legal and administrative obligations delegated to them via the board (i.e., The Joint Commission, znd State Department of Health Licensing Boards, etc.).

3. Mayo v. McAllen frames the real debate, aka so-called ‘elephant in the room’ issue, since it drives the discussion on ‘integration’ both financial and clinical; the very issues the above governance configurations are incapable or remedying!

Just sayin’, over and over again, with little traction in the marketplace of ideas!

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