Divides in Healthcare
It is no secret that there is somewhat of a divide in
healthcare between the administration and the clinical team. In some
organizations, it is more difficult for both sides of healthcare to coincide,
while in others, flow and communication seems effortless.
Why is this I wonder? I always thought it was interesting to
see how both sides of health care interacted with each other, and why it was so
difficult for some to get along. After hearing multiple guest speakers in
class, I understand more why the divide is prevalent.
The clinical team, which is often comprised of nursing
assistants, nurses, and physicians, focus solely on the health of their
patients. Their one goal is to make sure the health of their patients is not compromised and
the care they are able to provide is excellent, efficient, and effective.
The administration team on the other hand, is focused more on business. Although a great deal of their focus is on patient care, they are more so focused on the backside of the organization. Administration goals include thing such as budget control, or malpractice issues that want to be avoided. Things like managing teams, or starting new innovative projects while also hiring people who can provide correct care for their organization are goals administration focuses on.
So, what is the issue between the two? I have come to the
conclusion that although both teams of the healthcare world want the best for
their organization and the patients that inhabit it, they can’t agree because
of the way things are executed. Administration comes up with the rules, and the
policies. These are the things that some physicians don’t agree with, the
things that cost them the ability to give the care they want to be giving. In
most cases, I feel as though administration and the clinical side of an
organization cannot agree on things because physicians or nurses want to be
doing more for their patients. They want to be spending more, executing more,
healing more with innovative technology that may just not fit the budget at the
time.
With these issues though, there is still communication through both parties. And there
are doctors and administration coinciding together, making decisions for the
organization, as well as the patients. In my opinion, in order for an organization
to run at top speed, the administration must have clinical roles involved. This
will allow better flow of communication, as well as a better understanding of
where administration comes from when they implement policies and rules that
some may not agree with.
I do not think that these issues will ever fully be fixed,
although I do hope. In any situation, not everyone will agree. It is important
either way to make sure everyone understands, communicates, and works efficiently
and effectively while providing the best possible care.
You are 100% correct in a couple of things: #1- it is all about the patient, and that is the middle ground where clinic staff and administration must meet to balance what's good for the patient and what is good /smart business do the facility can continue to take care of patients. Second, communicate, communicate, communicate. Absolutely bring clinicians into the administrative and decision making fold when you are able. They speak clinician, and can assist in getting you buy in. Below is some levity to the clinician-administrator battle:
ReplyDeletehttps://youtu.be/NcHdF1eHhgc
https://youtu.be/iXZr3KINxFM
Maybe a little tension is a good thing... ?
ReplyDeleteof course there is a difference between tension and dysfunction.
Delete