With any large scale and rushed sets of actions, there are both intended outcomes and unintended. The unintended can be either a major improvement over the previous circumstances, or just a new set of problems. Our national, state and local response to the COVID infections have generated some of each. From the chiropractic side of things, the vast majority of my clients remained open as a provider of essential services. Most clinics initially ran on a skeleton crew with reduced hours, but not all. Even with the Screening and Cleaning protocols in place, most clinics ran at reasonable … [Read more...] about Unintended Consequences
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Leadership
Managing patient care requires a variety of leadership, where you take your patient from the starting point to their destination of restored health and wellness. This can require navigation of coordinated care, the medico-legal system, the private insurance system and many other types of items secondary to the actual care delivered. However, showing leadership in the context of a larger practice or a multi-disciplinary practice is a different matter. These ideas revolve around the notion of Emotional Intelligence, a phrase attributed to Peter Salovey and John Mayer. This is generally … [Read more...] about Leadership
Changing Standards
All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident. -Arthur Schopenhauer Another fun-loving philosopher, bring it on! In our health care arena, we see this sort of thing on an ongoing basis. It can be agonizingly slow, but once that third stage is reached, our standards have changed, and we have a new set of norms. This can be for better or worse, but it does defuse the argumentative side of things. We have seen this in the changing and evolution of the entire medical profession, and with the … [Read more...] about Changing Standards
Communication Pipelines in the Office
In smaller offices, communication from the doctor to other staff members, whether administrative or technical, is fairly straightforward. Everyone is close in proximity and there is ample opportunity to clear up anything that might be unclear. In a larger practice or particularly a multi-disciplinary practice, this is not as straightforward. Many doctors who are directors of or participants in larger practices developed their managerial habits in smaller practices, and then find that the small-scale approach is no longer effective. You will know this in your practice when you have to repeat … [Read more...] about Communication Pipelines in the Office