Appearance of Leadership

Organizations Fold

This is actually where the whole silos of care thing falls right into place. Just think of care being given all cross the world in exactly the same way, shape, and form. It’s much the same sort of a thing only we call our silos by a few different names. Back in the olden days the silos represented a place where grain could be stored. The farmers would bring it in from the fields but they’d have to store it because it’d gotten too much. Sure, it would be later used all through the winter. That’s because when it’s gotten cold out there like that, there’s not much that can push it’s way up from the ground. I mean, you sure can try to seed it and straw it as much as you like. If you asked me aside from a blessing of some weather that’s warmer, things have gotten a bit out of hand. That though was the whole point of the silos for the farmers to take out their storage of grain all through the winter. Sure by the time spring finally came, they’d have eaten it down along with the cattle and the rest of the people, ready now to throw some seed out again for the land. That’s kind of what the hospital is if you happened to think. Really, it’s much more of an inappropriate use of the silos, I’m sure you’d agree. There’s a nice place there for people to stay along with some food though they don’t exactly say for how long. I mean, really, you’ve got housekeeping and more than a few of the doctors who don’t seem to have a clue what they’re doing. Why else would they go around with such a large following as the attendings and such that their attention has gathered if not for their uncertainty in diagnosis at first. Let me tell you, if a bunch of farmers got together to do this over their planting, we’d think they had gone all sorts of mad. That’s because medicine has become a sort of theater just as it was designed from the start. Only problem is it’s the wrong sort of play, one which is now in the process of walking away. To the hospital then we bring insurance funds along with food, workers, and all sorts of trucks. If you didn’t know any better, you’d think it resembles some sorts of government there in a way.

In fact, there’s all of the benefits along with the workers. Now when it comes to the workers, you’ll find these also are lined up by silos. There’s the base at the bottom and a cone at the top attached to a few certain boards members who run things from there. Then again all the care provided is layered. In no way am I saying the hospital should resemble your center of government. For anything that ill, you might as well have watchers and waiters and attendents who’re waiting your demise. It might be now or in the next few hundred years, still though the fact remains it’s inevitable due to this type of a view. It takes all the resources up from everywhere much like the gathering in of grain from out of the land. The workers all go along with everyone else where resources are gathered against the hard winter. The only ones then reaping such benefits from out of the work are the few nurses and doctors who’re assisting the care. In the meantime you go home hungry and cold. This really isn’t what was designed. Just think of what would happen if the silos faced a reckoning by design or by choice. It’d be much as the great equalizer death that levels us all. This reckoning then should come in the breaking down of the silos into much smaller units and redistributed around through the surrounding of towns. Sure we could get together and find out what the renaming is called. In medical, the much smaller of units is considered the care of the doctors. This allows for care to be much more exact. You might even go in for a quick check. Perhaps some more acute cases could be allowed to stay overnight. These will be limited in numbers though and based upon need regardless of whatever they’re paying. This allows the lesser illnesses to receive care within the much larger community while allowing the sicker to recover in peace off the streets. I mean I’d imagine a thing like a sprain or a few broken bones get treated then allowed to recover much like a cough or any other sort of condition. Only the serious then that are deemed a threat to the health due to their more imminent risk of survival get treated like a crisis of course. Delivering this news though will come as a shock, although the workers at the larger silos will be allowed to go home to their towns. The resources are distributed appropriately as the fields no longer emptied or bare.

Then there’s one final thing to discuss, that of administration. What’s wrong exactly with letting the heads of the towns have a good say, much less with the elders’s opinion that comes with a hearing of voice. Then again, you’re probably wondering to yourself what the elders or the administrators have to do with anything medical. If you’re wondering if the focus seems off about now that’s because you’re more than probably right. Thus, the healthcare system suffers from excessive bureaucracy and also mismanagement. Consider if you will a system being run by the patients for now. Who knows better about the provision of care than them that have experienced it themselves. Then again, there’s no better advocate for their own particular sort of an opinion and what should be delivered as far as care goes. Not doing so is like asking the local township to decide what goes on the farm. I mean, if it’s all the same as a jointly managed property to them, I don’t see why they wouldn’t. Regardless though, the sayer in practice next to the patient is the providing physician. Rather it’s this expansion of roles that allows it to happen. Think of it real quick as the much larger silos break down to be spread through the land. It’s not that all the grain that was stored will soon soak into the ground as though released in a spill. Rather the farmer breaks it down and takes it somewhere to be used in much smaller houses of care which if you think of it could be one or a hundred based on the size and the wants of the village. Thus the primary office has just become larger with some storage of care if indeed such a thing could come expressed in some units and also released out later as a much more welcoming community center.

Systems Process

Along with the expansion comes a redefining of the local prescriber. Maybe you think the local doctor is doing just fine. He’s only needed for a few things and not quite as much else. A redefining though of all things isn’t necessarily as bad as you think. Most people only face a redefining in roles when the company has decided their services are no longer actually needed. Then they’ve got a major existential crisis left on their hands along with a few other half-sodden ideas. I’m not downing anybody that’s for sure, I mean, anyone who has given their life to their company deserves far more better treatment than just that. It’s sort of like what I’ve done being unwilling at this point in time to resign. I really ought to have left long ago just when things had gotten much worse and left my predecessor to clean up the mess. Only thing is though that’s not what’s responsible to you now is it, with no one left to who’s willing to pull you straight from the pits of the mess that’s done come. No one else would do it, that much for sure. What’s that they say about the hireling then, having left off of the fold and abandoned the people for whatever a better thing could come forth from that life. We’re not talking about that sort of defining though between a good person and bad but rather one who is willing to do his best no matter the situation or placement of care. Come to think of it, that’s what life was like for the hospital provider before. Perhaps these would enjoy the opportunity to run their own practice without having to worry about being let go or left off by their own sending organization. Not that their a bad provider, just one that’s been willing to do their best by their patients as seen in their staying with them despite the placement of care. If they’re a bad provider, that much would be different for sure, but really their not, just ones that would enjoy a lot more expansion of roles. Perhaps diagnosis and treatment isn’t as acutely needed or such as a more administrative approach.

To be sure, it’s much more of an opportunity of sorts. Thus it’s good to have things delegated as a shaking-up of the local workforce occurs. At first, delegation sounds very much like preparing your subordinate for a going away or at least it does so to me. That’s why I have carefully avoided bringing anyone into this issue just yet. To delegate first implies that they’re trained and somewhat good at their job. Thus, I’d feel comfortable giving them whatever access is needed to do that which I’ve asked them to of a sort. When it comes to the management of health, much watch-care is desperately needed aside from the physician’s primary placement in roles. You’ve got the orderlies or those under the physician that help provide at once for the care no matter the position. No matter the setting whether in a silo or a much smaller community, the care is delivered regardless to the local community. In some cases, it’s just the right sort of thing yet to do. These can have on-the-job training without much more formalized sort of education depending on the physician’s comfort in roles without involving a much larger licensing section. Then again, that’s where the shaking-up comes from cause most don’t feel comfortable training health professionals up in the care of the people without having anyone else around to handle the paperwork. From there, you’ve got the nurses in place just over top which traditionally have been used for all sorts of patient care management. Though if properly used, these also can face the much larger expansion which includes a much more person-centered approach regardless of the role of tradition as seen in the region. All that’s just a fancy way of saying the role of the elders in care management is utmost of course. I mean, think of it really as all the people required for maintaining the silo are forced to go elsewhere in continuing to work to provide the best care.

In doing so opens up a debate about whether it’s the provider in charge or else it’s the patient, or quite possibly whether someone else should be set over the care to avoid errors in judgment and process or whatever else that might later occur. I mean, the debating is what we’ve been doing here all along only with the addition of a few more open solutions. These solutions then are the best ways of getting care done, at least in my opinion it’s probably desperately needed as the organizational shake-up occurs. Perhaps care won’t be quite the same after this though ideally it should be more in line with the needs of the people and not a little bit more. Who said there was socialized medicine needed really, when all that was asked was a bettering of the condition treated. If my opinion wasn’t so out of touch it’d be something I could actually rely on of course. This is what you’d call getting a second opinion before an error in judgement occurs. Perhaps it’s due to the lack of something that really should’ve been known. Maybe though someone like you just didn’t say which all too commonly happens when opinions on all sorts of important stuff affecting the care is kept buried or secret from society’s leaders. You know, those people who are in charge of actually getting things done. A leader might look somewhat different to you, being anyone that’s qualified of making an opinion such as yourself on the situation. Though it’s not just opinion that counts but rather the making or trading thereof that matters in any way that is measured. Beyond that there’s the response of those ideas on the much larger community of care in a way that is measured. In some of these cases there’s such a thing as the benefits of getting a second opinion to avoid errors in judgement and bias. Which, really I’ve been prone to myself from the first. The fact that I’ve listened and done much more in the care of my people than I otherwise would just proves it’s something of worth.