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HCAD 600 Conference Questions Based upon your education and experiences, are leadership skills ‘born’ with someone or can someone be trained to become an effective leader? How do you distinguish between ‘leadership’ and management, if such a distinction is valid at all? As health care organizations become ever more complex, have you observed a leadership style or communications style you consider highly effective? How about very dysfunctional? Cite examples, please. Can case studies, biographies, empirical analyses and anecdotes from senior health care executives and their organizations ‘teach’ future administrators to properly plan for, anticipate, effectively deal with and profit from change externally and internally? (Hint: The CIA has been charged with failing to anticipate the fall of Communism and the 9-11 terrorist attacks..and they train very methodically!) I have always been fascinated not only by advances in medical treatment throughout recorded history but also by changes in the paradigms about what the healing arts considered “proper treatment.” (If you look at a Merck Manual from the 1950s, as I have, you would see such changes!! Bleeding and leeches were the standard “cures” for many a malady when our Republic was founded!!) From your readings, identify and briefly discuss 2 or 3 of the major developments or advances in medicine since the Moors occupied Spain (or our own Declaration of Independence, if you will.) “Bonus points” to advances which either cost very little in money for their enormous impact and benefit and for advances prior to the election of John F. Kennedy as President! As you are aware, there is an enormous public sector devoted to regulating and delivering health services in the USA (made all the more so by recent “health reform” legislation)…despite our abhorrence of “socialized medicine.” From your readings and experiences, identify 2 or 3 important (and not-so-visible but nonetheless important) agencies at the Federal level which impact how Americans receive health care services today or will obtain them under the reform law. Why are the agencies you cited significant “players” and what is their statutory mandate? In your view, how have these agencies met their missions? If you could reform any aspect of their operations, what might you propose, fiscal matters aside? Discuss briefly who or what should be drafting quality standards in medicine. Should we trust insular professional groups to protect the public interest? How about politicians? Litigation attorneys?
Describe your experiences in the arena of quality assurance or risk management. What were your specific duties? With whom, if anyone, did you coordinate your work? How was an untoward event handled? Recent reports by the National Academy of Sciences, the NYS Department of Health and Harvard University identified many thousands of documented medical errors causing serious injuries, claims and other ill effects. Many, if not most, of these errors were foreseeable, if not preventable. In light of these findings, what can we say about the state of QA/RM programs? Are they effective? Discuss the best methods of which you are aware to measure the efficacy of health care. For example, double-blind placebo clinical trials are the ‘gold standard’ for investigational drug activities. What role does medical malpractice litigation play in enforcing adherence to accepted standards of professional conduct? Are there better ways to enforce standards? Since hospital-acquired infections and hospital induced illnesses are very wide-spread, foreseeable and an expected if regrettable part of a patient’s experience, its ludicrous, if not hypocritical, too make too much out of such problems. Disciplining health care providers for such incidents are both unjust and impractical.” Do you agree with this statement? Why or why not?