Sally Randolph, chief medical officer at American Medical Center, has just learned that the CEO is cancelling the Evidence-Based Management seminar she has run for the past year. Sally and the seminar participants had worked hard to introduce the approach, which advocates basing all decisions on carefully gathered and rigorously assessed data. Although the seminar yielded thoughtful solutions to some of the center's trickiest management problems-such as uncoordinated patient care-the medical chiefs rejected them. Now the CEO wants to set up task forces, staffed with middle managers who were seminar participants, to try to sustain the evidence-based approach and to carry out a new strategic plan: creating Centers of Excellence, in the hope of boosting patient volume. Although he says that he values the evidence-based approach, Sally fears that he is merely paying lip service. Her challenge is making sure the approach doesn't fade away. She can try to gradually prove the value of evidence-based management within her own jurisdiction (regulating quality and control) or push for its implementation across the entire center immediately, as a central part of the CEO's strategic plan. Two experts comment on this fictional case study in R1005L and R1005Z.

Sally Randolph, chief medical officer at American Medical Center, has just learned that the CEO is cancelling the Evidence-Based Management seminar she has run for the past year. Sally and the seminar participants had worked hard to introduce the approach, which advocates basing all decisions on carefully gathered and rigorously assessed data. Although the seminar yielded thoughtful solutions to some of the center's trickiest management problems-such as uncoordinated patient care-the medical chiefs rejected them. Now the CEO wants to set up task forces, staffed with middle managers who were seminar participants, to try to sustain the evidence-based approach and to carry out a new strategic plan: creating Centers of Excellence, in the hope of boosting patient volume. Although he says that he values the evidence-based approach, Sally fears that he is merely paying lip service. Her challenge is making sure the approach doesn't fade away. She can try to gradually prove the value of evidence-based management within her own jurisdiction (regulating quality and control) or push for its implementation across the entire center immediately, as a central part of the CEO's strategic plan. Two experts comment on this fictional case study in R1005L and R1005Z.

Sally Randolph, chief medical officer at American Medical Center, has just learned that the CEO is cancelling the Evidence-Based Management seminar she has run for the past year. Sally and the seminar participants had worked hard to introduce the approach, which advocates basing all decisions on carefully gathered and rigorously assessed data. Although the seminar yielded thoughtful solutions to some of the center's trickiest management problems-such as uncoordinated patient care-the medical chiefs rejected them. Now the CEO wants to set up task forces, staffed with middle managers who were seminar participants, to try to sustain the evidence-based approach and to carry out a new strategic plan: creating Centers of Excellence, in the hope of boosting patient volume. Although he says that he values the evidence-based approach, Sally fears that he is merely paying lip service. Her challenge is making sure the approach doesn't fade away. She can try to gradually prove the value of evidence-based management within her own jurisdiction (regulating quality and control) or push for its implementation across the entire center immediately, as a central part of the CEO's strategic plan. Two experts comment on this fictional case study in R1005L and R1005Z.

Grant Newman, CEO of Regional Medical Center (RMC), expected the worst from the meeting that was scheduled to begin in less than an hour. The anesthesiologists were at the end of their rope, and the hospital's surgeons and obstetricians were pretty riled up too. Eighteen months earlier, Newman had made the decision to outsource RMC's anesthesia services, and he had signed a contract with Physicians Development Services (PDS), a contract management company. At the time, PDS seemed a good fit. It had a reputation for providing high-quality physicians both on a permanent basis and for temporary assignments. Unfortunately, however, PDS was undercapitalized and chronically mismanaged. PDS's paychecks to the anesthesiologists began arriving late and then bounced several times over a three-month period. In addition, the contract between the anesthesiologists and PDS had expired three months earlier, and the anesthesiologists were providing services without a contract. What can Newman do to resolve this conflict? In 95309 and 95309Z, Ken Alvares, Anthony R. Kovner, Joellin Comerford, Rudy Puryear, Vaughn Hovey, Tom Chapman, and Gary P. Pisano offer advice on this fictional case study.

Grant Newman, CEO of Regional Medical Center (RMC), expected the worst from the meeting that was scheduled to begin in less than an hour. The anesthesiologists were at the end of their rope, and the hospital's surgeons and obstetricians were pretty riled up too. Eighteen months earlier, Newman had made the decision to outsource RMC's anesthesia services, and he had signed a contract with Physicians Development Services (PDS), a contract management company. At the time, PDS seemed a good fit. It had a reputation for providing high-quality physicians both on a permanent basis and for temporary assignments. Unfortunately, however, PDS was undercapitalized and chronically mismanaged. PDS's paychecks to the anesthesiologists began arriving late and then bounced several times over a three-month period. In addition, the contract between the anesthesiologists and PDS had expired three months earlier, and the anesthesiologists were providing services without a contract. What can Newman do to resolve this conflict? In 95309 and 95309Z, Ken Alvares, Anthony R. Kovner, Joellin Comerford, Rudy Puryear, Vaughn Hovey, Tom Chapman, and Gary P. Pisano offer advice on this fictional case study.

Blake Memorial Hospital was in poor financial health, due to rising costs and stagnating revenues. The hospital's quality of care was also a major problem, and its clinics were losing over $250,000 a year. As the new CEO worked on the 1992 budget, he saw he would have to cut some services in order to fund others. One service he was considering cutting was the clinic program. Experts from public service and health care comment on the issues.