?? Hey hospital executives, ?? ?????????? ??'????????????????????????? ???? ???????????????? ?????????? ???????????? ???? ?????? ????????????: go to your ER and be a fly on the wall. I can guarantee that you will learn more about your role, your power, and your own hospital than a month's worth of meetings. Here are the rules:
1?? You can't tell anyone you're coming. Just clear your schedule and show up. Otherwise your direct reports will try to please you by making it look nicer.
2?? You can't help. NatGeo photographer rules apply here; you're there to observe and let nature take its course.
3?? Talk to everyone, and listen so you can fully understand. (Not only is this an infinite value glitch, it's also an infinite frontline workers respect-builder)
4?? You gotta do this for 8 hours, and cover all 3 shifts. Let's say 6a-2p, 2p-10p, and yes, 10p-6a. All of these have fundamentally different challenges on your teams, your patients, your hospital, and your own body. Maybe do one shift a month.
?? I'd strongly recommend a Friday or Saturday overnight to see what happens when a patient comes in with something that can't get addressed until Monday.
5?? No shortcuts/no cherry-picking. You gotta stay the whole 8 hours, and you can't just hang out in the doctors' room. Sit in the waiting room for an hour. Follow a nurse into the dirty utility room. Talk with a patient in the hallway.
6?? You have to share what you learned. I'm not asking you to reveal your ED's flaws or problems, but you need to tell others about your experience. (If you want to send it to me and have me post it anonymously, I'm fine with that too.)
And not only will you come away from the experience with way more understanding of your ER and your hospital, but I think you will leave feeling exceptionally honored and proud to know how many incredible, dedicated people exist in your organization working on the frontlines of healthcare today.
Anyone up for the challenge? ??