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- Mar 5, 2018
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Only the oblivious wouldn't know that's exactly what administration's sentiments are. My hospital tried to do a lot of these things but it backfired on them spectacularly.
After my hospital got bought out, the new administration came in with exactly with that play book. They "renegotiated" all the hospital based specialties, including pathology. After the ER, IM, and Critical care/pulmonary docs told them to take a hike, their contracts weren't renewed and they brought in another bunch of corporate physicians to handle the work. The transition was anything but smooth and after a few mismanaged patients, most of the referring surgeons/specialists pulled their stuff out. They tried to renegotiate with radiology, except all the radiology equipment is leased to the hospital by the radiology group. Radiology played hardball and told them to prepare to spend millions out of pocket for their own CT, MRI, and radiology software suites. Needless to say, they were left alone. The GI docs all went and built their own endoscopy centers and the surgeons migrated the bulk of their work to the surgery centers which they have financial interests in. When they came to us and wanted to claim total financial control on the outreach business we brought to the hospital, we pulled it out and built our own lab which is most of our practice today.
Within a year of the new administration taking over, about half of the business bolted for greener pastures. That particular CEO along with the entire administrative team was s---canned shortly thereafter and the hospital has been playing catch up ever since then.
So the moral of the story is administration wins only if you let them by being really passive or just plain lazy.
Is this in a competitive market?Only the oblivious wouldn't know that's exactly what administration's sentiments are. My hospital tried to do a lot of these things but it backfired on them spectacularly.
After my hospital got bought out, the new administration came in with exactly with that play book. They "renegotiated" all the hospital based specialties, including pathology. After the ER, IM, and Critical care/pulmonary docs told them to take a hike, their contracts weren't renewed and they brought in another bunch of corporate physicians to handle the work. The transition was anything but smooth and after a few mismanaged patients, most of the referring surgeons/specialists pulled their stuff out. They tried to renegotiate with radiology, except all the radiology equipment is leased to the hospital by the radiology group. Radiology played hardball and told them to prepare to spend millions out of pocket for their own CT, MRI, and radiology software suites. Needless to say, they were left alone. The GI docs all went and built their own endoscopy centers and the surgeons migrated the bulk of their work to the surgery centers which they have financial interests in. When they came to us and wanted to claim total financial control on the outreach business we brought to the hospital, we pulled it out and built our own lab which is most of our practice today.
Within a year of the new administration taking over, about half of the business bolted for greener pastures. That particular CEO along with the entire administrative team was s---canned shortly thereafter and the hospital has been playing catch up ever since then.
So the moral of the story is administration wins only if you let them by being really passive or just plain lazy.
Yes...however, we are at a distinct disadvantage due to the job market. It was fortunate that the ER, IM and critical care docs were the ones who were replaced, as I'm guessing most of them were able to find a suitable job without too much trouble to replace the one they just lost. If a whole department/group of pathologists was the first to be let go to make an example for the other docs in the system, the story would not be as rosy. For this reason (fear), many pathologists are willing to give in to administration much more than they would in an ideal situation.
Is this in a competitive market?
It ain't easy to build your own lab nowadays. And it stinks if you are still working for a hospital the local physicians hate. Once they start their own surgery centers etc, they view the institution as competition. It is hell keeping their business. Lost a lot of bidness over the years due to this crap.
Only the oblivious wouldn't know that's exactly what administration's sentiments are. My hospital tried to do a lot of these things but it backfired on them spectacularly.
After my hospital got bought out, the new administration came in with exactly with that play book. They "renegotiated" all the hospital based specialties, including pathology. After the ER, IM, and Critical care/pulmonary docs told them to take a hike, their contracts weren't renewed and they brought in another bunch of corporate physicians to handle the work. The transition was anything but smooth and after a few mismanaged patients, most of the referring surgeons/specialists pulled their stuff out. They tried to renegotiate with radiology, except all the radiology equipment is leased to the hospital by the radiology group. Radiology played hardball and told them to prepare to spend millions out of pocket for their own CT, MRI, and radiology software suites. Needless to say, they were left alone. The GI docs all went and built their own endoscopy centers and the surgeons migrated the bulk of their work to the surgery centers which they have financial interests in. When they came to us and wanted to claim total financial control on the outreach business we brought to the hospital, we pulled it out and built our own lab which is most of our practice today.
Within a year of the new administration taking over, about half of the business bolted for greener pastures. That particular CEO along with the entire administrative team was s---canned shortly thereafter and the hospital has been playing catch up ever since then.
So the moral of the story is administration wins only if you let them by being really passive or just plain lazy.